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A qualitative interview study on colorectal cancer screening in China
Weimiao Wu1, Songsong Tan1, Junjie Huang2
1Global Health Institute, Fudan University School of Public Health, Shanghai, China.
Frontiers in Medicine
|February 15, 2024
Summary
Improving colorectal cancer (CRC) screening in China requires addressing low colonoscopy compliance. Experts suggest quantitative fecal immunochemical tests (FIT) and better risk assessment to enhance CRC screening effectiveness.
Area of Science:
- Oncology
- Public Health
- Gastroenterology
Background:
- Colorectal cancer (CRC) screening effectiveness is suboptimal in China, primarily due to low patient adherence to colonoscopy follow-up.
- Expert opinions are crucial for understanding and improving current CRC screening programs.
Purpose of the Study:
- To gather Chinese expert perspectives on existing and emerging CRC screening methods.
- To identify strategies for enhancing the effectiveness of CRC screening in China.
Main Methods:
- Conducted 15 semi-structured interviews with Chinese CRC screening experts.
- Employed a qualitative research approach with open, axial, and selective coding for data analysis.
Main Results:
- Identified key challenges in CRC screening: low colonoscopy compliance and suboptimal specificity of initial tests.
- Experts recommended quantitative fecal immunochemical tests (FIT) and optimized risk assessment tools.
- Emerging screening technologies were viewed as complementary, not replacements, for current methods.
Conclusions:
- Implementing quantitative FIT and improved risk assessment can more accurately identify high-risk individuals for colorectal cancer.
- These strategies may improve adherence to colonoscopy, thereby maximizing CRC screening effectiveness.
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