Organized Colorectal Cancer Screening in Roi-Et Province

Abstract

The study was conducted through Roi-Et public health service through organized colorectal cancer screening in Roi-Et Province. Among the population aged 50-70 years in Roi-Et Province, 20,670 people were informed and invited to participate in the colorectal-cancer (CRC) screening program. District health promotion staff and Community Health Officers (HWs) collected and provided stool samples from the volunteers and transported the specimens to the district healthpromotion clinic for fecal immunochemical testing (FIT). FIT-positive patients were examined by endoscopic polypectomy/biopsy to confirm CRC. Of the 20,670 target population, 13,723 (66.39%) were screened using FIT, at cut-off 100 ng/ml hemoglobin, between 20 February and 25 July 2017; 376 (2.74%) were FIT-positive, of whom 243 (63.83%) had undergone colonoscopy, the results of which were CRC 3.879 per 10,000 target population, and advanced adenoma 6.289 per 10,000 target population. In conclusion, CRC screening by FIT test with a cut-point Hb of 100 ng/ml and colonoscopy provided a good outcome and could be proposed for the organized screening program in Thailand.