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jsmc-10135


AWARENESS OF MEDICAL STUDENTS IN SULAIMANI UNIVERSITY ABOUT COLORECTAL CANCER SCREENING


Bushra Mohammad Ali a, b, Rahel Fraidon Abdwlwahide b,Tama Tayib cRozh Halkawt c, Naz Aram Aisan c, Tablo Jawhar c and Aisan Madih c


a Department of Family and Community Medicine, College of Medicine, University of Sulaimani. 
c College of Medicine, University of Sulaimani.
 
 

Submitted: 1/3/2017; Accepted: 15/10/2017; Published: 1/11/2017

DOI Link: 

ABSTRACT

Background 

Colorectal cancer (CRC) is one of most common cancers. Deaths from colorectal cancer have decreased with the use of CRC screening tests. Screening can find colorectal cancer early, when there is a greater chance that treatment will be most effective and lead to a cure.

Objective

To identify and compare knowledge and attitude among medical students of colleges of medicine, dentistry and pharmacy /Sulaimani University regarding CRC screening.

Materials and Methods 

A cross sectional study was conducted from (20th–21st November), 2016 included 310 medical students regarding their knowledge and attitude about CRC and its screening. Questionnaires were distributed among them then data were collected and analyzed by SSPS 20th version. Chi square was used to get the association, P-value ≤ 0.05 was considered statistically significant.

Results

310 students included in this study, only 44.8% of them considered CRC to be a high-risk condition for public health. However, the majority of participants identified CRC-related symptoms (> 60%), and acknowledged its screening to be of great value in reducing CRC incidence and mortality (45.8%). Nearly 47 % had received information regarding CRC screening and 67.7% believed that there is alack or shortage of trained professionals conducting screening, with a significant association regarding P value (0.017). Students of college of medicine had the highest frequency of correct answers and positive attitudes among the 3 colleges.

Conclusion

Although most medical students had positive attitudes regarding cancer screening, this study showed important deficits in knowledge. Medical students in Sulaimani University need to be better informed about CRC and its screening.

KEYWORDS

 CRC Screening, Knowledge, Attitude, Medical students.

