Abdulelah Almutairi¹, Dakhel Fahad Almubarak¹, Lara Alnamlah¹, Mostafa Kofi¹*, Ayman Afify¹, Mohammed Ghalab Alanazi², Asail Ahmed Alammar³ and Raghad Zaid Abuthyab³

¹Family Medicine Department, PSMMC, Riyadh, Saudi Arabia
²Ministry of Health, Riyadh, Saudi Arabia
³Imam Mohammad Ibn Saud Islamic University, Riyadh, Saudi Arabia

*Corresponding Author: Abdulelah Almutairi, Family Medicine Department, PSMMC, Riyadh, Saudi Arabia.

Received: February 01, 2023; Published: March 03, 2023

Abstract

Background: Screening of chronic diseases is challenging everywhere in the world and all over the time. Hence, there should be strict early screening and diagnosis programs by primary health care physicians (PHPs) and local health authorities. Colorectal cancer (CRC) is the most commonly diagnosed cancer worldwide. It is the 3rd leading cause of death internationally, and in Saudi Arabia, it accounts for 11.5% of the reported cancers. CRC screening was found to be effective in reducing 70% of CRC mortality. However, the screening rate for CRC remains poor.

Aim: To measure the participation and acceptance of the new screening program established in PHC’s in first health cluster at the ministry of health (MOH) and the impact of this program. 

Methods: We conducted a cross-sectional design in the period of October 2022 and November 2022 to assess the acceptance of colon cancer screening program in 1^st health cluster primary health care at ministry of health in Riyadh.

Result: Data from 329 patients who completed the questionnaire through PHC’s colorectal cancer screening recommendations were evaluated (with a response rate of 100%). The responses and beliefs of patients regarding CRC screening were examined using descriptive statistics. In our study, sample weights were used to provide a national estimate. 

Conclusion: The patients’ age, and demographic characteristics were associated to CRC screening practice. The findings may reflect the low influence of CRC screening activity, physicians receiving their medical education when CRC burden in Riyadh city was of low concern, and the lack of CRC screening capacity in some regions of Saudi Arabia.

 Keywords: Colorectal Cancer; Primary Health Care; Early Detection of Cancer; Health Care Surveys; Screening; Screening Guideline; Knowledge; Attitudes; Practice; Cross-Sectional Studies

References

1. Alyabsi M., et al. “Colorectal cancer in Saudi Arabia as the proof-of-principle model for implementing strategies of predictive, preventive, and personalized medicine in healthcare”. The EPMA Journal 1 (2020): 119-131.
2. Binefa G., et al. “Colorectal cancer: from prevention to personalized medicine”. World Journal of Gastroenterology 22 (2014): 6786-808.
3. “Screening methods for early detection of colorectal cancers and polyps: summary of evidence-based analyses”. Ontario Health Technology Assessment Series 6 (2009): 1-65.
4. Murugan H., et al. “Primary care provider approaches to preventive health delivery: a qualitative study”. Primary Health Care Research and Development 5 (2018): 464-474.
5. Rawla P., et al. “Epidemiology of colorectal cancer: incidence, mortality, survival, and risk factors”. Przeglad Gastroenterologiczny 2 (2019): 89-103.
6. Leddin D., et al. “Clinical Practice Guideline on Screening for Colorectal Cancer in Individuals With a Family History of Nonhereditary Colorectal Cancer or Adenoma: The Canadian Association of Gastroenterology Banff Consensus”. Gastroenterology5 (2018): 1325-1347.e3.
7. Parra-Blanco A., et al. “Achieving the best bowel preparation for colonoscopy”. World Journal of Gastroenterology47 (2014): 17709-17726.
8. Vahdat S., et al. “Patient involvement in health care decision making: a review”. Iranian Red Crescent Medical Journal1 (2014): e12454.
9. Tfaily MA., et al. “Awareness of Colorectal Cancer and Attitudes Towards Its Screening Guidelines in Lebanon”. Annals of Global Health1 (2019).
10. Hatamian S., et al. “Barriers and facilitators of colorectal cancer screening in Asia”. Ecancermedicalscience 15 (2021): 1285.
11. Alduraywish SA., et al. “Barriers of colorectal cancer screening test among adults in the Saudi Population: A Cross-Sectional study”. Preventive Medicine Reports 20 (2020): 101235.
12. Hay K., et al. “Disrupting gender norms in health systems: making the case for change”. Lancet (London, England)10190 (2019): 2535-2549.
13. Alzahrani KM., et al. “Colorectal Cancer and Its Screening Among Public in the Western Region of Saudi Arabia”. Cureus7 (2022): e27404.
14. Gosadi IM. “National screening programs in Saudi Arabia: Overview, outcomes, and effectiveness”. Journal of Infection and Public Health5 (2019): 608-614.
15. Almatroudi A. “The Incidence Rate of Colorectal Cancer in Saudi Arabia: An Observational Descriptive Epidemiological Analysis”. International Journal of General Medicine 13 (2020): 977-990.
16. Teixeira C., et al. “Colorectal Cancer Screening: What Is the Population's Opinion”. GE Portuguese Journal of Gastroenterology2 (2018): 62-67.
17. Yabroff KR., et al. “Are physicians' recommendations for colorectal cancer screening guideline-consistent?” Journal of General Internal Medicine2 (2011): 177-184.
18. Franco DL., et al. “Approach to Incomplete Colonoscopy: New Techniques and Technologies”. Gastroenterology and Hepatology8 (2017): 476-483.
19. Issa IA and Noureddine M. “Colorectal cancer screening: An updated review of the available options”. World Journal of Gastroenterology28 (2017): 5086-5096.
20. Gimeno García AZ. “Factors influencing colorectal cancer screening participation”. Gastroenterology Research and Practice 2012 (2012): 483417.
21. Dunn AS., et al. “Physician-patient discussions of controversial cancer screening tests”. American Journal of Preventive Medicine 2 (2001): 130-134.

Citation

Citation: Abdulelah Almutairi., et al. “Acceptance of Colon Cancer Screening Program in 1st Health Cluster Primary Health Care at the Ministry of Health in Riyadh, Saudi Arabia”.Acta Scientific Medical Sciences 7.4 (2023): 36-40.

Copyright

Copyright: © 2022 Abdulelah Almutairi., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.