AWARENESS OF COLORECTAL CANCER AMONG INFLAMMATORY BOWEL DISEASE PATIENTS IN A TERTIARY CARE HOSPITAL: AN EPIDEMIOLOGICAL STUDY.

  • Abstract
  • References
  • Cite This Article as
  • Corresponding Author

most common cancer worldwide in terms of incidence and mortality.Inflammatory bowel disease (IBD) patients are at higher risk for developing CRC as compared to the general population, as CRC is the most common cancer in the IBD population.This study aims to assessthe awareness of CRC amongIBD patients in Saudi Arabia. Methods:A quantitative, observational, retrospective cohortstudy was conducted at King Khalid University Hospital(KKUH), in Riyadh, Saudi Arabia betweenNovember 2013 and February 2014.Directed-interview questionnaires were administered over the telephone to the 384 purposively-selected IBD-established patients. Results:Prompted awareness of CRC symptoms and risk factors was much higher than unprompted awareness. When asked about risk factors, nearly 48% of patients could not recall any risk factorsunaided. Overall, the most commonly identified risk factor for CRC unaided was IBD (27.1%), followed by diet (20.5%).However,14.5% couldnot identify or didnot know whether their own disease (IBD) is a risk factor for CRC. Conclusion:Results from thisstudy showed that the overall awareness of CRC symptoms and risk factors among Saudi IBD patients was poor. However, the knowledge towards CRC symptoms was observed higher than knowledge of risk factors, insinuating a possible gap in patient education. Customization of health-promotion programs for IBD patients is urgently needed to combat the rising incidence of CRC amongst them.


  1. Jemal A, Bray F, Center M, Ferlay J, Ward E, Forman D. Global cancer statistics. CA Cancer J Clin. 2011;61(2):69-90.
  2. Ibrahim EM, Zeeneldin AA, El-Khodary TR, Al-Gahmi AM, Bin Sadiq BM. Past, present and future of colorectal cancer in the Kingdom of Saudi Arabia. Saudi J Gastroenterol. 2008 Oct;14(4):178-82.
  3. Siegel R, Naishadham D, Jemal A. Cancer statistics, 2013. CA Cancer J Clin. 2013 Jan;63(1):11-30.
  4. Johnson CM, Wei C, Ensor JE, Smolenski DJ, Amos CI, Levin B, Berry DA. Meta-analyses of colorectal cancer risk factors. Cancer Causes Control. 2013 Jun;24(6):1207-22.
  5. Power E, Simon A, Juszczyk D, Hiom S, Wardle J. Assessing awareness of colorectal cancer symptoms: measure development and results from a population survey in the UK. BMC Cancer. 2011 Aug;23(11):366.
  6. Manning AT, Waldron R, Barry K. Poor awareness of colorectal cancer symptoms; a preventable cause of emergency and late stage presentation. Ir J Med Sci. 2006 Oct-Dec;175(4):55-7.
  7. Breslow R, Sorkin J, Frey C, Kessler L. Americans' knowledge of cancer risk and survival. Prev Med. 1997;26(2):170-177.
  8. Gimeno-García AZ, Quintero E, Nicolás-Pérez D, Jiménez-Sosa A. Public awareness of colorectal cancer and screening in a Spanish population. Public Health. 2011 Sep;125(9):609-15.
  9. Keighley MR, O'Morain C, Giacosa A, Ashorn M, Burroughs A, Crespi M, et al; United European Gastroenterology Federation Public Affairs Committee. Public awareness of risk factors and screening for colorectal cancer in Europe. Eur J Cancer Prev. 2004 Aug;13(4):257-62
  10. Su T, Goh J, Tan J, Muhaimah A, Pigeneswaren Y, Khairun N, et al. Level of colorectal cancer awareness: a cross sectional exploratory study among multi-ethnic rural population in Malaysia. BMC Cancer. 2013 Aug 7;(13):376.
  11. Christou A, Thompson SC. Colorectal cancer screening knowledge, attitudes and behavioural intention among Indigenous Western Australians. BMC Public Health. 2012 Jul 18;(12):528.
  12. Zubaidi AM, AlSubaie NM, AlHumaid AA, Shaik SA, AlKhayal KA, AlObeed OA. Public awareness of colorectal cancer in Saudi Arabia: A survey of 1070 participants in Riyadh. Saudi J Gastroenterol. 2015 Mar-Apr;21(2):78-83.
  13. Harewood GC, Murray F, Patchett S, Garcia L, Leong WL, Lim YT, et al. Assessment of colorectal cancer knowledge and patient attitudes towards screening: is Ireland ready to embrace colon cancer screening? Ir J Med Sci. 2009 Mar;178(1):7-12.
  14. McVeigh TP, Lowery AJ, Waldron RM, Mahmood A, Barry K. Assessing awareness of colorectal cancer symptoms and screening in a peripheral colorectal surgical unit: a survey based study. BMC Surg. 2013 Jun 22;13(1):20.
  15. Leite-Pereira F, Medeiros R, Dinis-Ribeiro M. Overweight and obese patients do not seem to adequately recognize their own risk for colorectal cancer. J Cancer Educ. 2011 Dec;26(4):767-73.
  16. Forbes GM. Colorectal cancer screening tests: pros and cons, and for whom? Expert Rev GastroenterolHepatol. 2008 Apr;2(2):197-205.
  17. Al-Ahwal MS, Shafik YH, Al-Ahwal HM. First national survival data for colorectal cancer among Saudis between 1994 and 2004: what's next? BMC Public Health. 2013 Jan 25;13:73.
  18. Mosli MH, Al-Ahwal MS. Does the increasing trend of colorectal cancer incidence in jeddah reflect a rise in the Kingdom of Saudi Arabia? Asian Pac J Cancer Prev. 2012;13(12):6285-8.
  19. Ng SW, Zaghloul S, Ali HI, Harrison G, Popkin BM. The prevalence and trends of overweight, obesity and nutrition-related non-communicable diseases in the Arabian Gulf States. Obes Rev. 2011 Jan;12(1):1-13.

[Leenah Saad Al Ahmari, Hadel Sultan Al Subaie, Jumanah Yousef Al Shenaifi, Reema Ayed Al Anazi, Othman Rabeh Al Harbi, Firas Ghomraoui. (2017); AWARENESS OF COLORECTAL CANCER AMONG INFLAMMATORY BOWEL DISEASE PATIENTS IN A TERTIARY CARE HOSPITAL: AN EPIDEMIOLOGICAL STUDY. Int. J. of Adv. Res. 5 (Jan). 2330-2335] (ISSN 2320-5407). www.journalijar.com


Hadel AlSubaie
King Saud University

DOI:


Article DOI: 10.21474/IJAR01/3015      
DOI URL: https://dx.doi.org/10.21474/IJAR01/3015