Aim To assess the uptake of the Croatian National Breast Cancer Screening Program from 2006 to 2016. Methods The Croatian National Breast Cancer Screening Program, a biennial program targeting women ...aged 5069, started in October 2006. From 2006 to 2016, four cycles were completed. One cycle lasted two years, with the exception of the first cycle, which lasted three years. To determine the number of detected cancers in each cycle, the screening program data were merged with the data of the Croatian National Cancer Registry. Our results were compared with the reference values from the European guidelines for quality assurance in breast cancer screening and diagnosis. Results Around 150 000 mammography exams were performed every year. The response rates for cycle 1, cycle 2, cycle 3, and cycle 4 were 63%, 57%, 60%, and 59%, respectively. Further assessment rate was 6.5%. Breast cancer was identified in 5583 women, with 4.8 cancers detected per 1000 mammography exams. Conclusion The National Breast Cancer Screening Program in Croatia reached a substantial proportion of the target group. Yet, additional efforts are needed to reach at least 70% of the target population.
To evaluate the clinical characteristics of adult and adolescent Croatian patients hospitalized for herpes zoster over a period of 21 years in the largest national center for infectious diseases ...(catchment area approximately 25% of the Croatian population).
This retrospective chart review included all patients older than 15 years hospitalized for herpes zoster at the University Hospital for Infectious Diseases "Dr. Fran Mihaljević" between January 1, 1996 and December 31, 2016.
The study enrolled 1755 patients (uniform annual hospitalizations), 50% of whom suffered from complicated forms of herpes zoster, mostly generalized zoster (22.0%), infected lesions (14.8%), and meningitis/encephalitis (10.4%). A low percentage of patients experienced Ramsey-Hunt syndrome (3.0%), keratitis (1.5%), and visceral dissemination (0.2%). The majority of patients were older than 55 years (80%, median 70 years). Overall, 61.6% of patients suffered from at least one comorbidity (most frequent: diabetes 14.6%, cardiovascular incidents 24.4%, malignancy 13.0%, other infection 12.9%), and 28.2% suffered from ≥2 comorbidities. All-cause in-hospital mortality was 0.9%. The proportion of patients with any complicated form and of patients with meningitis/encephalitis steadily decreased over time, while the proportion of patients with comorbidities increased. This coincided also with steadily increasing age. No association was observed between comorbidities and complicated forms of zoster. Pharmacological immunosuppression was associated with generalized zoster; younger age was associated with meningitis/encephalitis; and older age was associated with generalized zoster and infected lesions.
The patients most frequently hospitalized for herpes zoster are elderly people burdened with comorbidities, not necessarily patients with complicated forms of the disease.
The aim of the study was to analyse the results of three cycles of mammography screening (MS) in the Croatian National Programme (CNP) for Early Breast Cancer Detection for women aged 50–69 years in ...the Bjelovar-Bilogora County (BBC) from 2006–2014.
Data on women aged 50–69 screened during a 9-year period were obtained from the Croatian Cancer Registry and Institute of Public Health reports. Participation rate and performance indicators were examined.
The total of 57,428 women were invited to mammography screening in BBC during a 9-year period and 31,402 mammograms in total were performed. The response rate of 84% in BBC was consistently higher than the national average of about 60% reported in 2007, 2013 and 2014.
The National Programme in BBC has been carried out continuously for nine years with a higher response rate compared with the national average, as a result of additional efforts of the Croatian Institute of Public Health team, as well as good cooperation among all programme stakeholders. It was concluded that to achieve better results in the response of women to screening and consequently reduced mortality from breast cancer is possible through tailored health promotion activities.
Breast cancer is the third most common malignant cause
of death in women in Croatia, preceded by lung and
colorectal cancer. According to the last available data, in
2017 breast cancer was diagnosed ...in 2767 patients (rate
132.1/100,000), and in 2019, 752 women died from the disease (rate 35.9/100,000). However, the number of deaths
has been steadily decreasing for four years in a row (2,3).
If we compare the Croatian estimates with those from the
European Union (EU-27) countries, we can see that Croatia
is near the EU-27 average according to cancer burden (15th
out of 27 countries; 14th in men and 19th in women) and
fifth according to cancer mortality. However, when we look
only at breast cancer estimates, the situation is much better; standardized breast cancer mortality rates for Croatia
are below the EU-27 average (16th out of 27 countries) (1).
Although the majority of breast cancer cases are not
preventable, it is crucial to make the diagnosis at an early stage, when more than 90% of women can be cured.
Mammography screening remains the best and widely
validated method of early detection of breast cancer, despite its shortcomings and the emergence of other imaging modalities with high diagnostic accuracy.
Nacionalni program ranog otkrivanja raka dojke u Hrvatskoj usvojen je na sjednici Vlade Republike Hrvatske 29. lipnja 2006.
godine, a u skladu je s odrednicama Nacionalne strategije prevencije i ...ranog otkrivanja raka, koje su sastavni dio cjelokupne
strategije razvoja zdravstva 2006.–2011. godine. Program je sukladan Rezoluciji o prevenciji i kontroli karcinoma (WHA 58.22
«Cancer prevention and control»), koju je usvojila Svjetska zdravstvena skupština 2005. godine.
Komentari na društvenim mrežama mogu biti vrijedan izvor informacija za javnozdravstvene djelatnike.
Većina korisnika koji su komentirali objave u sklopu promocije Programa su komentarom dali do ...znanja
kako sudjeluju u mamografskim pregledima u sklopu Programa.
Javnozdravstveni cilj programa prevencije kako zaraznih tako i nezaraznih bolesti jest prevenirati bolest, smanjiti njezinu incidenciju i smrtnost, a posljedično tome unaprijediti zdravlje pojedinca ...i populacije u cjelini. Republika Hrvatska se pokretanjem i provođenjem programa prevencije svrstala u skupinu zemalja koje aktivno brinu o zdravlju svog stanovništva. Dobro koncipirani programi temelj su zdravstvene zaštite, oni su dugoročno gledano najučinkovitije i najjeftinije sredstvo u borbi protiv navedenih bolesti
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