Related Experiment Video
Updated: May 17, 2026
06:28
E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
Assessing the Feasibility of Community-Based Colorectal Cancer Screening in Pune, India
Smita Joshi1, Parimal Lawate2, B Kishore Kumar3
1Prayas, Amrita Clinic, Pune, India.
Cancer Research Communications
|May 15, 2026
Summary
This study screened 4352 individuals for colorectal cancer (CRC) using fecal occult blood tests. While CRC and polyp detection rates were low, the findings emphasize the need for preventive healthcare investment in India.
Area of Science:
- Gastroenterology
- Public Health
- Oncology
Background:
- Colorectal cancer (CRC) incidence and mortality are rising in India despite lower rates compared to Southeast Asian countries.
- Community-based screening is crucial for early detection and management of CRC.
Purpose of the Study:
- To report the outcomes of a large-scale, community-based CRC screening project in India.
- To assess the feasibility and yield of fecal occult blood testing (FOBT) followed by colonoscopy.
Main Methods:
- A house-to-house survey screened 5003 consenting adults aged 50-75 years.
- Participants provided stool samples for immunochemical fecal occult blood testing (iFOBT) using CANCHECK-FOBT.
- Positive iFOBT results prompted outpatient colonoscopy for further investigation.
Main Results:
- Out of 4352 participants who provided samples, 1.61% (70) had positive iFOBT results.
- Colonoscopy was completed by 44.92% (31) of those with positive iFOBT.
- The study detected 0.23 cases of CRC and 1.15 adenomatous polyps per 1000 screened individuals.
Conclusions:
- The CRC and adenomatous polyp detection rates were lower than in neighboring Southeast Asian countries.
- These results underscore the importance of investing in preventive healthcare strategies for CRC in India.
Related Concept Videos
01:25Assessment of the Rectum and Anus
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
01:30Primary Healthcare Services
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
01:30Serum Laboratory Studies, Stool Test, Breath Test
Gastrointestinal (GI) diagnostic studies are pivotal in confirming, ruling out, diagnosing, or staging various diseases, including cancers. Following diagnosis, allocating time for discussions with the patient and providing informational resources is crucial. Diagnostic assessments of the GI tract often occur in outpatient settings like endoscopy suites or GI labs. Preparation for these tests may include dietary restrictions, fasting, liquid bowel preparations, laxatives, enemas, and the...
02:59Cancer Prevention
Several factors can increase the risk of cancer in an individual. About 50% of cancer cases can be prevented by adopting a healthy lifestyle, regular exercise, eating healthy, and following a modest cancer prevention diet. Epidemiological studies have consistently shown that populations with vegetable and fruit-rich diets have reduced the incidence of cancer. On the other hand, populations who have a diet rich in animal fat, red meat, junk food, or high calories are predisposed to cancer.
Some...
Some...