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V pliv presejalnih programov na incidenco in preživetje

V pliv presejalnih programov na incidenco in preživetje. Branko Zakotnik. www.dpor.si. Predstavljeno na EPH Konferenci v Ljubljan i , 30 .1 1 .2018. Vsebina. Uvod ZORA SVIT DORA Zaključek. Strateški cilji DPOR: znižati incidenco povečati preživetje

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V pliv presejalnih programov na incidenco in preživetje

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  1. Vpliv presejalnih programov na incidenco in preživetje Branko Zakotnik www.dpor.si Predstavljeno na EPH Konferenci v Ljubljani, 30.11.2018 Seja strokovnega sveta DPOR 17.4.2019, Ministrstvo za zdravje

  2. Vsebina • Uvod • ZORA • SVIT • DORA • Zaključek

  3. Strateški cilji DPOR: • znižati incidenco • povečati preživetje • izboljšati kvaliteto življenja s celostno rehabilitacijo in paliativno oskrbo

  4. povečati preživetje znižati incidenco - 5 year male male female female

  5. ZORA

  6. Incidence 2003: 211 2017: 82 129 (61%)! CERVICAL CANCER Conventional cytology, three-year screening intervals, 20–64 age group, Participation rate >70%

  7. 92.1 63.7 HR=0,18; 95% CI 0,11- 0,28 p<0,0001

  8. Cervical cancer - Stage (FIGO) distribution: ZORA vs notZORA Chi-square p<0,00001

  9. SVIT

  10. Incidence 2010: 1729 2015: 1357 372 (21%)! COLORECTAL CANCER SVIT Immunochemical faecal occult blood test and follow up colonoscopy if positive. 50-74 age group Interval: 2 years Participation rate: 60%

  11. 88.4 57.1 HR=0,26; 95% CI 0,23-0,29; p<0,0001 SVIT

  12. Colorectal cancer - Stage (TNM) distribution: SVIT vs notSVIT Chi-square p<0,00001

  13. DORA

  14. Incidence 2008: 1171 2015: 1324 153 (13%)! BREAST CANCER Mamografy every 2 years, 50-69 years age group Participation rate: 73%

  15. 100 89 HR=0,25; 95% CI 0,17-0,37; p<0,0001

  16. Breast cancer - Stage (TNM) distribution: DORA vs notDORA Chi-square p<0,00001

  17. Prostate cancer Incidence 2015:1541! PSA *unknown

  18. ZAKLJUČEK • Kvalitetni presejalnimi programi (ZORA, SVIT, DORA) pomembno prispevajo k obvladovanju raka v državi • Le s prispevkom vsakega posameznika na področju primarne in sekundarne preventive bomo sposobni obvladovati epidemijo 21. stoletja (kadri, stroški) www.dpor.si

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