Knowledge and practice of colorectal cancer screening in an urban setting: cross-sectional survey of primary care physicians in government clinics in Malaysia
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 a...
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Stamford Publishing Pte Ltd / Singapore Medical Association
2019
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| author | Ooi, Chor Yau Hanafi, Nik Sherina Liew, Su May |
| author_facet | Ooi, Chor Yau Hanafi, Nik Sherina Liew, Su May |
| author_sort | Ooi, Chor Yau |
| collection | UM |
| description | 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] 1.69-6.59) and those who agreed that they had adequate resources in their locality (OR 1.92, 95% CI 1.01-3.68) 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. © 2019 Singapore Medical Association. All rights reserved. |
| first_indexed | 2024-03-06T06:00:53Z |
| format | Article |
| id | um.eprints-23790 |
| institution | Universiti Malaya |
| last_indexed | 2024-03-06T06:00:53Z |
| publishDate | 2019 |
| publisher | Stamford Publishing Pte Ltd / Singapore Medical Association |
| record_format | dspace |
| spelling | um.eprints-237902020-02-14T02:27:03Z http://eprints.um.edu.my/23790/ Knowledge and practice of colorectal cancer screening in an urban setting: cross-sectional survey of primary care physicians in government clinics in Malaysia Ooi, Chor Yau Hanafi, Nik Sherina Liew, Su May R Medicine 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] 1.69-6.59) and those who agreed that they had adequate resources in their locality (OR 1.92, 95% CI 1.01-3.68) 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. © 2019 Singapore Medical Association. All rights reserved. Stamford Publishing Pte Ltd / Singapore Medical Association 2019 Article PeerReviewed Ooi, Chor Yau and Hanafi, Nik Sherina and Liew, Su May (2019) Knowledge and practice of colorectal cancer screening in an urban setting: cross-sectional survey of primary care physicians in government clinics in Malaysia. Singapore Medical Journal, 60 (11). pp. 596-604. ISSN 0037-5675, DOI https://doi.org/10.11622/smedj.2019011 <https://doi.org/10.11622/smedj.2019011>. https://doi.org/10.11622/smedj.2019011 doi:10.11622/smedj.2019011 |
| spellingShingle | R Medicine Ooi, Chor Yau Hanafi, Nik Sherina Liew, Su May Knowledge and practice of colorectal cancer screening in an urban setting: cross-sectional survey of primary care physicians in government clinics in Malaysia |
| title | Knowledge and practice of colorectal cancer screening in an urban setting: cross-sectional survey of primary care physicians in government clinics in Malaysia |
| title_full | Knowledge and practice of colorectal cancer screening in an urban setting: cross-sectional survey of primary care physicians in government clinics in Malaysia |
| title_fullStr | Knowledge and practice of colorectal cancer screening in an urban setting: cross-sectional survey of primary care physicians in government clinics in Malaysia |
| title_full_unstemmed | Knowledge and practice of colorectal cancer screening in an urban setting: cross-sectional survey of primary care physicians in government clinics in Malaysia |
| title_short | Knowledge and practice of colorectal cancer screening in an urban setting: cross-sectional survey of primary care physicians in government clinics in Malaysia |
| title_sort | knowledge and practice of colorectal cancer screening in an urban setting cross sectional survey of primary care physicians in government clinics in malaysia |
| topic | R Medicine |
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