Khayyat Yasir Mohammed, Ibrahim Ezzeldin Mostafa
Oncology Centre of Excellence, International Medical Centre, Jeddah, Saudi Arabia.
Qatar Med J. 2014 Jun 16;2014(1):17-24. doi: 10.5339/qmj.2014.3. eCollection 2014.
Screening for colon cancer aims at early detection and prompt treatment of the disease. Prior knowledge of the disease will contribute to increased participation. However, barriers to performing screening are not known.
A survey using a questionnaire was presented to patients attending the Outpatient Department of a tertiary hospital in the Western Region of Saudi Arabia, to evaluate the background knowledge of colon cancer screening, the diagnostic methods used for that purpose, and the barriers that may resist the implementation of screening.
Six hundred and nineteen questionnaires were distributed. Completed questionnaires that were included in the final analysis numbered 321 (51.9%). Age and gender had no statistically significant association with increased awareness of screening options (p = 0.526 and p = 0.2). However, education played a significant role (p = 0.045). Among the group that agreed to undergo screening, there were 55.3% who were willing to undergo colonoscopy or sigmoidoscopy. Contrary to that, among the group that did not agree to undergo screening, 77.4% of them would undergo radiological screening using barium enema and/or a computed tomography (CT) scan of the abdomen.
There is a deficiency of knowledge of colorectal cancer (CRC) screening influenced by an individual's level of education, yet unrelated to age or gender. The endoscopic modality was usually chosen by individuals who were aware of CRC screening. However, the fear of undergoing this investigation, for the same reason, would likely make them decide to choose less invasive testing, using barium enema or a CT of the abdomen.
结肠癌筛查旨在早期发现并及时治疗该疾病。对疾病的预先了解将有助于提高参与度。然而，进行筛查的障碍尚不清楚。
向沙特阿拉伯西部地区一家三级医院门诊部的患者发放了一份问卷调查，以评估结肠癌筛查的背景知识、用于该目的的诊断方法以及可能阻碍筛查实施的障碍。
共发放了619份问卷。最终纳入分析的完整问卷有321份（51.9%）。年龄和性别与筛查选项知晓率的提高无统计学显著关联（p = 0.526和p = 0.2）。然而，教育程度发挥了重要作用（p = 0.045）。在同意接受筛查的人群中，有55.3%愿意接受结肠镜检查或乙状结肠镜检查。相反，在不同意接受筛查的人群中，77.4%的人愿意接受钡剂灌肠和/或腹部计算机断层扫描（CT）的放射学筛查。
受个人教育程度影响，对结直肠癌（CRC）筛查的知识存在不足，但与年龄或性别无关。了解CRC筛查的个体通常会选择内镜检查方式。然而，出于同样的原因，对接受这种检查的恐惧可能会使他们决定选择侵入性较小的检查，如钡剂灌肠或腹部CT检查。
