Early detections of cancer in family practice – a case of colorectal cancer

  • Ksenija Tušek-Bunc
  • Janko Kersnik
Keywords: colorectal cancer, family doctor, screening, early detection

Abstract

Background: Malignant diseases present a serious public health problem in the world as well in Slovenia. In the last years, colon and rectum are (with the exception of skin) the most common cancer sites in the developed world, including Slovenia. Colorectal carcinoma is the most frequent cancer of the gastrointestinal tract occurring in Slovenia and it is second leading cause of mortality due to malignancies. The incidence of colorectal carcinoma is rising in the past few years. In spite of better five-year survival rates in patients with the disease, there are many patients diagnosed in advanced stages with worse prognosis.

Conclusions: Early detection of colorectal carcinoma in Slovenia has not been introduced in a systematic way yet. There is no doubt that screening is feasible in family practice. Family doctors have a unique role in preventing, early detection and screening of colorectal carcinoma. Guidelines for management of predisposing factors, for early detection of the disease and for healthier life style are an important tool in the hands of family doctors with the aim to reduce morbidity and mortality due to colorectal carcinoma.

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References

Govc-Eržen J. Rak debelega črevesa in danke – Primer iz prakse. In: Kersnik J. Poškodbe v osnovnem zdravstvu. 5. Kokaljevi dnevi. Kranjska Gora: Združenje zdravnikov družinske medicine SZD, 2005; 3–5.

Boyle P, Ferlay J. Cancer incidence and mortality in Europe 2004. Ann Oncol 2005; 1–8.

Register raka za Slovenijo. Incidenca raka v Sloveniji 2003. Ljubljana: Onkološki inštitut; 2004.

Register raka za Slovenijo. Incidenca raka v Sloveniji 2000. Ljubljana: Onkološki inštitut; 2006.

Pompe-Kirn V, Zakotnik B, Zadnik V. Preživetje bolnikov z rakom v Sloveniji 1963–1997. Ljubljana: Onkološki inštitut, Register raka za Slovenijo; 2003.

Pisani P, Parkin DM, Bray F, Ferlay J. Estimates of the worldwide mortality from twenty-five cancers in 1990. Int J Cancer 1999; 83: 18–29.

Coleman MP, Gatta G, Verdecchia A, Estčve J, Sant M, Storm H, et al. Eurocare-3 summary: cancer survival in Europe at the end of the 20th century. Ann of Oncol 2003; 14 Suppl 5: 128–49.

Rhodes JM. Colorectal cancer screening in the UK: Joint position statement by the British Society of Gastroenterology, the Royal College of Physicians, and the Association of Coloproctology of Great Britain and Ireland. Gut 2000; 46: 746–8.

Pompe-Kirn V. Epidemiološke značilnosti raka debelega črevesa in danke v Sloveniji. In: Repše S. Kirurgija debelega črevesa in danke. Zbornik simpozija. Ljubljana: Klinični center, Kirurške klinike, Kirurška šola; 1996. p. 79–85.

Markovič S, Repše S, Heijnen S. Obvladovanje kolorektalnega karcinoma. Nacionalna klinična smernica. Projekt razvoja sistema upravljanja zdravstvenega varstva. Ljubljana: Ministrstvo za zdravje; 2002.

Gadžijev EM, Markovič S, Orel J, Pegan V, Repše S, Štabuc B, et al. Priporočila za celostno obravnavo bolnikov z rakom prebavil. Ljubljana: Ministrstvo za zdravje R Slovenije; 1997.

Skok P. Rak debelega črevesa. Zbornik predavanj o kolorektalnem karcinomu. Zveza invalidskih društev Slovenije. ILCO; 2003 Oct 17; Maribor, Slovenija.

Hawk ET, Limburg PJ, Viner JL. Epidemiology and prevention of colorectal cancer. In: Guillem JG, Sigurdson ER. Colorectal cancer. Surg Clin N Am 2002; 82: 905–42.

Sandhu MS, White IR, McPherson K. Systematic review of the prospective cohort studies on meat consumption and colorectal cancer risk: A meta-analytical approach. Cancer Epidemiol Biomarkers Prev 2001; 10: 439–46.

Kuller LH. Dietary fat and chronic diseases: epidemiologic overview. J Am Diet Assoc 1997; 97 Suppl: S9–S15.

Lock K, Pomerleau J, Causer L, et al. The global burden of disease attributable to low consumption of fruit and vegetables: implications for the global strategy on diet. Bull World Health Organ 2005; 83: 100–8.

Kim YI. AGA technical review: Impact of dietary fiber on colon cancer occurence. Gastroenterology 2000; 118: 1235–57.

Michels KB, Giovannucci E, Joshipura KJ, Rosner B. Prospective study of fruit and vegetable consumption and incidence of colon and rectal cancers. J Natl Cancer Inst 2000; 92: 1740–52.

Terry P, Giovannucci E, Michels KB, Bergkvist L, Hansen H, Holmberg L, et al. Fruit, vegetables, dietary fiber, and risk of colorectal cancer. J Natl Cancer Inst 2001; 93: 525–33.

Alberts DS, Martínez ME, Roe DJ, Guillén-Rodríguez JM, Marshall JR, Leeuwen van JB, et al. Lack of effect of a high-fiber cereal supplement on the recurrence of colorectal adenomas. N Eng J Med 2000; 342: 1156–62.

