Results of Colorectal Cancer Screening and Colonoscopic Compliance Among Community Residents in Zhuanqiao Town, Minhang District, Shanghai
10.3969/j.issn.1008-7125.2021.08.006
- Author:
Qiong LI
1
;
Wei WANG
1
;
Xiuli ZHENG
1
;
Jing FAN
1
;
Mingsheng FU
2
Author Information
1. Department of General Practice, Minhang District Zhuanqiao Community Health Service Center
2. Department of Gastroenterology, Shanghai Fifth People's Hospital, Fudan University
- Publication Type:Journal Article
- Keywords:
Colonoscopy;
Colorectal Neoplasms;
Fecal Occult Blood Test;
Risk Assessment;
Screening
- From:
Chinese Journal of Gastroenterology
2021;26(8):477-480
- CountryChina
- Language:Chinese
-
Abstract:
Background: Colorectal cancer (CRC) is one of the most common malignancies in clinical practice. Its incidence and mortality rate are increasing in China in recent years. Aims: To analyze the results of CRC screening and the factors affecting the compliance of colonoscopy among community residents in Zhuanqiao Town, Minhang District, Shanghai. Methods: The community residents who were screened for CRC in Zhuanqiao Town from July 2020 to January 2021 were recruited. Both the risk assessment questionnaire and the fecal occult blood test (FOBT) were performed for the primary screening, and those who were positive for primary screening were recommended to undergo colonoscopy. High-risk individuals unwilling to undergo colonoscopy were surveyed for the reason of refusal. Results: During the study period, a total of 6 383 residents participated in the screening program, the positivity rates of risk assessment, FOBT and with either of them were 7.2% (459 cases), 10.5% (670 cases) and 17.2% (1 095 cases), respectively. Two hundred and ninety-seven residents who were positive for primary screening underwent a colonoscopy, with an overall colonoscopic compliance rate of 27.1%. The colonoscopic compliance rate in residents aged from 60-69 years was higher than that in other age groups (P<0.05). The detection rate of CRC was 2.0% (6/297). Insufficient knowledge of CRC and having no obvious physical discomfort were the main factors affecting colonoscopic compliance in high-risk population. Conclusions: Risk assessment combined with FOBT can identify high-risk population of CRC rapidly and efficiently. For the CRC screening program, education of the knowledge on CRC should be strengthened for improving the cognitive level of CRC in community residents. The screening program should be further optimized.
