Effect evaluation on screening modes for colorectal cancer in residents of Jiading Community

ObjectiveTo investigate the effect of different ways of colorectal cancer screening in the community residents of Jiading town.

MethodsBy means of centralized passive screening and outpatient initiative screening, colorectal cancer screening was carried out for residents who qualified for screening.Those with positive result were informed to do colonoscopy and followed up.

Resultsoutpatient screening was done in 30.75% of the 4 455 participated residents and centralized passive screening in 69.2%, of whom female was 58.38% and male 41.62%.Groups that ranged from 50 to 69 years old accounted for 87.70%.The total positive rate of preliminary screening was 20.97%.By comparison of the two modes, the outpatient screening was found to be higher in initial screening positive rate than centralized screening(P < 0.01).As compliance with colonoscopy, the colonoscopy rate with outpatient screening was far higher than with centralized screening(P < 0.01).By colonoscopy it was found that outpatient screening group was higher than centralized screening in the detection rate for precancerous lesions(P < 0.05).

ConclusionTo establish the modes of outpatient initiative screening as primary and centralized passive screening as auxiliary can give full play to their overall role of colorectal cancer screening.