Volume : 08, Issue : 05, May – 2021
5.KNOWLEDGE, ATTITUDE, AND PRACTICE OF COLORECTAL CANCER SCREENING AMONG PRIMARY HEALTH CARE PHYSICIANS IN TAIF CITY, KINGDOM OF SAUDI ARABIA, 2019
Rayan Ayesh Aljabri and Mohammed Al-Zaydi
Background: Colorectal cancer (CRC) screening is an important tool for early diagnosis and prevention; however, global screening rates remain low. Several CRC screening standards have recently been revised. Methodology: This was a cross-sectional study conducted in a period started on February 1, 2019. A Self-administered Questionnaire was distributed to PCPs in Taif city, Saudi Arabia, to assess the knowledge, attitude, and practice towards CRC cancer screening. Results: 216 PCPs were included in the study; 65.1% were males and with a mean age (30±4). Age (P=0.000), marital status (P=0.001), years of experience (P=0.000), job title (P=0.000), and monthly income (P=0.000) were significantly associated with knowledge scores. Age (P=0.003), years of experience (P=0.006), job title (P=0.002), and the monthly income (P=0.018) were significantly associated with the attitude scores. Conclusion: We demonstrated high knowledge levels and positive attitudes towards CRC screening among PCPs in Taif city, Saudi Arabia. However, knowledge about the stopping age of screening and FOBT home knit was relatively low. Besides, attitudes towards the effectiveness of double-contrast barium enema were also low. The current findings established a significant association between age, years of experience, job title, and monthly income with higher scores of knowledge and attitudes.
Cite This Article:
Please cite this article in press Rayan Ayesh Aljabri and Mohammed Al-Zaydi., Knowledge, Attitude, And Practice Of Colorectal Cancer Screening Among Primary Health Care Physicians In Taif City, Kingdom Of Saudi Arabia, 2019.., Indo Am. J. P. Sci, 2021; 08(05).
Number of Downloads : 10
1. World health organization, “Cancer Fact sheet” (2018). https://www.who.int/news-room/fact-sheets/detail/cancer.
2. Alharbi, R. (2017). Colon cancer and Saudi population. International Journal of Contemporary Medical Research; 4(8):1815-1819.
3. International agency for research on cancer. (2018). Cancer Fact Sheets: Colorectal Cancer. Cancer fact sheet. Available from: URL: http://gco.iarc.fr/today/data/pdf/factsheets/, Accessed on February 2019.
4. Rex, D., Boland, R., Dominitz, J., Giardiello,F., Johnson, D., Kaltenbach, T., Levin,T., Lieberman,D., and Robertson,D. (2017). Colorectal Cancer Screening: Recommendations for Physicians and Patients from the U.S. Multi-Society Task Force on Colorectal Cancer. Am J Gastroenterol advance online publication; doi: 10.1038/ajg.174.
5. Bénard,F., Barkun,A., Martel,M., Renteln,D. (2018). Systematic review of colorectal cancer screening guidelines for average-risk adults: Summarizing the current global recommendations. World J Gastroenterol; 24(1): 124-138.
6. Sewitch,M., Burtin, P., Dawes,M., et al. (2006). Colorectal cancer screening: Physicians’ knowledge of risk assessment and guidelines, practice, and description of barriers and facilitators. Can J Gastroenterol;20(11):713-718.
7. Alsanea N, Almadi MA, Abduljabbar AS, Alhomoud S, Alshaban TA, Nooh R, et al. (2015). National Guidelines for Colorectal Cancer Screening in Saudi Arabia with strength of recommendations and quality of evidence. Ann Saudi Med;35:189 95.
8. National health information system (2015). kingdom of Saudi Arabia, Saudi health council national health information center, Saudi cancer registry cancer incidence report. Available at: https://nhic.gov.sa/eservices/documents/e%20scr%20final%206%20nov.pdf.
9. Al-Eid H (2014). Cancer Incidence Report 2010, in Saudi Cancer Registry, Bazarbashi S, Editor. Ministry of Health: Kingdom Saudi Arabia.
10. Al-Eid HS and Al-Zahrani A. (2007). Cancer Incidence and Survival Report 2007, in Saudi Cancer Registry. Ministry of Health: Kingdom
11. Joseph DA, King JB, Miller JW, et al (2012). Prevalence of colorectal cancer screening among adults-behavioral risk factor surveillance system, United States, 2010. Morb Mortal Wkly Rep; 61, 51-6.
