From the Department of Oncology (Jazieh, Alkaiyat, Abuelgasim), King Abdulaziz Medical City, from the Department of Oncology (Jazieh, Alkaiyat, Abuelgasim, Ardah), King Saud bin Abdulaziz University for Health Sciences, from the Department of Oncology (Jazieh, Alkaiyat, Abuelgasim); and from the Department of Biostatistics and Bioinformatics (Ardah), King Abdullah International Medical Research Center, Ministry of National Guard Health Affairs, Riyadh Kingdom of Saudi Arabia.
Saudi Med J. 2022 May;43(5):479-485. doi: 10.15537/smj.2022.43.5.20210742.
To evaluate patients' perceptions on the causes and outcomes of cancer and the changes observed over a decade (2006-2016) at King Abdulaziz Medical City, Riyadh, Saudi Arabia.
Patients diagnosed with cancer and treated at King Abdulaziz Medical City, Riyadh, Saudi Arabia, were enrolled in a cross-sectional study. The patients were enrolled in 2 cohorts: cohort 1 from 2006-2008 and cohort 2 from 2016-2018. The trends of the perceptions related to the causes and outcomes of cancer were compared between the 2 cohorts.
In total, 1416 patients were enrolled in the 2 cohorts: cohort 1 included 464 patients and cohort 2 included 952 patients. The patients in cohort 2 had a higher level of education, higher unemployment rate, and more solid tumors. There was a significant increase in the belief of the "evil eye" as a cause of cancer from 1.3-33.1% between cohort one and cohort 2. A higher proportion (23.5%) of cohort 2 reported scientific causes for cancer, compared to 13.6% in cohort 1 (<0.0001). Younger age, male gender, having a job, and being in cohort 2 were significantly associated with providing a scientific answer in a multivariate analysis (modeling scientific cause).
In this study, a frequent misperception related to the causes of cancer was revealed. To tackle this issue, a systematic approach towards education for patients and the public is required to minimize the potential detrimental effects on patient care and patient outcomes.
评估沙特阿拉伯利雅得阿卜杜勒阿齐兹国王医疗城的患者对癌症病因和结果的看法，并观察十年来（2006-2016 年）的变化。
在沙特阿拉伯利雅得阿卜杜勒阿齐兹国王医疗城接受治疗的癌症患者被纳入一项横断面研究。患者被纳入两个队列：队列 1 来自 2006-2008 年，队列 2 来自 2016-2018 年。比较了两个队列之间与癌症病因和结果相关的看法趋势。
共有 1416 名患者被纳入两个队列：队列 1 包括 464 名患者，队列 2 包括 952 名患者。队列 2 的患者受教育程度更高，失业率更高，且更多患有实体瘤。从队列 1 到队列 2，“邪眼”作为癌症病因的信念从 1.3%-33.1%显著增加。与队列 1 中的 13.6%相比，队列 2 中报告癌症有科学原因的比例更高（23.5%）（<0.0001）。在多变量分析（建模科学原因）中，年轻、男性、有工作且处于队列 2 与提供科学答案显著相关。
在这项研究中，揭示了与癌症病因相关的常见误解。为了解决这个问题，需要对患者和公众进行系统的教育，以最大程度地减少对患者护理和结果的潜在不利影响。
