ROCCAS II South-Muntenia – model of good practice in general practitioner office

Abstract

Background. Colorectal cancer is one of the malignancies that are diagnosed late and occupies the first places among the causes of death in Romania and worldwide. In the current study, we pointed out the major role of family me­di­cine in the prevention and early detection of colorectal can­cer through screening programs, such as ROCCAS II South-Muntenia pro­ject. Materials and method. For this retrospective study, a group of 411 people participated in a colorectal screening pro­gram, ROCCAS II Sud-Muntenia, between November 2021 and June 2023. Only people bet­ween 50 and 74 years old, who lived in South-Muntenia area, were included. The ex­clu­sion criteria were patients youn­ger than 49 years old and over 75, and the residence in any other region of the country. Re­sults. In this study, there were included 411 people, and 39 of them (9.48%) were identified with a high risk or with a very high risk of colo­rec­tal cancer. Out of the 24 people who ac­cep­ted to proceed with colonoscopy, one person (4.24%) had co­lo­rec­tal can­cer, 15 people (62.5%) had a pre­can­ce­rous lesion, and eight subjects (33.3%) had no lesion. Con­clu­sions. Overall, in this study, the colorectal screening program ROCCAS II South-Muntenia proved its benefits for those in­di­vi­duals at risk, and managed to prevent lesions that could evolve into cancer in the following years for 5.48% of the sub­jects at risk.