Results of colorectal cancer screening in a community of Pudong New Area of Shanghai from 2013 to 2016

ObjectiveTo analyze the colorectal cancer screening results in Dongming Community of Pudong New Area of Shanghai, providing a reference for community screening.

MethodsThe residents receiving colorectal cancer screening in Dongming Community were recruited from 2013 to 2016, who were required to fill in risk assessment form and go through fecal occult blood test(FOBT).The results obtained were analyzed.

ResultsA total of 13 669 people completed preliminary colorectal cancer screening, completion rate being 99.36% and preliminary screening positive rate 30.84%, of whom 849 participated in colonoscopy.Enteroscope compliance rate was 20.14%;colorectsl cancer detection rate 1.18%;tubular adenoma detection rate 3.18%, The total lesion detection rate was 15.43%.For those with simple positive risk assessment, their enteroscope compliance was lower than those with pure positive FOBT or with both positive risk assessment and FOBT.The differences between them were of statistical significance (χ²=170.32, P < 0.001).The total lesion detection rate was higher in males than in females with statistical differeces (χ²=10.03, P < 0.05); the lesion detection rate was higher in target population(aged 50-74) than in non-target(ages < 50 or >74) with statistical differences (χ²=48.28, P < 0.001).

ConclusionThe effect of colorectal cancer screening is significant, but the participation rate of colonoscopy slightly lower, and the measures related to the rate of colonoscopy need to be further improved.