Comparison of APCS scoring system and a high risk factors questionnaire(HRFQ)in physical examination population opportunistic screening for colorectal cancer
Abstract：Objective To evaluate the effect of Asia-Pacific Colorectal Screening(APCS)scoring system and a high risk factors questionnaire(HRFQ)in physical examination population opportunistic screening for colorectal cancer.Methods Patients who had the annual physical examination in No.731 Hospital of China Aerospace Science&Industry Corporation(CASIC)from June 2017 to February 2018 were enrolled into this study.Before colonoscopy,the APCS score and HRFQ were used to screen the subjects.Records of colonoscopy and pathological results were recorded.The effect of APCS scoring system and HRFQ was evaluated in physical examination population opportunistic screening for colorectal cancer by comparing the positive predictive value(PPV)and the negative predictive vale(NPV)of colorectal neoplasms.Results A total of 294 eligible patients were enrolled,with an average age of 57.28+9.85 years,and 50 cases of colorectal neoplasms were detected.For APCS scores(moderate risk and high risk)and HRFQ,the PPV were 20.35％and 15.07％(P ＜ 0.05)and the NPV were 95.24％and 82.35％(P ＜ 0.05),respectively.The PPV and the NPV were statistical significance.Conclusion As a primary screening tool,the APCS scoring system,compared with HRFQ,can improve the PPV and the NPV of colorectal neoplasms in physical examination population opportunistic screening for colorectal cancer,which is suitable for a wide range of promotion.
Keywords：Asia-Pacific Colorectal Screening (APCS) scoring systemOpportunistic screeningColorectal neoplasmsPhysical examination population
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 217-219 )