Abstract
This paper reviews the status of colorectal cancer screening conducted in Fukuoka City to identify problems with screening for personal health checkups. Interview sheets were collected from the subjects, and symptoms were identified in 38 and 45% of those who had undergone individual and group health examinations, respectively. Some of them had bloody stools, and the rates of requiring thorough examinations among those who had undergone individual and group health examinations were 14.9 and 11.8%, respectively. However, only 67.4 and 61.8% of them actually underwent such examinations, respectively, and there is concern over delays in the identification of colorectal cancer in people at high risk. On the other hand, the results suggest that the process indices are not solely influenced by the sex/age compositions of the subject population. The process indices in the individual examinations also significantly varied depending on the type of institution (Rate of requiring thorough examinations: institutions for health checkups: 6.62%, hospitals: 7.93%, clinics: 9.95%; Rate of undergoing thorough examinations: institutions for health checkups: 78.7%, hospitals: 59.9%, clinics: 73.1%). To improve and maintain the quality of countermeasure-oriented individual examinations and increase their reliability, it is necessary to control the accuracy, and discuss methods of advising people at high risk, including those requiring medical interviews.
