title: [Controversial issues in colorectal screening in Hungary: conflict of clinical and public health viewpoints].
abstract: In Hungary, mortality rates from colorectal cancer are dramatically high, therefore the reduction by population screening as a public health measure is considered as one of the priorities of National Public Health Program. In the beginning, a human-specific immunological test was applied in the "model programs", as a screening tool, to detect the occult blood in the stool; compliance was 32% in average. However, the objectives of the model programs have not been achieved, because, among other reasons, a debate on the method of choice and the strategy to follow have divided the professional public opinion. In this study the debated issues are critically discussed, being convinced that, at present, population screening seems to be the most promising way to alleviate the burden of colorectal cancer.
authors.affiliation: Országos Tisztifőorvosi Hivatal Budapest Gyáli út 2-6. 1097. dobrossy.lajos@oth.antsz.hu
authors.forename: Lajos
authors.initials: L
authors.lastname: Döbrossy
authors.forename: Attila
authors.initials: A
authors.lastname: Kovács
authors.forename: András
authors.initials: A
authors.lastname: Budai
authors.forename: Judit
authors.initials: J
authors.lastname: Simon
authors.forename: Andrea Rita
authors.initials: AR
authors.lastname: Horváth
authors.forename: Agnes
authors.initials: A
authors.lastname: Cornides
authors.forename: Zsolt
authors.initials: Z
authors.lastname: Tulassay
mesh_terms: D003113:Colonoscopy; D015179:Colorectal Neoplasms / Q000175:diagnosis / Q000453:epidemiology* / Q000401:mortality / Q000517:prevention & control*; D032921:Consensus; D003245:Consensus Statements as Topic; D019983:Guideline Adherence / Q000458:organization & administration* / Q000592:standards / Q000639:trends; D006801:Humans; D006814:Hungary / Q000453:epidemiology; D008403:Mass Screening / Q000191:economics / Q000379:methods* / Q000592:standards / Q000639:trends; D009313:National Health Programs; D009780:Occult Blood; D010349:Patient Compliance / Q000706:statistics & numerical data; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians' / Q000592:standards / Q000639:trends; D011634:Public Health / Q000592:standards / Q000639:trends; D011639:Public Opinion; D012680:Sensitivity and Specificity