Clinical Application Value of Opportunistic Screening for Colorectal Cancer in Hospitalized Pa-tients with Positive Stool Occult Blood Test
[Objective]To explore the clinical application value of opportunistic screening for colorectal cancer in hospitalized patients with positive stool occult blood test.[Methods]A retrospective analysis was conducted on the clinical data of 534 hospitalized patients with positive stool occult blood test who underwent opportunistic screening for colorectal cancer at the Fourth Affiliated Hospital of Zhejiang University School of Medicine from Ju-ly 2021 to July 2022.According to the classification criteria for high-risk populations of colorectal cancer,patients were divided into high-risk group(n =99)and general population group(n =435).The stool occult blood test and colonoscopy were analyzed,and the colonoscopy results were compared among different groups.[Results]534 hospitalized patients underwent routine stool occult blood test,all of which were positive.Among them,278 pa-tients underwent colonoscopy,with a compliance rate of 52.1%(278/534).A total of 106 cases of colorectal cancer and precancerous lesions were detected by colonoscopy,with a detection rate of 38.1%(106/278).The compliance rate of colonoscopy in high-risk population group was 80.8%(80/99),which was significantly higher than that in general population group(45.5%),with significant difference(χ2 =40.244,P＜0.01).The positive rate of colonoscopy in high-risk population group was significantly higher than that in general population,with significant difference(χ2=8.196,P =0.04).[Conclusion]Hospitalized patients with positive stool occult blood test have high compliance with colonoscopy screening.The compliance rate of high-risk population of colorectal cancer is signifi-cantly higher than that of general population.The recommendation of doctors is an important factor affecting screening compliance.Routine screening for colorectal cancer opportunity in hospitalized patients is one of the screening models suitable for China's national conditions.
万方数据
维普
