Mass screening for colorectal cancer

Diseases of the Colon and Rectum
I T KhubchandaniR D Riether

Abstract

A voluntary community colorectal cancer screening project to detect occult blood in the stool of asymptomatic individuals was undertaken; 49,353 Hemoccult II kits were distributed. A total of 23,674 completed kits were returned to a central repository and processed (compliance rate, 48 percent); 851 participants had positive results (3.6 percent). Of the 640 who underwent further medical evaluation, 299 participants (46.7 percent) who had adequate follow-up had no evidence of disease. Diverse disease entities were detected in 341 participants, which was 1.4 percent of those enrolled. Forty-one patients (0.17 percent) showed significant findings that included 29 cancers (0.12 percent) and 12 (0.05 percent) noninvasive malignant polyps. Of the cancers, there were 27 colorectal, one non-Hodgkin's lymphoma, and one carcinoma of the vocal cord. In addition, 107 patients (0.45 percent) had benign polyps and 193 patients (0.82 percent) had various diseases of the gastrointestinal tract and other medical conditions. The cost of the program was modest and the results conformed to those found in previous screening surveys. The heightened public awareness of testing for colorectal disease and the detection of early lesions justifies the g...Continue Reading

References

Feb 1, 1978·American Journal of Public Health·T W ElwoodS Lieberman
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Mar 1, 1981·Diseases of the Colon and Rectum·F E Rosato, G Marks

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Citations

Apr 20, 2005·Journal of General Internal Medicine·Charlene L StokamerEdmund J Bini
Sep 24, 2009·Journal of General Internal Medicine·Jeffrey K LeeSamuel B Ho
Sep 16, 2003·Medical Care Research and Review : MCRR·K Robin YabroffJeanne Mandelblatt
Sep 15, 1997·World Journal of Gastroenterology : WJG·K ChenY Zhang
Nov 5, 1997·Journal of the National Cancer Institute·S W Vernon
Apr 19, 2003·Journal of Gastroenterology and Hepatology·Hidekazu HondaMakoto Otsuki

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