|
|
|
| Analysis of colorectal cancer screening results in Shangcheng District |
| JIANG Mingxiao, LI Jian, HUANG Xuyun
|
| Department of Disease Control and Prevention, Shangcheng District Center for Disease Control and Prevention, Hangzhou, Zhejiang 310000, China |
|
|
|
|
Abstract Objective To analyze the status of colorectal cancer screening results in Shangcheng District, Hangzhou City from 2020 to 2022, so as to provide the evidence for developing prevention and control strategies for colorectal cancer. Methods According to Colorectal Cancer Screening Program for Zhejiang Key Populations, residents registered in Shangcheng District and at ages of 50 to 74 years were recruited and screened using Zhejiang Provincial Questionnaires for Assessment of Risk of Colorectal Cancer Screening among High-risk Populations and fecal immunochemical test (FIT). Residents positive for questionnaires or FIT, or both positive for questionnaires and FIT were served as a positive screening and colonoscopy should be underwent. The rates of positive screening, compliance of colonoscopy and different pathological diagnosis results were analyzed. Results Totally 118 227 residents were screened in Shangcheng District from 2020 to 2022, with a positive rate of 16.00%. The positive rates of questionnaires, FIT and both questionnaires and FIT were 8.14%, 6.46% and 1.40%, respectively. Colonoscopy was performed among 6 501 cases, with a compliance rate of 34.37%. Colonoscopy detected 3 689 cases with colorectal lesions, with a detection rate of 56.75%. The detection rates of colorectal cancer, pericancer lesions and other benign lesions were 1.12%, 9.15% and 46.47%, respectively. The detection rates of positive screening, colorectal lesions and pericancer lesions were higher in men (22.16%, 61.25% and 12.45%) than those in women (11.62%, 51.98% and 5.67%; all P<0.05). The detection rates of positive screening, colorectal lesions, colorectal cancer and pericancer lesions appeared a tendency towards a rise with age (all P<0.05). The detection rates of positive screening and colorectal lesions appeared a tendency towards a decline, and the compliance rate of colonoscopy appeared a tendency towards a rise from 2020 to 2022 (all P<0.05). The detection rate of pericancer lesions was higher among questionnaire and FIT positive residents (65.37%, P<0.05). Conclusions The detection rates of colorectal cancer and pericancer lesions in Shangcheng District from 2020 to 2022 were 1.12% and 9.15%, respectively. Men, the elderly, questionnaire and FIT positive residents are key populations, and the compliance of colonoscopy for the populations should be improved.
|
|
Received: 07 March 2024
Revised: 14 May 2024
Published: 20 June 2024
|
|
|
|
|
|
[1] XU L Y,ZHAO J H,LI Z H,et al.National and subnational incidence,mortality and associated factors of colorectal cancer in China:a systematic analysis and modelling study[J/OL].J Glob Health,2023,13[2024-05-14].https://doi.org/10.7189/jogh.13.04096.
[2] HAN B F,ZHENG R S,ZENG H M,et al.Cancer incidence and mortality in China,2022[J].J Natl,2024,4(1):47-53.
[3] 程向东,杜灵彬.2022浙江省肿瘤登记年报[M].北京:清华大学出版社,2023.
[4] SIEGEL R L,WAGLE N S,CERCEK A,et al.Colorectal cancer statistics,2023[J].CA Cancer J Clin,2023,73:233-254.
[5] 张芃,蒋虹丽,陈文,等.大肠癌人群筛查项目实施的国际进展[J].上海预防医学,2021,33(4):273-279.
[6] 朱陈,龚巍巍,钟节鸣,等.浙江省重点人群结直肠癌筛查项目设计和实施方案[J].中国肿瘤,2020,29(12):899-903.
[7] 柏愚,杨帆,马丹,等.中国早期结直肠癌筛查及内镜诊治指南(2014年,北京)[J].胃肠病学,2015,20(6):345-365.
[8] 郑沛,卢丽微,朱福乾,等.永嘉县结直肠癌筛查结果分析[J].预防医学,2022,34(7):727-731.
[9] 和金金,朱陈,潘婷婷,等.定性和定量粪便免疫化学试验筛查结直肠癌效果评价[J].预防医学,2024,36(4):317-321.
[10] 国家癌症中心中国结直肠癌筛查与早诊早治指南制定专家组.中国结直肠癌筛查与早诊早治指南(2020,北京)[J].中华肿瘤杂志,2021,43(1):16-38.
[11] 梅少林,刘晓红,杜冬明,等.丽水市居民结直肠癌发病与死亡趋势分析[J].预防医学,2020,32(7):666-669.
[12] 杨金华,沈飞琼,薛峰,等.2007—2016年浙江省嘉善县结直肠癌筛查方案应用评价[J].中国肿瘤,2020,29(12):919-924.
[13] 杨会棉,李超楠,林恒娜.2016—2019年北京市门头沟区结直肠癌筛查结果分析[J].社区医学杂志,2021,19(23):1391-1394.
[14] 洪尚游. 大肠癌结肠镜筛查的策略及依从性研究[D].上海:第二军医大学,2012.
[15] 许文敏. 广州市结直肠癌筛查策略评估及肠镜结果分析[D].广州:广州医科大学,2020.
[16] 杜倩,邵春昕,邹赤群,等.2015—2021年北京市通州区结直肠癌早诊早治筛查结果分析[J].中国肿瘤,2023,32(9):698-702.
[17] 蓝柳豪,徐美慧,吴胜智,等.2018—2019年浙江省兰溪市结直肠癌筛查不同方案筛查效果的比较[J].中国肿瘤,2023,32(3):209-218.
[18] 高以焕,孔蕴馨,董栋,等.风险评分模型、免疫法粪便隐血试验及二者联合筛查方案在徐州市人群结直肠癌筛查中的检出率比较[J].现代预防医学,2023,50(5):954-960. |
|
|
|
