gms | German Medical Science

27th German Cancer Congress Berlin 2006

German Cancer Society (Frankfurt/M.)

22. - 26.03.2006, Berlin

Clinical Cancer Register for Monitoring of Screening Programs – The Example of Colorectal Cancer and Screening Colonoscopy

Meeting Abstract

  • corresponding author presenting/speaker Dieter Nürnberg - Medizinische Klinik B, Ruppiner Kliniken, Neuruppin, Deutschland
  • Michael Peters - Medizinische Klinik B, Ruppiner Kliniken, Neuruppin
  • Sabine Uebach - Medizinische Klinik B, Ruppiner Kliniken, Neuruppin
  • Constanze Schneider - OSP, Neuruppin
  • Wilfried Pommerien - Innere Medizin II, Städtisches Klinikum, Brandenburg

27. Deutscher Krebskongress. Berlin, 22.-26.03.2006. Düsseldorf, Köln: German Medical Science; 2006. DocPO530

The electronic version of this article is the complete one and can be found online at:

Published: March 20, 2006

© 2006 Nürnberg et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.



The data of the clinical cancer register in Brandenburg are analyzed on a yearly basis and published in the annual report of the cancer center Brandenburg (TZBB). Upon the initiative of the health minister (MASGF) a project group colorectal cancer (CRC) was built, in order to address the CRC situation and the implementation of screening colonoscopy (SC). The SC has been introduced throughout Germany since October 2002. Previous studies have shown that sufficiently high utilisation and a consistent polypectomy leads to a substantial decrease in CRC morbidity and mortality. This complex screening can only be effectful if a utilisation of at least 10% is reached. The goal should be a compliance of 30%. Knowing that previous methods ranged well below this numbers, with the moderation of the health ministry a concerted campaign was planned in Brandenburg, in order to optimise the requisites. The requisites for a media campaign throughout the country were clarified. Especially the capacities for colonoscopy were increased together with the health insurance funds (GKV) and a monitoring of waiting times installed. March 2004 was declared the Month of Colorectal Cancer and a countrywide media campaign performed. As a result of this unique concerted action 1.) the capacities for colonoscopy were increased and an adjustment according to needs was arranged. 2.) a public campaign “Brandenburg against Colorectal Cancer” with regional information campaigns with posters and flyers was started. 3.) a yearly congress on CRC in Brandenburg analyses the utilisation of screening colonoscopy. The clinical cancer register will be used for this monitoring. A change in survival data is not expected in the short term. First effects will be an increase in detection of early stages (UICC 0-I). In a second phase (after 5 years) it can and will be seen a shift towards early stages (so far 52% advanced stages III+IV). A decrease of CRC incidence will not be expected until after 10 years. Available measures are : (1) numbers of examinations provided by the physicians association (KV), (2) numbers from the central register of the federal physicians association (KBV) and (3) the clinical cancer register. While (1) and (2) are early indicators of utilisation, only (3) can provide data on effectivity and effects on incidence and mortality. But even in the beginning of screening colonoscopy the register can shown this effects and thus provide support for the campaign. This can only be achieved if the so far not sufficiently documented early stages (CIS, HGIEN) will be registered. Therefore further approach must be towards the endoscopists (gastroenterologists). In the authors opinion only a clinical cancer register is able to measure the efficiency of a screening program and to prove or to disprove the sense of such a campaign.