FIT Test for Colorectal Cancer Screening : Detection Rate and Risk Factors of Colorectal Cancer in Amnatcharoen Hospital

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Published: Dec 22, 2023
Keywords:
Detection rate of colorectal cancer; risk factor; FIT test

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Kuanchanok Duanyai
Amnatcharoen Hospital, Amnatchareon Privince

Abstract

Objective: To study detection rate and identify risk factors associated with colorectal cancer in patients who had positive results from FIT test screening and colonoscopy in Amnatcharoen Hospital.


Methods: This is a retrospective cohort study. Medical records of patients who had positive results from FIT test screening and colonoscopy in Amnatcharoen Hospital from 1 December 2021 to 30 November 2022 were reviewed. Patients’ characteristics including age, gender, weight, height, underlying disease, sign and symptoms, smoking, alcohol consumption, family history, Hb level and CEA level were collected. Results after colonoscopy including pathological results were collected. Data were collected and analysed with Chi-square test, Binary Logistic regression analysis and multiple logistic regression reported with Adjusted Odds ratio and 95%CI.


Results: This study includes 193 pateints who had positive results from FIT test screening and colonoscopy in Amnatcharoen Hospital from 1 December 2021 to 30 November 2022 in Amnatcharoen Hospital. Colonoscopy detected colorectal polyp in 51 cases (26.42%). Pathological report revealed 47 (92.16%) benign and 4 (7.84%) malignant colorectal polyp. Among all cases that were screened for colorectal cancer, the detection rate for malignancy was 2.07%. Risk factors associated to colorectal cancer in this study were dyslipidemia (aOR 17.54 (0.98-312.70), 95% CI 2.06-120.52, p-value 0.001) and chronic renal disease (aOR 16.99 (1.01-286.41), 95% CI 1.26-85.87, p-value 0.01).


Conclusion: Detection rate of colorectal cancer in patients who had positive results from FIT test screening and colonoscopy was 2.07%. Risk factors associated to colorectal cancer in this study included dyslipidemia and chronic renal disease.

Article Details

How to Cite
Duanyai, K. . (2023). FIT Test for Colorectal Cancer Screening : Detection Rate and Risk Factors of Colorectal Cancer in Amnatcharoen Hospital. YASOTHON MEDICAL JOURNAL, 25(3), 20–30. Retrieved from https://he04.tci-thaijo.org/index.php/hciyasohos/article/view/691
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Vol. 25 No. 3 (2023): September-December 2023
Section
Articles
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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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Author Biography

Kuanchanok Duanyai, Amnatcharoen Hospital, Amnatchareon Privince

M.D. Dip., Thai Board of Surgery Department of Surgery

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