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Country fact sheet: Croatia

Population

- Total population: 4 174 349
- Female population: 2 162 642
- Male population: 2 011 707
The World Bank (2016)

Health Expenditure

- Total per capita (US$): 852.1
- Out-of-pocket (% of total expenditure on health): 15.2
World Health Organization (2015)

Human Development Index

- HDI: 0.827
- Category: Very high
UNDP Human Development Report (2015)

Geography

Life Expectancy at Birth

- Total population (years): 78.0
- Female population (years): 81.3
- Male population (years): 74.9
The World Bank (2016)

Cancer Burden

- Overall cancer incidence (rate per 100 000 persons per year): 287.2
- Overall cancer mortality (rate per 100 000 persons per year): 136.9
- Most common cancer site by incidence for females (rate per 100 000 persons per year): Breast (68.7)
- Most common cancer site by mortality for females (rate per 100 000 persons per year): Breast (18.2)
- Most common cancer site by incidence for males (rate per 100 000 persons per year): Prostate (54.5)
- Most common cancer site by mortality for males (rate per 100 000 persons per year): Lung (50.1)
- GLOBOCAN 2018 population fact sheet
GLOBOCAN (2018)

BREAST CANCER SCREENING PROGRAMME

Last updated year for qualitative data: 2016
Source of data: Report (EU Report 2017)
Last updated year for quantitative data: 2012-2013
Source of data: Report (EU Report 2017)

Screening protocol

Year published/updated:
Screening test used: 1
Target age (min-max) and screening interval [months] for each test: Mammography
(50-69 years / [24 months] )

Programme status and organization

Dedicated person/team to coordinate the programme:
Budget line for screening programme:
Documented cancer screening policy:
Nature of documentation of the policy:
Program introduction was preceded by a pilot:
Year program was initiated: 2006
Screening tests provided free of charge:
Diagnostic tests provided free of charge:
Treatment services provided free of charge:

Information system/Data collection

Data type collected by the programme: Nothing
The information system collects data outside the program (opportunistic screening/private sector):
Cancer screening registries covering the entire country/region:
Cancer screening data is linked with Population-based cancer registry: PBCR exists but not linked

Invitation to screening and further assessment

Method of identification of eligible individuals: From population data
Source of population data: List from insurance company
Annual target for screening coverage:
Invitations to eligible population: Excluding those covered by opportunistic screening
Method of invitation: letter
Screen positive individuals actively invited for further assessment:
Individuals with a precancer or cancer diagnosis actively contacted:
Program collects data on the treatment of precancer/cancers:

Programme monitoring and quality assurance (QA)

Documented standard operating procedure/policy for QA:
Responsible person/team for QA:
Documented performance indicators and their reference standards to assess the programme:
Evaluation reports are prepared and published:

Cancer Screening programme status

Nature of cancer screening programme: Population-based
Current status of implementation (applicable only for population-based programmes): Roll-out completed
Cancer screening programme population based for selected populations:

Performance indicators

Target age and regional limitation if applicable: 50-69 years
Invitation coverage (%): 104.8
Examination coverage (%): 45.1
Participation rate (%): 43.1
Completeness of data related to screening results (%): 0
Completeness of data related to further assessment results (%):
Further assessment rate (%):
Further assessment participation rate (%):
Detection rate of CIS and invasive (x 1000):
Detection rate of invasive cancer (x 1000):
Positive predictive value of further assessment to detect CIS and invasive (%):
Proportion of total carcinomas which are CIS (%):
Benign surgical biopsy rate (x 1000):
More quantitative data (2012-2013)



CERVICAL CANCER SCREENING PROGRAMME

Last updated year for qualitative data: 2016
Source of data: Report (EU Report 2017)
Last updated year for quantitative data: 2013
Source of data: Report (EU Report 2017)

Screening protocol

Year published/updated:
Screening test used: 1
Target age (min-max) and screening interval [months] for each test: Cytology
(25-64 years / [36 months] )
Triaging test used: None
"screen and treat" included in the protocol:

Programme status and organization

Dedicated person/team to coordinate the programme:
Budget line for screening programme:
Documented cancer screening policy:
Nature of documentation of the policy: Official recommendation
Program introduction was preceded by a pilot:
Year program was initiated: 2012
Screening tests provided free of charge:
Diagnostic tests provided free of charge:
Treatment services provided free of charge:

