Knowledge and practice of colorectal cancer screening in an urban setting: cross-sectional survey of primary care physicians in government clinics in Malaysia.
Singapore Med J
; 60(11): 596-604, 2019 Nov.
Article
em En
| MEDLINE
| ID: mdl-30644527
ABSTRACT
INTRODUCTION:
Colorectal cancer (CRC) was the third most commonly diagnosed cancer worldwide in 2008 (1.23 million cases, 9.7%). CRC screening was shown to be effective in reducing 70% of CRC mortality. However, the screening rate for CRC remains poor.METHODS:
A cross-sectional survey was conducted among primary care physicians (PCPs) in public primary care clinics in Kuala Lumpur, Malaysia. A 30-item self-administered questionnaire was used to assess the knowledge and practice of CRC screening.RESULTS:
The response rate was 86.4% (n = 197/228). Less than half (39.1%) of the respondents answered correctly for all risk stratification scenarios. Mean knowledge score on CRC screening modalities was 48.7% ± 17.7%. The knowledge score was positively associated with having postgraduate educational qualification and usage of screening guidelines. Overall, 69.9% of PCPs reported that they practised screening. However, of these, only 25.9% of PCPs screened over 50% of all eligible patients. PCPs who agreed that screening was cost-effective (odds ratio [OR] 3.34, 95% confidence interval [CI] 1.69â6.59) and those who agreed that they had adequate resources in their locality (OR 1.92, 95% CI 1.01â3.68) were more likely to practise screening. Knowledge score was not associated with the practice of screening (p = 0.185).CONCLUSION:
Knowledge and practice of CRC screening was inadequate among PCPs. Knowledge of screening did not translate into its practice. PCPs' perceptions about cost-effectiveness of screening and adequate resources were important determinants of the practice of screening.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Atenção Primária à Saúde
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Neoplasias Colorretais
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Conhecimentos, Atitudes e Prática em Saúde
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Centros Comunitários de Saúde
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Detecção Precoce de Câncer
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Médicos de Atenção Primária
Tipo de estudo:
Diagnostic_studies
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Etiology_studies
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Guideline
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Observational_studies
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Prevalence_studies
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Prognostic_studies
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Qualitative_research
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Risk_factors_studies
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Screening_studies
Limite:
Adult
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Female
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Humans
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Male
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Middle aged
País como assunto:
Asia
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article