Combined Screening for Gastrointestinal Tumors
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 200,000
- 试验地点
- 2
- 主要终点
- Gastrointestinal cancers detection, incidence and mortality
研究概览
简要总结
All participants are required to complete a questionnaire, a Helicobacter pylori (H. pylori) test, and a fecal immunochemical test (FIT). The questionnaire covers nine aspects: basic information of the participants, symptoms and previous examinations, medical history and surgical history, medication history, smoking history, alcohol consumption history, dietary habits, physical exercise, and family history. After quality control, the data is entered by staff into the Zhejiang Province Cancer Screening Information Platform. Risk assessments are performed based on the data collected and high-risk individuals are recommended for clinical screening. Additionally, tongue image, stool, urine, blood, tongue coating, saliva, gastric juice, and fresh tissue (gastric mucosa tissue and/or intestinal polyp tissue) samples are collected from all participants undergoing clinical screening.
Participants are required to complete at least one passive follow-up annually. Active follow-ups are conducted for those with positive screening results to ensure timely completion of endoscopic examinations. For those who have not undergone endoscopic examinations despite positive screening results, health education is provided, and they are mobilized at least four times within one month to complete endoscopic examinations. For participants diagnosed and treated for precancerous lesions and tumors, diagnostic and treatment data must be collected, and they are encouraged to follow up as per medical advice. Both active and passive follow-up results must be recorded in the screening follow-up information record form and reported to the Zhejiang Province Cancer Screening Information Platform.
This is a government collaboration project. All subjects will also be followed by record linkage to Cancer Register and Population Register.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 40 Years 至 74 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Subject residents from Zhejiang Province.
- •Subject is able to comprehend, sign, and date the written informed consent document to participate in the study.
- •Subject has psychical condition and well consciousness, and also accept and cooperate with the follow-up of this study.
排除标准
- •Subject has heavy cardiovascular, liver or kidney disease.
- •Subject is already suffering from malignant tumors of the digestive tract.
- •Subject has severe intellectual disabilities or language communication barriers.
- •Subject has had gastrointestinal endoscopy in the past year.
结局指标
主要结局
Gastrointestinal cancers detection, incidence and mortality
时间窗: 5 years
Gastrointestinal cancers detection through endoscopies, and gastrointestinal cancers incidence and mortality with long-term follow-up.
次要结局
- Early diagnosis of gastrointestinal cancers(5 years)
研究者
Xiangdong Cheng
Chief physician
Zhejiang Cancer Hospital