Related Experiment Videos
Hemoccult screening for colorectal cancer
F C Chang1, T M Jackson, C R Jackson
1Department of Surgery, University of Kansas School of Medicine, Wichita.
American Journal of Surgery
|December 1, 1988
Summary
A community colorectal cancer screening project found few malignancies. While cost-effectiveness is questionable for unsupervised mass screening, the project successfully raised public awareness for early colon cancer detection.
Area of Science:
- Oncology
- Public Health
- Gastroenterology
Background:
- Colorectal cancer (CRC) is a significant public health concern.
- Early detection through screening improves patient outcomes.
- Community-based screening programs aim to increase access and awareness.
Purpose of the Study:
- To evaluate the yield of a community hemoccult screening project for colorectal cancer.
- To assess the cost-effectiveness of unsupervised mass screening for CRC.
- To gauge the project's impact on public education regarding early colon cancer detection.
Main Methods:
- A large-scale community hemoccult screening project was conducted.
- 18,198 fecal occult blood specimens were processed.
- Positive results were followed up to identify malignancies and polyps.
Main Results:
- 3% of all tests were positive.
- 20 colorectal malignancies (0.1%) were identified.
- 53 benign polyps (0.3%) were detected.
Conclusions:
- The number of malignancies and polyps identified was low, questioning the cost-effectiveness of unsupervised mass screening.
- Despite low yield, the project effectively educated the public on early colon cancer detection.
- Community screening initiatives require careful consideration of cost-effectiveness and public engagement strategies.