OPINION AND PARTICIPATION OF PATIENTS WITH COLORECTAL CANCER IN COLON CANCER SCREENING PROGRAM, QUALITATIVE RESEARCH

Milana Sušoka, Vija Siliņa (Scientific Advisor), Zurabs Kecbaja (Scientific Advisor), Jeļena Daniļenko (Scientific Advisor)

Research output: Contribution to conferenceAbstractpeer-review

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Abstract

Objectives. The five – year survival rate for colorectal cancer diagnosed at an early stage is 90% compared with 5% for late stage disease. Therefore, colorectal cancer screening8 programme using faecal occult blood (FOB) test takes place in Latvia since 2009 to diagnose colorectal cancer at an early stage. However, during the last 10 years patients’ compliance is very low – during the first 9 months of year 2018 it was only 11.5%. Objective of the study is to investigate compliance and attitudes of colorectal cancer patients towards screening program.
Materials and methods. A qualitative study was conducted in Rīga East University Hospital. Ten colorectal cancer patients 50 to 74 years old of various education levels were included in research. All patients have undergone recent surgery. Patients were interviewed regarding FOB test – their experience and attitudes. Semi – structured interviews were audio recorded, transcribed and analysed.
Results. Nine out of ten patients never participated in colorectal screening program. The main reason for that was an absence of information about the development features of colorectal oncology. Other reasons were the absence of symptoms and strong character features that caused one patient to suffer a sharp abdominal pain. The interviewees’ offered option on how to improve information availability – screening program should become a compulsory test for everyone, information should primary come from a family doctor, or informational materials should be sent by post. All interviewees now are confident that the screening program is a very good thing that would help to diagnose colorectal cancer at an early stage.
Conclusion. Study results imply that awareness on colorectal cancer screening programme is low among colorectal cancer patients before diagnosis and rises after. Absence of information and symptoms are the main reasons for non-compliance to the FOB test.

Keywords*

  • Colorectal cancer
  • Qualitative Research
  • faecal occult blood test

Field of Science*

  • 3.2 Clinical medicine

Publication Type*

  • 3.4. Other publications in conference proceedings (including local)

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