Results of Colorectal Cancer Screening in the Almaty Region of Kazakhstan Using a Modified Organizational Program

Abstract

Objective. To evaluate the effectiveness of a modified colorectal cancer screening program among the population of the Almaty region of Kazakhstan.
Methods. Type of research: cross-sectional clinical-organizational study. The target group for evaluating the results of the implementation of the program were selected persons of both sexes aged 50-70 years, representatives of the urban and rural population, subject to screening in accordance with the age category. In total, the analysis group included 5370 people, divided into 2 subgroups -
the main (2702) and comparison (2668). In the main group, a modified approach to organizing screening was used, based on increasing the activity of the healthcare system to attract respondents. Screening methods corresponding to the two-stage program adopted in the Republic of Kazakhstan were used as primary research methods.
Results. An increase in the response to screening at stage I was determined for the entire contingent and two subgroups - men and persons in the age category of 62 years. At stage II, an increase in response was also determined for the entire contingent and men.
Accounting for concomitant pathology determined an increase in response at stage I only in one of the selected categories (with the number of concomitant diseases 6-10). The presence of the influence of a large number of somatic pathologies and disabilities on response rates, as well as any significant influences at the II stage of screening, was not determined.
Conclusion. There is an influence of a number of factors on the response to colorectal cancer screening and the possibility of their correction through a system of organizational measures.