Abstract:
Objective
To analyze the data from a colorectal cancer screening program for community residents in Huangpu District of Shanghai in 2013, obtain the results of primary screening and colonoscopy of the participants, and provide a basis for future colorectal cancer screening.
Methods
Data from the primary screening and diagnostic tests of 32077 participants involved in the colorectal cancer screening program for selected communities were analyzed using SPSS 20.0 software to describe the results of the screening program.
Results
The mean age of the subjects was (61.52±8.17) years. A total of 12 478 (38.9%) men and 19 599 (61.1%) women were in cluded in the colorectal cancer screening program. Among the 6868 subjects with positive primary screening results, no significant gender difference was observed (21.6% vs 21.3%, χ2=0.29, P=0.589). There was a significant difference across age groups (χ2=127.53, P < 0.001). Besides, 1 662 (24.2%) positive subjects completed colonoscopy, and the colonoscopy acceptance rate was significantly higher in men than in women (25.6% vs 23.3%, χ2=6.42, P=0.010). Of the 1020 subjects with biopsy results, 57 cancer cases (5.6%), 328 precancerous lesion cases (32.2%), 254 adenomatous polyp cases (24.9%), and 343 enteritis cases (33.6%) were identified.
Conclusion
The colorectal cancer screening program conducted in community residents in Huangpu District is effective, but the coverage of colonoscopy is low. Relevant advocacy and strategy are needed to encourage colonoscopy among residents at risk of colorectal cancer.
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