Exploration on improvement of the compliance of colorectal cancer screening in Wujing community of Shanghai
- VernacularTitle:上海市吴泾社区提高大肠癌筛查依从性的探索
- Author:
Feng WANG
1
;
Li-Hua XU
;
Long-Ting BAI
;
Jian-Qiang HU
;
Zhen SHEN
;
Wei-Zhong CHEN
;
Zhong-Jie XU
;
Hong FANG
;
Hui-Lin XU
Author Information
1. 上海市闵行区吴泾社区卫生服务中心
- Keywords:
Colorectal cancer;
Screening;
Compliance
- From:
Shanghai Journal of Preventive Medicine
2014;(5):229-232
- CountryChina
- Language:Chinese
-
Abstract:
To explore the model and method of improving the compliance of colorectal cancer screening , especially the fine sieve compliance of colonoscopy . [ Methods ] The colorectal cancer screening in Wujing community was led by Wujing Community Health Center .For the sake of impro-ving the compliance of screening , Wujing Community Health Center established a screening team and speci-fied a neighboring general hospital as screening partner .We also used the method of refining the screening steps , tracking the result in time , simplifying the procedures of colonoscopy test and making epidemiological analysis. [Results] From October 1,2012 to September 30,2013, a total of 7 507 people in Wujing community received colorectal cancer screening , of whom 427 (5.69%) were found to be positive in fecal occult blood testing (FOBT).And among them, 386 (90.40%) agreed to accept the colonoscopy test and finally 380 people (88.90%) finished the test.According to the results of colonoscopy test were detected 5 cancer patients (1.32%) and 84 precancerous lesion patients (22.11%).Further treatment rate for color-ectal cancer patients was 100.00%and for precancerous lesion patients 75.00%.The median duration was 4 days for preliminary screening positive subjects from preliminary screening to receiving positive notification and 10 days for refined screening .The median duration was 3 days for colorectal cancer patients from re-fined screening to completing treatment and 25 days for early colorectal cancer patients . [ Conclusion] The model and method adopted in Wujing community is helpful to improve the compliance of colorectal cancer screening .