References
  1. American Cancer Society. Colon/rectum cancer: detailed guide, 2014. http://www.cancer.org/cancer/colonandrectumcancer/detailedguide/index
  2. World Health Organization, Curado. M. P., Edwards B., Shin. H.R., Storm. H., Ferlay. J., Heanue. M. et al.( Cancer Incidence in Five Continents), Cancer fact sheets Vol. IX. IARC Scientific Publications No. 160, Lyon, IARC. 2012..Available at: http://globocan.iarc.fr/Pages/fact_sheets_cancer.aspx.
  3. National Cancer Institute. Dr. Charles Wiggins, Dr. Lloyd Mueller, Dr. Ann Schwartz, Sohail Khan, Dr. Brenda Hernandez, Dr. Carol Sweeney, et al. (colon and rectum cancer fact sheets), Surveillance, Epidemiology, and End Results (SEER) Program. SEER stat fact sheets, 2013. Available at: http://seer.cancer.gov/statfacts/html/colorect.html. 
  4. Cagir B, Trostle DR, Francisco Talavera, N Joseph Espat, Philip Schulman. ( Rectal cancer). Medscape Drugs & Diseases from WebMD. Updated August 2016. Available at: http://emedicine.medscape.com/article/281237-overview. 
  5. National Cancer Institute. Rectal cancer treatment–for health professionals (PDQ). General information about rectal cancer. Last updated,June,2016. http://www.cancer.gov/types/colorectal/hp/rectal-treatment-pdq. 
  6. National Cancer Institute. Colon cancer treatment–for health professionals (PDQ). Treatment option overview for colon cancer. Updated: June 2016. Available at: http://www.cancer.gov/types/colorectal/hp/colon-treatment-pdq#section/_45
  7. Dragovich T, Tsikitis VL.(Colon cancer). Medscape Drugs & Diseases from WebMD. Updated May 2016. Available at: http://emedicine.medscape.com/article/277496-overview
  8. Beatriz Carvalho, Anke H, Sillars-Hardebol, Cindy Postma, Sandra Mongera, Jochim Droste. et al. (Colorectal adenoma to carcinoma progression is accompanied by changes in gene expression associated with ageing, chromosomal instability, and fatty acid metabolism.) International Society for Cellular Oncology 2012 , Netherlands, 2012, 53-63, PMID: 22278361.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3308003/
  9. American Cancer Society, Rick Alteri, MD; Durado Brooks, MD, MPH; Ted Gansler. et al. (Colorectal Cancer Facts & Figures: 2014-2016), Atlanta, 2012. Available at: http://www.cancer.org/acs/groups/content/documents/document/acspc-042280.pdf.
  10. Randall W. Burt, (colon cancer screening), Elsevier Inc., Utah, September 2000, Volume 119, Issue 3, Pages 837–853.http://www.gastrojournal.org/article/S0016-5085(00)54098-0/fulltext
  11. RsaLv, Anttila A, Ronco G. Cancer screening in the European Union. Report on the implementation of the council recommendation on cancer screening – First Report. European Commission, Luxembourg 2008
  12.  DA Ahlquist, Molecular detection of colorectal neoplasia, PubMed, Gastroenterology, 2010 138, 6, 2127-39. https://www.ncbi.nlm.nih.gov/pubmed/20420950
  13. Levin B, Liebrman DA, McFarland B. Screening and surveillance for the early detection of colorectal cancer and adenomatous polyps, 2008: a joint guideline from the American Cancer Society, the US Multi-Society Task Force on colorectal cancer, and the American College of Radiology. Gastroenterology 2008; 134: 1570–95. https://www.ncbi.nlm.nih.gov/pubmed/18384785
  14. Hewett DG, Kahi CJ, Rex DK. Does colonoscopy work? ,PubMed, United States, J NatlComprCancNetw, 2010; 8:67–76, quiz 77 https://www.ncbi.nlm.nih.gov/pubmed/20064290
  15. Malila N, Oivanen T, Malminiemi O, Hakama M. Test, episode, and programme sensitivities of screening for colorectal cancer as a public health policy in Finland: experimental, PubMed, BMJ Open Gastroenterol. 2015, 2, 1 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4599169/
  16. M. Bretthauer, Colorectal cancer screening, Journal of Internal Medicine, Gastroenterology 2005; 270, 2, 878-9 http://onlinelibrary.wiley.com/wol1/doi/10.1111/j.1365-2796.2011.02399.x/abstract
  17. Ancil K. Philip,Meghan G. Lubner, Bruce Harms. Computed tomographic colonography: current perspectives and future directions. Gastroenterology 2009; 137:7–14. http://www.surgical.theclinics.com/article/S0039-6109(10)00151-9/abstract
  18. National Comprehensive Cancer Network (NCCN). Clinical practice guidelines in oncology (NCCN guidelines): colon cancer. V.1.2016. Available at: http://www.nccn.org/professionals/physician_gls/pdf/colon.pdf.
  19.  Najmaddin Khoshnaw, Hazha A Mohammed, Dana A Abdullah, Patterns of cancer in Kurdistan - results of Eight years cancer registration in Sulaimani Province-Kurdistan-Iraq, Research Gate, 2016, 16, 18, 8525-8531 https://www.researchgate.net/publication/290183610_Patterns_of_Cancer_in_Kurdistan_-_Results_of_Eight_Years_Cancer_Registration_in_Sulaymaniyah_Province-Kurdistan-Iraq
  20. Papanikolaou IS, Sioulas AD, Kalimeris S . Awareness and attitudes of Greek medical students on colorectal cancer screening. World J GastrointestEndosc, 2012 ,4, 513-7 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3506969/
  21. Pietrzyk Ł, Torres A, Denisow-Pietrzyk , Torres K, What Do We Know About Education in Colorectal Cancer Prevention?-Survey Among 1130 Medical Students, J CancEduc , United States, December 2015. PubMed https://www.ncbi.nlm.nih.gov/pubmed/26706466
  22. Boehler M, Advani V, Schwind CJ. Knowledge and attitudes regarding colorectal cancer screening among medical students: a tale of two schools , J Canc Educ 2011, 26, 147-52, PubMed . https://www.ncbi.nlm.nih.gov/pubmed/20848257
  23. Sedrak A. S , Galal Y. S., Amin T. T., Cancer Screening Knowledge and Attitudes of Under- and Post-Graduate Students at Kasr Al Ainy School of Medicine, Cairo University, Egypt. 2015, PubMed Asian Pacific journal of cancer prevention, 2016 Vol 17, 144-50 https://www.ncbi.nlm.nih.gov/pubmed/27644621