Objective To explore the screening effect of colorectal cancer in asymptomatic population under the county medical community model.Methods Under the county medical community model,10,204 cases of residents in this county from January 2022 to December 2023 were selected and divided into two groups for colorectal cancer screening.The 6214 subjects who were willing to receive only the High Risk Factor Questionnaire(HRFQ)as the control group,and the 3990 subjects who were willing to receive the HRFQ combined with the Faecal Occult Blood Test(FIT)as the observation group were screened according to their respective protocols,and those who were positive at the initial screening were referred to the county hospital for further endoscopy.Results The initial screening positive rate of the control group was 16.90％.The initial screening positive rate of the observation group was 19.95％.Among the primary screening positives in the control group and the observation group,510 cases and 520 cases received colonoscopy respectively;56 cases were positive for microscopy in the control group and 132 cases were positive for microscopy in the observation group.Conclusion Under the county medical community model,large-scale colorectal cancer screening and effective referral and follow-up of asymptomatic people can be carried out efficiently,which can accurately respond to the prevalence of colorectal cancer in the region to a certain extent,and achieve early detection,diagnosis and treatment of colorectal cancer,and it can be promoted and applied to the screening of other oncological diseases.
Medical community modelAsymptomaticColorectal cancerScreeningFaecal occult blood test
万方数据
维普
