Analysis of detection rate and compliance of colorectal cancer screening with colonoscopy in urban areas of Henan Province, 2013-2019
10.3760/cma.j.cn112150-20200304-00242
- VernacularTitle:2013—2019年河南省城市癌症早诊早治项目地区人群结肠镜筛查结果和依从性分析
- Author:
Lanwei GUO
1
;
Shaokai ZHANG
;
Shuzheng LIU
;
Liyang ZHENG
;
Juan YU
;
Qiong CHEN
;
Xiaoqin CAO
;
Xibin SUN
;
Jiangong ZHANG
Author Information
1. 郑州大学附属肿瘤医院 河南省肿瘤医院 河南省肿瘤防控工程研究中心 河南省肿瘤预防国际联合实验室 河南省肿瘤防治研究办公室 450008
- Keywords:
Colorectal neoplasms;
Colonoscopes;
Screening
- From:
Chinese Journal of Preventive Medicine
2021;55(3):353-358
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the compliance of colonoscopy screening and the detection rate of colorectal lesions with colonoscopy in urban areas of Henan province from 2013 to 2019.Methods:The study objects were derived from the Cancer Screening Program in Urban Henan Province, China. From October 2013 to October 2019, 282 377 residents, who had lived in the local area for more than three years, were recruited from Zhengzhou, Zhumadian, Anyang, Luoyang, Nanyang, Jiaozuo, Puyang and Xinxiang. The cancer risk assessment questionnaire was used to collect basic demographic characteristics, eating habits, living environment and habits, psychology and emotions, past disease history and family history of cancer, and women′s physiological and reproductive history. The cancer risk assessment model was used for evaluating the risk of colorectal cancer. The data related to colonoscopy screening was obtained from the participating hospitals. Chi-square test was used to analyze the compliance rate among different groups.Results:The 282 377 subjects were (55.26±8.68) years old, of which 44.80% (126 505) were males, and 67.63% (190 694) had junior/senior/tertiary education background. A total of 39 834 (14.11%) subjects were assessed to be at high risk for colorectal cancer, of which 7 454 took the following colonoscopy screening, yielding a participation rate of 18.71%. The screening rate was higher in those aged 50 to 54 (20.42%) and 55 to 59 (20.43%) years, and lowest in those aged 70 years and older (12.30%) ( P<0.001). A total of 17 colorectal cancer cases were detected, with a detection rate of 0.23% (17/7 454). Conclusion:Colonoscopy as a means of screening for colorectal cancer is helpful for early detection of colorectal lesions, but the participation rate is poor.