Information system/Data collection

Data type collected by the programme: Aggregate
The information system collects data outside the program (opportunistic screening/private sector):
Cancer screening registries covering the entire country/region:
Cancer screening data is linked with population-based cancer registry: PBCR exists but not linked

Invitation to screening and further assessment

Method of identification of eligible individuals: From population data
Source of population data: List from insurance company
Annual target for screening coverage:
Invitations to eligible population: Excluding those covered by opportunistic screening
Screening kit included with the invitation:
Method of invitation: letter
Screen positive individuals actively invited for further assessment:
Individuals with a precancer or cancer diagnosis actively contacted:
Program collects data on the treatment of precancer/cancers:

Programme monitoring and quality assurance (QA)

Documented standard operating procedure/policy for QA:
Responsible person/team for QA:
Documented performance indicators and their reference standards to assess the programme:
Evaluation reports are prepared and published:

Cancer Screening programme status

Nature of cancer screening programme: Population-based
Current status of implementation: Roll-out on going
Cancer screening programme population based for selected populations/regions:

Performance indicators

Target age and regional limitation if applicable: All ages
Invitation coverage (%): 114.8
Examination coverage (invitation cohort) (%): 11.8
Examination coverage (tests in the index-year) (%):
Participation rate (%): 10.3
Completeness of data related to screening test results (%):
Completeness of data related to further assessment results (%):
Colposcopy referral rate (%):
Colposcopy participation rate (%):
Detection rate of CIN2+ (x 1000): 0.02
Detection rate of CIN3+ (x 1000): 0.02
Positive Predictive Value of abnormal screening test to detect CIN2+ (x 1000):
Positive Predictive Value of CIN3+ (x 1000):
More quantitative data (2013)



COLORECTAL CANCER SCREENING PROGRAMME

Last updated year for qualitative data: 2013-2014
Source of data: Report (EU Report 2017)
Last updated year for quantitative data: 2013-2014
Source of data: No source

Screening protocol

Year published/updated:
Screening test used: 1
Target age (min-max) and screening interval [months] for each test: gFOBT: (50-74 years / [24 months] )

Programme status and organization

Dedicated person/team to coordinate the programme:
Budget line for screening programme:
Documented cancer screening policy:
Nature of documentation of the policy: Official recommendation
Program introduction was preceded by a pilot:
Year program was initiated: 2008
Screening tests provided free of charge:
Diagnostic tests provided free of charge:
Treatment services provided free of charge:

Information system/Data collection

Data type collected by the programme: Individual
The information system collects data outside the program (opportunistic screening/private sector):
Cancer screening registries covering the entire country/region:
Cancer screening data is linked with population-based cancer registry: PBCR exists but not linked

Invitation to screening and further assessment

Method of identification of eligible individuals: From population data
Source of population data: Population register
Annual target for screening coverage:
Invitations to eligible population: For the entire target population
Method of invitation: letter
Screen positive individuals actively invited for further assessment:
Individuals with a precancer or cancer diagnosis actively contacted:
Program collects data on the treatment of precancer/cancers:

Programme monitoring and quality assurance (QA)

Documented standard operating procedure/policy for QA:
Responsible person/team for QA:
Documented performance indicators and their reference standards to assess the programme:
Evaluation reports are prepared and published:

Cancer Screening programme status

Nature of cancer screening programme: Population-based
Current status of implementation (applicable only for population-based programmes): Roll-out completed
Cancer screening programme population based for selected populations:

Performance indicators

FIT gFOBT sigmoidoscopy Colonoscopy
Target age and regional limitation if applicable: 50-74
Invitation coverage (%):
Examination coverage (%):
Participation rate (%):
Completeness of data related to screening results (%): 98.4
Completeness of data related to information about attendance to colonoscopy assessment (%): 86.1
Completeness of data related to histology result (%): 58.6
Screen positivity (indication for follow-up colonoscopy) rate (%) :
Follow-up colonoscopy participation rate (%):
Completion rate follow-up colonoscopy (%):
Detection rate of adenomas (x 1000):
Detection rate of advanced adenomas (x 1000):
Detection rate of colorectal cancers (x 1000):
Positive Predictive Value of further assessment to detect adenomas (%):
Positive Predictive Value of further assessment to detect advanced adenomas (%):
Positive Predictive Value of further assessment to detect colorectal cancers (%):
More quantitative data for gFOBT (Both - 2013-2014)