The managed health care study for screening and early detection of colorectal cancer in Lodz urban population
Journal Title: Archives of Medical Science - Year 2005, Vol 1, Issue 3
Abstract
The quality improvement initiative was undertaken in parallel with prospective studies on the incidence and frequency of colorectal cancer (CRC) in urban population of Lodz, Poland. The study was conducted in four primary care providers with the support of academic medical institutions. The study population included the citizens of Lodz, both genders, aged 45 to 65. The study was divided in two stages; each conducted consecutively in 2003 and 2004. This prospective, two stage study included 3152 patients. After positive serial guaiac-based fecal occult blood tests, high CRC odds ratio based on per rectum examination and the standardized questionnaire data 47.8% out of 1648 and 18.9% out of 1504 initially enrolled patients were enrolled into the extended diagnostic stage of the study within the consecutive years, respectively. CRC was found in 0.9% and 0.54% patients, respectively and the diagnosis of CRC was confirmed with histopathological tests. Colorectal diseases other than CRC were found in 23.1% and 11.2% of the study subjects, respectively. It is crucial to design and implement follow-up studies for those among our study subjects at high risk of CRC who finished the current study even without an unfavourable diagnosis or risk rating.
Authors and Affiliations
Jacek Rysz, Robert Stolarek, Stanisław Ostrowski, Krzysztof Kujawski, Ewa Serwa-Stępień, Marcin Barylski
Keywords
Related Articles
- EP ID EP91087
- DOI -
- Views 163
- Downloads 0
Effects of absorbed dose of 131I isotope on the effectiveness of ablation of thyroid remnant tissue
Introduction: The aim of the study was the assesment of effective ablative dose of absorbed 131I radiation, based on dosimetric measurements. Material and methods: The study group comprised one hundred (100) patients in...
Prevention of contrast-induced nephropathy in patients undergoing percutaneous coronary interventions in everyday clinical practice
Introduction: Contrast nephropathy is a potentially serious complication of PCI, particularly in patients with chronic kidney disease – CKD. Material and methods: Assessment of the effects of preventive measures on the p...
Refractory angina – current therapeutic challenge
Prevalence of electrocardiographic abnormalities in patients with ischemic stroke, intracerebral hemorrhage, and subarachnoid hemorrhage
Rhabdomyolysis following severe hypokalemia caused by Conn’s syndrome
Rhabdomyolysis denotes a clinical and laboratory syndrome that results from a rapid breakdown of skeletal muscle cells. This releases potentially toxic muscle cell components into the circulation which may cause life-t...