Assim AlAbdulKader, Abdulelah H Almansour, Ahmed Abdulwahab, Ahmed Almomen, Ali Alhumran, Husain Alsaffar, Mojtaba Alzaher, Mohammed AlKhater
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引用次数: 0
Abstract
Background: Colorectal cancer ranks as the third most prevalent cancer worldwide and the second most prevalent cancer in Saudi Arabia. Additionally, it stands as the second leading cause of cancer-related mortality globally. There is an increasing incidence of colorectal cancer worldwide. However, there is a notable decrease in incidence in high-income countries due to effective screening programs.
Objective: The aim of this study was to identify the facilitators and barriers to the utilization of colorectal cancer screening from healthcare providers' perspective.
Methods: A qualitative study was conducted at multiple centres using semi-structured interviews to explore the perspectives of primary healthcare physicians, gastrointestinal physicians, and colorectal surgeons on colorectal cancer screening in Dammam, Al-Khobar, and Al-Qatif in the Eastern Province of Saudi Arabia. Forty participants were involved in this study, leading to the identification of several barriers and facilitators to colorectal cancer screening.
Results: Health system-related barriers included the unavailability of screening methods, such as FIT tests, or endoscopy units in some centres, high patient load, and the absence of a national screening program. Facilitators included easy access to screening guidelines, collaboration between hospitals, and the presence of female endoscopists. Individuals-related barriers encompassed patient unwillingness to screen, fear, lack of awareness, social and cultural factors, and inconvenience. Alternatively, the presence of a family history of colorectal cancer, GI symptoms, and higher education levels were considered as facilitators.
Conclusion: This study emphasizes the importance of implementing structural changes within the healthcare system, alongside raising awareness, and educating citizens. It also stresses the utilization of the effective strategies identified in this study regarding patient-provider communication to target individuals-related barriers and enhance screening rates.
期刊介绍：
Cancer is a very complex disease. While many aspects of carcinoge-nesis and oncogenesis are known, cancer control and prevention at the community level is however still in its infancy. Much more work needs to be done and many more steps need to be taken before effective strategies are developed. The multidisciplinary approaches and efforts to understand and control cancer in an effective and efficient manner, require highly trained scientists in all branches of the cancer sciences, from cellular and molecular aspects to patient care and palliation.
The Asia Pacific Organization for Cancer Prevention (APOCP) and its official publication, the Asia Pacific Journal of Cancer Prevention (APJCP), have served the community of cancer scientists very well and intends to continue to serve in this capacity to the best of its abilities. One of the objectives of the APOCP is to provide all relevant and current scientific information on the whole spectrum of cancer sciences. They aim to do this by providing a forum for communication and propagation of original and innovative research findings that have relevance to understanding the etiology, progression, treatment, and survival of patients, through their journal. The APJCP with its distinguished, diverse, and Asia-wide team of editors, reviewers, and readers, ensure the highest standards of research communication within the cancer sciences community across Asia as well as globally.
The APJCP publishes original research results under the following categories:
-Epidemiology, detection and screening.
-Cellular research and bio-markers.
-Identification of bio-targets and agents with novel mechanisms of action.
-Optimal clinical use of existing anti-cancer agents, including combination therapies.
-Radiation and surgery.
-Palliative care.
-Patient adherence, quality of life, satisfaction.
-Health economic evaluations.
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