Zeng F, Zhang DY, Chen SJ, Chen RX, Chen C, Huang SM, Li D, Zhang XD, Chen JJ, Mo CY, Gao L, Zeng JT, Xiong JX, Chen Z, Bai FH. Application of fecal immunochemical test in colorectal cancer screening: A community-based, cross-sectional study in average-risk individuals in Hainan. World J Gastrointest Oncol 2024; 16(8): 3445-3456 [PMID: 39171167 DOI: 10.4251/wjgo.v16.i8.3445]
Corresponding Author of This Article
Fei-Hu Bai, PhD, Doctor, Editor-in-Chief, Professor, Teacher, Department of Gastroenterology, The Second Affiliated Hospital of Hainan Medical University, No. 368 Yehai Avenue, Longhua District, Haikou 570216, Hainan Province, China. baifeihu_hy@163.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Retrospective Cohort Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Oncol. Aug 15, 2024; 16(8): 3445-3456 Published online Aug 15, 2024. doi: 10.4251/wjgo.v16.i8.3445
Table 1 Analysis of fecal immunochemical test results
Number of examples (n = 1788)
FIT-positive (n = 79)
χ2
P value
Sex
121.386
0.000
Male
603
37
Female
1285
42
Age
6.966
0.008
41-50
667
19
51-60
504
25
61-70
397
17
≥ 71
225
19
Region
6.372
0.027
Haikou
443
45
Sanya
425
6
Dongfan
268
8
Qionghai
245
9
Wuzhishan
381
11
Total
1788
79
Table 2 Analysis of high-risk factors for positive fecal immunochemical test results
Factor
Number of examples (n = 1788)
FIT-positive (n = 79)
χ2
P value
Sleep quality
5.746
0.057
Better
543
17
So so
681
53
Difference
565
19
Anxiety/stress
4.833
0.089
Seldom
706
33
Occasionally
685
36
Often
399
20
Mental illness
20.021
0.000
No
1428
50
Yes
360
39
Level of education
1.712
0.425
Elementary school
292
15
Junior high school
825
39
College degree or above
168
5
Exercise time per week
4.054
0.032
< 1 hour
489
19
1-4 hours
513
30
> 4 hours
308
10
Eating regularly or not
2.655
0.103
Yes
1500
42
No
238
17
Smoking
20.789
0.000
No
1102
35
Yes
686
24
Drinking
17.869
0.000
No
922
26
Yes
387
33
Pickled foods
6.287
0.012
No
1434
36
Yes
354
23
Areca catechu
4.748
0.029
No
1571
44
Yes
217
15
Table 3 Analysis of high-risk factors for positive fecal immunochemical test results cases multiple logistic regression analysis
Factor
β
SEB
Wald χ2
P value
OR (95%CI)
Age
0.237
0.108
4.152
0.008
1.121 (0.097-1.453)
Pickled foods
0.583
0.251
4.382
0.012
1.421 (1.212-1.671)
Table 4 Comparison of colonoscopy compliance among fecal immunochemical test-positive subjects
Factor
Total
FIT-positive
Colonoscopy cases
χ2
P value
Sex
Male
603
37
20
1.516
0.509
Female
1285
42
35
0.652
0.823
Age
41-50
667
19
13
1.907
0.167
51-60
504
25
20
4.523
0.033
61-70
397
17
10
0.719
0.396
≥ 71
225
19
12
9.817
0.000
Region
Haikou
443
45
20
5.715
0.017
Sanya
425
6
6
0.556
0.782
Dongfan
268
8
15
0.449
0.048
Qionghai
245
9
9
0.504
0.618
Wuzhishan
381
11
5
11.021
0.000
Total
1788
79
55
Table 5 Colonoscopy results of participants with fecal immunochemical test positive results
Colonoscopy results
Number of examples
Benign results
Hemorrhoids
6
Enteritis
4
Normal
5
Polyps or adenomas
Descending colonic tubular adenoma
6
Tubular adenoma of the transverse colon
7
Tubular adenoma of the sigmoid colon
7
Tubular adenoma of the ascending colon
6
Sigmoid inflammatory polyps
4
Sigmoid proliferative polyps
5
Advanced adenoma
Tubular adenoma of the sigmoid colon
3
Descending colonic tubular adenoma
1
Sigmoid villous adenoma
2
Sigmoid colon villous-tubular adenoma
1
Tubular adenoma of the transverse colon
1
CRC
2
Total
55
Citation: Zeng F, Zhang DY, Chen SJ, Chen RX, Chen C, Huang SM, Li D, Zhang XD, Chen JJ, Mo CY, Gao L, Zeng JT, Xiong JX, Chen Z, Bai FH. Application of fecal immunochemical test in colorectal cancer screening: A community-based, cross-sectional study in average-risk individuals in Hainan. World J Gastrointest Oncol 2024; 16(8): 3445-3456