Exploration on improvement of the compliance of colorectal cancer screening in Wujing community of Shanghai

Objective 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 improving the compliance of screening, Wujing Community Health Center established a screening team and specified 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 colorectal 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 refined 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.