| Abstract Objective:To analyze the results of opportunistic screening for upper gastrointestinal cancer in rural areas of Anhui Province from 2022 to 2024, and provide data support for standardizing opportunistic screening and early diagnosis and treatment of upper gastrointestinal cancer in the province.Methods:A questionnaire survey, gastroscopy, and pathological detection were conducted on permanent residents aged 40-74 years in the opportunistic screening areas for upper gastrointestinal cancer in Anhui Province in 2022, 2023, and 2024. The chi-square test was used to compare the rate differences between groups, and the detection rate and early diagnosis rate of opportunistic screening for upper gastrointestinal cancer were analyzed.Results:From 2022 to 2024, a total of 1,318,794 cases were screened for opportunistic upper gastrointestinal cancer in rural areas of Anhui Province, among which 28,629 cases (2.17%) of upper gastrointestinal cancer were detected; 6,975 cases (24.36%) were early-diagnosed. The detection rates of esophageal cancer, cardia cancer, and duodenal cancer were the highest in central Anhui (P<0.001); the detection rate of gastric cancer was the highest in southern Anhui (P<0.001). The detection rate in the province showed an upward trend with age, and was higher in males than in females (P<0.001). The early diagnosis rate of lesions in various parts of the upper gastrointestinal tract in the population using staining techniques such as iodine staining, electronic enhanced staining, and indigo carmine staining was significantly higher than that in the non-stained population. There was no significant difference in the early diagnosis rate between the population with positive HP test results and the population with negative test results (P>0.05).Conclusion: From 2022 to 2024, the early diagnosis rate of opportunistic screening for upper gastrointestinal cancer in rural areas of Anhui Province showed an increasing trend year by year, and the work of early diagnosis and treatment of rural cancer in Anhui Province has achieved certain results. However, the early diagnosis rate and detection rate have not met the requirements of the program objectives. It is necessary to further expand the screening coverage according to the current national program, focus on the prevention and treatment of males and middle-aged and elderly people, popularize knowledge of cancer early screening and prevention and control, improve the professional skills of grassroots personnel in early screening, and improve the detection rate and early diagnosis rate of upper gastrointestinal cancer. |