12. Khayyat YM and Ibrahim EM (2014). Public awareness of colon cancer screening among the general population: a study from the Western Region of Saudi Arabia. Qatar Med J; 17-24.
13. Center MM, Jemal A, Smith RA, et al (2009). Worldwide variations in colorectal cancer. CA Cancer J Clin 59, 366-78.
14. Merika E, Saif MW, Katz A, et al. (2010). Review. Colon cancer vaccines: an update. In Vivo, 24, 607-28.
15. NG S and Wong S. (2013). Colorectal cancer screening in Asia. Br Med Bull, 105, 29-42.
16. Amersi F, Agustin M, Ko CY (2005). Colorectal cancer: epidemiology, risk factors, and health services. Clin Colon Rectal Surg; 18, 133-40.
17. Christou A and Thompson S (2012). Colorectal cancer screening knowledge, attitudes and behavioral intention among Indigenous Western Australians. BMC Public Health; 12, 528.
18. Bidouei F, Abdolhosseini S, Jafarzadeh N, et al (2014). Knowledge and perception toward colorectal cancer screening in east of Eran. Int J Health Policy Manag; 3, 11-15.
19. Zauber AG, Winawer SJ, O Brien MJ, et al (2012).Colonoscopic polypectomy and long-term prevention of colorectal-cancer deaths. N Engl J Med; 366, 687-96.
20. Mack LA, Stuart H, Temple WJ. (2004). Survey of colorectal cancer screening practices in a large Canadian urban centre. Can J Surg;47:189-94.
21. Levin B , Lieberman DA , McFarland B et al. (2008). Screening and surveillance for the early detection of colorectal cancer and adenomatous polyps . Gastroenterology; 134 : 1570 – 95.
22. Kahi CJ , Boland CR , Dominitz JA et al. (2016). Colonoscopy surveillance after colorectal cancer resection: recommendations of the US multi-society task force on colorectal cancer . Gastrointest Endosc; 83 : 489 – 98.
23. Faivre J, Dancourt V, Lejeune C, Tazi MA, Lamour J, Gerard D, Dassonville F, Bonithon-Kopp C. (2004). Reduction in colorectal cancer mortality by fecal occult blood screening in a French controlled study. Gastroenterology;126: 1674-1680.
24. Kronborg O, Jørgensen OD, Fenger C, Rasmussen M. (2004). Randomized study of biennial screening with a faecal occult blood test: results after nine screening rounds. Scand J Gastroenterol; 39: 846-851.
25. Lindholm E, Brevinge H, Haglind E. (2008). Survival benefit in a randomized clinical trial of faecal occult blood screening for colorectal cancer. Br J Surg; 95: 1029-1036.
26. Shaukat A, Mongin SJ, Geisser MS, Lederle FA, Bond JH, Mandel JS, Church TR. (2013) Long-term mortality after screening for colorectal cancer. N Engl J Med 2013; 369: 1106-1114 [PMID: 24047060 DOI: 10.1056/NEJMoa1300720].
27. Elmunzer BJ, Hayward RA, Schoenfeld PS, Saini SD, Deshpande Waljee AK. (2012). Effect of flexible sigmoidoscopy-based screening on incidence and mortality of colorectal cancer: a systematic review and meta-analysis of randomized controlled trials. PLoS Med; 9: e1001352.
28. Shroff J, Thosani N, Batra S, Singh H, Guha S. Reduced incidence and mortality from colorectal cancer with flexible-sigmoidoscopy screening: a meta-analysis. World J Gastroenterol 2014; 20: 18466-18476 [PMID: 25561818 DOI: 10.3748/wjg.v20.i48.18466].
29. Ma GX, Wang MQ, Toubbeh J, Tan Y, Shive S, Wu D. (2012). Factors associated with colorectal cancer screening among Cambodians, Vietnamese, Koreans and Chinese living in the United States. N Am J Med Sci (Boston);5:1-8.
30. Yip MP, Tu SP, Chun A, Yasui Y, Taylor VM. (2006). Participation in colorectal cancer screening among Chinese Americans. Asian Pac J Cancer Prev.;7:645-650.
31. Sun WY, Basch CE, Wolf RL, Li XJ. (2004). Factors associated with colorectal cancer screening among Chinese-Americans. Prev Med; 39:323-329.
