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 129
- Downloads 0
Unsuspected Klinefelter syndrome mosaicism presenting as osteoporosis: a case report
Hypogonadism secondary to genetic disorders like Klinefelter syndrome has been described as a cause of male osteoporosis, but the diagnosis is frequently missed or delayed because the clinical features are often subtle o...
Endocrine disorders in children with craniopharyngiomas during the preoperative period
Introduction: The aim of the study was an assessment of the type and incidence of endocrine disorders against the background of general, neurological and ophthalmological symptoms, observed during the preoperative period...
Comparison of learning strategies in successful and unsuccessful students
Introduction: The main purpose of the present research was to compare learning strategies used by successful and unsuccessful students. Material and methods: Six hundred and five third-year students were randomly select...
Kikuchi-Fujimoto’s disease: case report and review
Short-term lifestyle intervention significantly increases fasting adiponectin and induces a decline in serum adiponectin during oral glucose tolerance test, without changes in insulin resistance
Introduction: Metabolic syndrome is associated with insulin resistance (IR) and low concentrations of adiponectin, an adipocytokine that improves insulin sensitivity and has anti-inflammatory and anti-atherogenic propert...