DOI: http://dx.doi.org/10.18203/2349-3933.ijam20220423

Survey on physician attitudes and knowledge toward colorectal cancer screening in primary health care centers, Qassim, Saudi Arabia

Feras A. Aljemeeli, Abdulrahman Alfadda

Abstract


Background: Colorectal cancer (CRC) is one of the leading causes of cancer incidence worldwide. In Saudi Arabia, it is ranked first most common cancer in males and second most common in females. CRC is an ideal for prevention because of the high incidence rate and the relative slow progression into an adenocarcinoma. Primary health care (PHC) setting is the ideal place where CRC screening should take place. This study was intended to evaluate awareness, knowledge and attitude towards CRC screening.

Methods: A survey was performed among PHC physicians in Qassim province, Saudi Arabia. An electronic questionnaire adopted from the national cancer institute was formulated. Demographic data, specialty, qualifications, years of experience, knowledge and attitudes towards CRC screening, and perceived barriers regarding CRC screening were obtained.

Results: A total of 94 physicians were recruited. 39.4% from the sample are females, and 60.6% are males. 99% of physicians agree that colorectal cancer screening is needed when age appropriate. However, 68% were very compliant in CRC screening in clinical practice. Only 52% of physicians were familiar with national CRC cancer screening guidelines. 53% of physicians scored correct on the age appropriate to initiate CRC screening for average risk patients.

Conclusions: More efforts should be given to improve knowledge of primary healthcare providers regarding CRC prevention. More funding and planning are needed to provide primary health care providers with the required tools and systems in order to make CRC prevention more efficient.

 


Keywords


Colorectal cancer prevention and screening, Primary health care center, Qassim, Kingdom of Saudi Arabia

Full Text:

PDF

References


WHO. Fact sheet: Latest global cancer data: Cancer burden rises to 18.1 million new cases and 9.6 million cancer deaths in 2018. Available at: https://www.who.int/cancer/PRGlobocanFinal.pdf. Accessed on 15 January 2022.

WHO. Fact sheet: Cancer country profiles, Saudi Arabia 2014. Available at: https://www.who.int/cancer/country-profiles/sau_en.pdf?ua=1. Accessed on 15 January 2022.

Alsanea N, Almadi MA, Abduljabbar AS, Alhomoud S, Alshaban TA, Alsuhaibani A, et al. National guidelines for colorectal cancer screening in Saudi Arabia with strength of recommendations and quality of evidence: Tripartite task force from saudi society of colon & rectal surgery, Saudi gastroenterology association and Saudi oncology society. Ann Saudi Med. 2015;35(3):189-95.

Abdel-Aziz SB, Amin TT, Al-Gadeeb MB, Alhassar AI, Al-Ramadan A, Al-Helal M, et al. Perceived barriers to breast cancer screening among Saudi women at primary care setting. J Prevent Med Hyg. 2018;59(1):20.

Demyati E. Knowledge, attitude, practice, and perceived barriers of colorectal cancer screening among family physicians in National Guard Health Affairs, Riyadh. Int J Fam Med. 2014.

Maratt JK, Calderwood AH, Saini SD. When and how to stop surveillance colonoscopy in older adults: five rules of thumb for practitioners. Am J Gastroenterol 2018;113(1):5.

Kahi CJ, Boland CR, Dominitz JA, Giardiello FM, Johnson DA, Kaltenbach T, et al. Colonoscopy surveillance after colorectal cancer resection: recommendations of the US multi-society task force on colorectal cancer. Gastroenterology. 2016;150(3):758-68.

Mosli M, Alnahdi Y, Alghamdi A, Baabdullah M, Hadadi A, Khateery K, et al. Knowledge, attitude, and practices of primary health care physicians toward colorectal cancer screening. Saudi J Gastroenterol. 2017;23:330-6.

Ooi CY, Hanafi NS, Liew SM. Knowledge and practice of colorectal cancer screening in an urban setting: cross-sectional survey of primary care physicians in government clinics in Malaysia. Singap Med J. 2019;60:596.

Cho YH, Kim DH, Cha JM, Jeen YT, Moon JS, Kim J, et al. Patients’ preferences for primary colorectal cancer screening: A survey of the national colorectal cancer screening program in Korea. Gut Liver. 2017;11(6):821-7.

Althobaiti A, Jradi H. Knowledge, attitude, and perceived barriers regarding colorectal cancer screening practices and risk factors among medical students in Saudi Arabia. BMC Med Educ. 2019;19(1):421.

Mastrokostas A, Gavana M, Gkrizioti M, Smyrnakis E, Cholongitas E, Benos A, et al. Discrepancies and misconceptions of perceived colorectal cancer screening barriers between primary health professionals and unscreened population. A comparative study in Greece. J Buon. 2018;23(7):67-76.

Tfaily MA, Naamani D, Kassir A, Sleiman S, Ouattara M, Moacdieh MP, et al. Awareness of colorectal cancer and attitudes towards its screening guidelines in Lebanon. Ann Glob Health. 2019;85(1):75.