Publication details

Architecture and Implementation of Information Strategy Serving Population-based Cancer Screening Programmes in the Czech Republic: Lessons Learned from the Management of Multiple Data Sources


DUŠEK Ladislav MÁJEK Ondřej KLIMEŠ Daniel BLAHA Milan MUŽÍK Jan GREGOR Jakub

Year of publication 2015
Type Article in Periodical
Magazine / Source International Journal on Biomedicine and Healthcare
MU Faculty or unit

Faculty of Medicine

Field Oncology and hematology
Keywords Cancer prevention; cancer screening; information system
Description All three evidence-based cancer screening programmes (screening for breast cancer, colorectal cancer, cervical can- cer) have been running in the Czech Republic, as recom- mended by the World Health Organization (WHO) and the Council of the European Union. Systems for individual data collection and performance monitoring are implemented in accordance with the valid international guidelines. The information system is designed as multimodal, covering all necessary levels: population monitoring via a nation- wide registry of cancer epidemiology, diagnostic registries of screening centres, and administrative registry of health care payers. The strongest point of the present study lies in the accessibility of information over a 34-year period of continuous and standardised registration covering virtually 100% of cancer diagnoses within the entire Czech popula- tion. The data summary is also available for the public as an interactive on-line tool ( In 2014, a system of personalised invitations was imple- mented in the data centres of health care payers and in one year, nearly 2 millions of inhabitants were invited to the screening programmes. The system reached a partic- ipation rate ranging between 10% and 15%, and signi- cantly increased the screening coverage (colorectal screen- ing: > 32%, breast and cervical screening: both > 55%). An active on-line reporting supports the system sustain- ability. All relevant guidelines, outcomes and reports of the screening programmes are available on the websites,, The main challenge for the future is to facilitate the individual linkage of dierent data sources with the help of innova- tive legislation, and to use these tools to contribute to the reduction of cancer mortality.
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