[Purpose] This study analyzes and summarizes the preliminary screening and follow-up results of the early diagnosis and treatment project for upper gastrointestinal cancer in rural areas of Fujian Province from 2013 to 2022.[Methods] Screening data from the early diagnosis and treatment project for upper gastrointestinal cancer in Fujian Province from 2013 to 2022 were collected and organized. The case detection rate, early diagnosis rate, and treatment rate of the screening population were calculated along with theχ2 test for trend, and the detection rate and early diagnosis rate of different groups were compared.[Results] From 2013 to 2022, a total of 26,823 screenings and follow-ups were completed in Fujian Province, with detection rate, early diagnosis rate, and treatment rate of 1.41%, 56.20%, and 92.61%, respectively. The early diagnosis rate showed an increasing trend from 2013 to 2022 (P<0.05). The initial screening detected rate and early diagnosis rate were 1.38% and 55.59%, respectively, while follow-up detection rate and early diagnosis rate were 5.36% and 75%. The detection rates for esophageal, cardia, and stomach cases were 0.70%, 0.15%, and 0.58%, respectively, with early diagnosis rates of 64.86%, 53.66%, and 46.41%, respectively. The differences in detection rates and early diagnosis rates for each site were statistically significant (P<0.05).[Conclusion]From 2013 to 2022, the early diagnosis and treatment project for upper gastrointestinal cancer in rural areas of Fujian Province identified precancerous lesions or early-stage cases. Screening was accompanied by health education for residents, enhancing their cancer prevention awareness.There is still a need to strengthen technical training, continue to improve detection rate and early diagnosis rate, pay attention to the compliance of the follow-up population, and further improve screening efficiency. |