Expert Panel on the Identification, Evaluation, and Treatment of Overweight in Adults. Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults: executive summary. Am J Clin Nutr 1998; 68: 899–917.

Colditz GA, Cannuscio CC, Frazier AL. Physical activity and reduced risk of colon cancer: implications for prevention. Cancer Causes and Control 1997; 8: 649–67.

Friedenreich CM. Physical activity and cancer prevention: From observational to intervention research. Cancer Epidemiol Biomarkers Prev 2001; 10: 287–301.

Bergström A, Pisani P, Tenet P, Wolk A, Adamo HO. Overweight as an avoidable cause of cancer in Europe. Int J Cancer 2001; 91: 421–30.

Giovannucci E, Rimm EB, Ascherio A. Alcohol, low-methionine, low-folates diets, and risk of colon cancer in men. J Natl Inst 1995; 87: 265–73.

Stampfer MJ, Fuchs CS, Colditz GA, Speizer FE, Willett WC. An updated review of the epidemiological evidence that cigarette smoking increases risk of colorectal cancer. Cancer Epidemiol Biomarkers Prev 2001; 10: 725–31.

Panzuto F, Chiriatti A, Bevilacqua S, et al. Digestive and Liver Disease and Primary Care Medicine Lazio Group. Dig Liver Dis 2003; 35: 869–75.

Crespi M, Stigliano V, Assisi D. Current trends in screening and secondary prevention of colorectal cancer. Hepatogastroenterology 2001; 48: 1635–40.

Ferkolj I, Markovič S. Kolorektalni karcinom. In: Kocijančič A, Mrevlje F. Interna medicina. 2nd ed. Ljubljana: EWO in DZS; 1998. p. 409–13.

Levin B, Brooks D, Smith RA, Stone A. Emerging technologies in screening for colorectal cancer: CT colonography, immunochemical fecal occult blood tests, and stool screening using molecular markers. CA Cancer J Clin 2003; 53: 44–55.

Trowbridge B, Burt RW. Colorectal cancer screening. In: Guillem JG, Sigurdson ER. Colorectal cancer. Surg Clin N Am 2002; 82: 943–58.

Simon JB, Fletcher RH. Should all people over the age 50 have regular fecal occult – blood tests? N Eng J Med 1998; 338: 1151–5.

Mandel JS, Bond JH, Church TR, Snover DC, Bradley M, Schuman LM, et al. Reducing mortality for colorectal cancer by screening for fecal occult blood. N Eng J Med 1993; 328: 1365–71.

Hardcastle JD, Chamberlain JO, Robinson MHE, Moss SM, Amar SS, Balfour TW, et al. Randomised controlled trial of faecaloccultblood screening for colorectal cancer. Lancet 1996; 348: 1472– 7.

Kronborg O, Fenger C, Olsen J, Jřrgensen OD, Sřndergaard O. Randomised study of screening for colorectal cancer with faecal – occult blood test. Lancet 1996; 348: 1467–71.

Pignone M, Campbell MK, Carr C, Philips C. Meta-analysis of dietary restriction fecal occult blood testing. Eff Clin Prac 2001; 4: 150–6.

Miller J, Fras Z, Heijnen S. Slovene guidelines manual. HSMP Project. Ljubljana: Ministrstvo za zdravje; 2003

Scottish Intercollegiate Guidelines Network (SIGN). SIGN 50: a guideline developers’ handbook. Edinburgh: SIGN; 2001.

Scottish Intercollegiate Guidelines Network (SIGN). Management of colorectal cancer: A national clinical guideline. Edinburgh: SIGN; 2003.

McGregor SE, Hilsden RJ, Murray A, Bryant HE. Colorectal cancer screening: practices and opinions of primary care physicians. Prev Med 2004; 39: 279–85.

Kramberger J. Zgodnje odkrivanje kolorektalnega karcinoma. In: Kersnik J. Poškodbe v osnovnem zdravstvu. 5. Kokaljevi dnevi. Kranjska Gora: Združenje zdravnikov družinske medicine SZD; 2005. p. 6.

Lešničar H, Pompe-Kirn V, Zakotnik B, Čufer T, Repše S, PrimicŽakelj M, et al. Preživetje bolnikov z rakom. Je po evropskih kazalcih Slovenija res padla na izpitu iz onkologije? Poročilo posveta o preživetju bolnikov z rakom v Sloveniji. Onkologija 2003; 7: 63–76.

Štabuc B. Presejanje za rak debelega črevesa in danke v Sloveniji. In: Repše S, Štor Z. Kirurgija raka debelega črevesa in danke – standardi in novosti. Zbornik simpozija. Ljubljana: Kirurška šola, Klinični oddelek za abdominalno kirurgijo, Kirurška klinika, Klinični center Ljubljana; 2006. p. 21–9.Žerdin M, Koželj M, Skok P. Rak debelega črevesa in danke – preprečevanje in presejanje. Zdrav Vestn 2006; 75: 29–37.

How to Cite
1.
Tušek-Bunc K, Kersnik J. Early detections of cancer in family practice – a case of colorectal cancer. TEST ZdravVestn [Internet]. 1 [cited 11Sep.2024];76(12). Available from: http://vestnik-dev.szd.si/index.php/ZdravVest/article/view/1929
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