Delay in Presentation, Diagnosis and Treatment for Colorectal Cancer Patients in Jordan

被引：33

作者：

Abu-Helalah M.A. ^{[1
]}

Alshraideh H.A. ^{[2
]}

Da’na M.’. ^{[3
]}

Al-Hanaqtah M.’. ^{[4
]}

Abuseif A. ^{[5
]}

Arqoob K. ^{[6
]}

Ajaj A. ^{[7
]}

机构：

[1] Department of Public Health, Mutah University, Karak

[2] Department of Industrial Engineering, Jordan University of Science and Technology, Irbid

[3] Ministry of Health, Karak Teaching Hospital, Karak

[4] Oncology Center, Royal Medical Services, Amman

[5] Ministry of Health, AlBashir Teaching Hospital, Ammam

[6] Directorate of Non-Communicable Diseases, Ministry of Health Jordan, Ammam

[7] Department of Radiation Oncology, AlBashir Hospital, Ministry of Health, Amman

来源：

Journal of Gastrointestinal Cancer | 2016年 / 47卷 / 1期

关键词：

Cancer; Colon; Diagnosis delay; Jordan; Presentation delay; Rectum; Treatment delay;

D O I：

10.1007/s12029-015-9783-3

中图分类号：

学科分类号：

摘要：

Purpose: Colorectal cancer (CRC) ranked first among cancers reported in males and second among cancers reported in females in Jordan in 2010. There has been no specific CRC-control programme in Jordan. Additionally, there has been no published study from Jordan or its neighbours on patient delays in presentation, diagnosis or treatment. Therefore, we conducted this study to assess these important quality indicators aiming to improve prognosis for CRC and to provide baseline data for future health promotion programmes for CRC in Jordan. Methods: This project was a cross-sectional study on CRC patients at Al Bashir Hospital, Ministry of Health, and at the Military Oncology Centre of the Jordanian Royal Medical Services. Results: The total number of participants was 189. The proportion of patients with presentation delay, diagnosis delay or treatment delay was 33.9, 68.1 and 32.6 %, respectively. The main reasons reported for delay in presentation were lack of knowledge that symptoms were suggestive of cancer (58.5 %), misdiagnosis by physicians or pharmacists (38.4 %) or the patient did not want to visit a doctor (3.1 %). Predictors of delay and mean time for presentation, diagnosis and treatment were identified. Conclusions: Our results revealed that CRC patients in Jordan experience delays in presentation, Powered by Editorial Manager® and ProduXion Manager® from Aries Systems Corporation diagnosis, and, to a lesser degree, in treatment. This could justify the advanced stages at diagnosis and poor outcomes for CRC patients. Our findings provide baseline information for future CRC-control programmes in Jordan. We recommend that CRC prevention programmes in Jordan focus on early detection of CRC and target both patients and physicians. © 2015, Springer Science+Business Media New York.

引用

页码：36 / 46

页数：10

共 53 条

[1]

Pisani P., Parkin D.M., Bray F., Ferlay J., Estimates of the worldwide mortality from 25 cancers in 1990, Int J Cancer, 83, pp. 18-29, (1999)

[2]

Pisani P., Parkin D.M., Ferlay J., Estimates of the worldwide mortality from eighteen major cancers in 1985. Implications for prevention and projections of future burden, Int J Cancer, 55, 6, pp. 891-903, (1993)

[3]

Wingo P.A., Cardinez C.J., Landis S.H., Greenlee R.T., Ries L.A., Anderson R.N., Et al., Long-term trends in cancer mortality in the United States, 1930-1998, Cancer, 97, pp. 3133-3275, (2003)

[4]

Korsgaard M., Pedersen L., Sorensen H.T., Laurberg S., Delay of treatment is associated with advanced stage of rectal cancer but not of colon cancer, Cancer Detect Prev, 30, 4, pp. 341-346, (2006)

[5]

Kronborg O., Screening for early colorectal cancer, World J Surg, 24, 9, pp. 1069-1074, (2000)

[6]

Weller D., Vedsted P., Rubin G., Walter F.M., Emery J., Scott S., Et al., The Aarhus statement: improving design and reporting of studies on early cancer diagnosis, Br J Cancer, 106, 7, pp. 1262-1267, (2012)

[7]

Kemppainen M., Raiha I., Rajala T., Sourander L., Delay in diagnosis of colorectal cancer in elderly patients, Age Ageing, 22, 4, pp. 260-264, (1993)

[8]

Hansen H.J., Morsel-Carlsen L., Bulow S., Patients’ perception of symptoms in colorectal cancer. a cause of delay in diagnosis and treatment, Ugeskr Laeger, 159, 13, pp. 1941-1944, (1997)

[9]

Redondo M., Rodrigo I., Pereda T., Funez R., Acebal M., Perea-Milla E., Et al., Prognostic implications of emergency admission and delays in patients with breast cancer, Support Care Cancer, 17, 5, pp. 595-599, (2009)

[10]

Torring M.L., Frydenberg M., Hansen R.P., Olesen F., Hamilton W., Vedsted P., Time to diagnosis and mortality in colorectal cancer: a cohort study in primary care, Br J Cancer, 104, 12, (2011)

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