32. Thompson CA, Gomez SL, Chan A, et al. (2014). Patient and provider characteristics associated with colorectal, breast, and cervical cancer screening among Asian Americans. Cancer Epidemiol Biomarkers Prev.;23:2208-2217.
33. Gimeno Garcia AZ (2012). Factors influencing colorectal cancer screening participation. Gastroenterol Res Pract; 483417.
34. Klabunde CN, Schenck AP, Davis WW (2006). Barriers to colorectal cancer screening among Medicare consumers. Am J Prev Med; 30, 313.
35. Berkowitz Z, Hawkins NA, Peipins LA, et al (2008). Beliefs, risk perceptions, and gaps in knowledge as barriers to colorectal cancer screening in older adults. J Am Geriatr Soc; 56, 307-14.
36. Sung JJ, Choi SY, Chan FK, et al (2008). Obstacles to colorectal cancer screening in Chinese: a study based on health belief model. Am J Gastroenterol, 103, 974-81.
37. Koo JH, Arasaratnam MM, Liu K, et al (2010). Knowledge, perception and practices of colorectal cancer screening in an ethnically diverse population. Cancer Epidemiol; 34, 604-10.
38. Hoffman RM, Rhyne RL, Helitzer DL, et al (2011). Barriers to colorectal cancer screening: physician and general population perspectives, New Mexico, 2006. Prev Chronic Dis, 8, 35.
39. Demyati E (2014). Knowledge, attitude, practice, and perceived barriers of colorectal cancer screening among family physicians in National Guard Health Affairs, Riyadh. Int J Family Med; 457354.
40. Federici A, Rossi PG, Bartolozzi F, et al (2005). Survey on colorectal cancer screening knowledge, attitudes, and practices of general practice physicians in Lazio, Italy. Prev Med; 41, 30-35.
41. Davis DA, Thomson MA, Oxman AD, Haynes RB. (1995). Changing physician performance. A systematic review of the effect of continuing medical education strategies. JAMA;274:700-705.
42. Kreuter MW, Chheda SG, Bull FC. (2009). How does physician advice influence patient behavior? Evidence for a priming effect. Arch Fam Med;9:426-433.
43. Casalino LP, Chenven N. (2017). Independent practice associations: advantages and disadvantages of an alternative form of physician practice organization. Healthc (Amst);5:46-52.
44. Sung JJ, Lau JY, Goh KL, et al (2005). Increasing incidence of colorectal cancer in Asia: implications for screening. Lancet Oncol, 6, 871-76.
45. Asano TK, Toma D, Stern HS, McLeod RS. (2004). Current awareness in Canada of clinical practice guidelines for colorectal cancer screening. Can J Surg;47:104-8.
46. Zack DL, DiBaise JK, Quigley EM, Roy HK. (2001). Colorectal cancer screening compliance by medicine residents: Perceived and actual. Am J Gastroenterol;96:3004-8.
47. Salimzadeh H, Sauvaget C, Alamdari RA, et al.(2018). Knowledge, attitude, and practice of Iranian physicians towards colorectal cancer screening. Arch Dig Disord;2(1):1-6.
48. Population Characteristics surveys”. (2019). General Authority for Statistics. Archived from the original (PDF) on |archive-url= requires |archive-date= (help). Retrieved February 7, 2019.
49. Mosli MH, Al-Ahwal MS. Does the increasing trend of colorectal cancer incidence in jeddah reflect a rise in the Kingdom of Saudi Arabia?. Asian Pacific Journal of Cancer Prevention. 2012;13(12):6285-8.
50. Aljebreen AM. Clinico-pathological patterns of colorectal cancer in Saudi Arabia: younger with an advanced stage presentation. Saudi journal of gastroenterology. 2007 April 1;13(2):84.
51. Nemer HA, Hejase AJ, Hejase HJ, Othman M, Chawraba M, Trad MA. Colorectal cancer: Exploring awareness in Lebanon. The Journal of Middle East and North Africa Sciences. 2016 Oct;10(3927):1-2.
52. Rutten LJ, Nelson DE, Meissner HI. Examination of population-wide trends in barriers to cancer screening from a diffusion of innovation perspective (1987–2000). Preventive medicine. 2004 Mar 1;38(3):258-68.
53. Miles A, Cockburn J, Smith RA, Wardle J. A perspective from countries using organized screening programs. Cancer: Interdisciplinary International Journal of the American Cancer Society. 2004 Sep 1;101(S5):1201-13.