Factors influencing late consultation among patients with rectal bleeding in University Kebangsaan Malaysia Medical Centre

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11 Citations (Scopus)

Abstract

Background: Patients' delay in the presentation with rectal bleeding had been identified as a factor for late diagnosis of colorectal cancer. This study was conducted to determine the prevalence of delay in consulting a medical practitioner and identifying associated factors. Materials and Methods: A cross-sectional study of 80 patients with rectal bleeding, aged 40 and above, was conducted between December 2008 and June 2009 in the endoscopy unit, University Kebangsaan Malaysia Medical Centre. The self-administered questionnaire included data on sociodemographic, concern of rectal bleeding, whether patients sought initial advice, any self treatment prior to medical consultation and patients' opinion on causes of their own rectal bleeding. Results: The prevalence of delay in the presentation of rectal bleeding was 60%. Patients who were less worried (OR 9.6; 95% CI 3.3-27.5), who did not seek anyone's advice (OR 11.8; 95% CI 3.8-36.8) and took some treatment before seeking medical consultation (OR 5.0; 95% CI 1.0-24.1) were significantly more likely to delay. Multiple logistic regression revealed that less worry of rectal bleeding and not seeking anyone's advice were important predictors (p < 0.05). The majority of patients attributed their bleeding to benign causes. Conclusion: A high proportion of patients with rectal bleeding in the high risk group delayed in seeking medical advice. Public education needs to focus on interventions to reduce the delay in presenting and diagnosis of colorectal carcinoma.

Original languageEnglish
Pages (from-to)1335-1339
Number of pages5
JournalAsian Pacific Journal of Cancer Prevention
Volume11
Issue number5
Publication statusPublished - 2010

Fingerprint

Malaysia
Referral and Consultation
Hemorrhage
Colorectal Neoplasms
Delayed Diagnosis
Endoscopy
Cross-Sectional Studies
Logistic Models
Education
Therapeutics

Keywords

  • Cancer symptom
  • Colorectal cancer diagnosis
  • Malaysia
  • Presentation
  • Rectal bleeding

ASJC Scopus subject areas

  • Oncology
  • Cancer Research
  • Public Health, Environmental and Occupational Health
  • Epidemiology

Cite this

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title = "Factors influencing late consultation among patients with rectal bleeding in University Kebangsaan Malaysia Medical Centre",
abstract = "Background: Patients' delay in the presentation with rectal bleeding had been identified as a factor for late diagnosis of colorectal cancer. This study was conducted to determine the prevalence of delay in consulting a medical practitioner and identifying associated factors. Materials and Methods: A cross-sectional study of 80 patients with rectal bleeding, aged 40 and above, was conducted between December 2008 and June 2009 in the endoscopy unit, University Kebangsaan Malaysia Medical Centre. The self-administered questionnaire included data on sociodemographic, concern of rectal bleeding, whether patients sought initial advice, any self treatment prior to medical consultation and patients' opinion on causes of their own rectal bleeding. Results: The prevalence of delay in the presentation of rectal bleeding was 60{\%}. Patients who were less worried (OR 9.6; 95{\%} CI 3.3-27.5), who did not seek anyone's advice (OR 11.8; 95{\%} CI 3.8-36.8) and took some treatment before seeking medical consultation (OR 5.0; 95{\%} CI 1.0-24.1) were significantly more likely to delay. Multiple logistic regression revealed that less worry of rectal bleeding and not seeking anyone's advice were important predictors (p < 0.05). The majority of patients attributed their bleeding to benign causes. Conclusion: A high proportion of patients with rectal bleeding in the high risk group delayed in seeking medical advice. Public education needs to focus on interventions to reduce the delay in presenting and diagnosis of colorectal carcinoma.",
keywords = "Cancer symptom, Colorectal cancer diagnosis, Malaysia, Presentation, Rectal bleeding",
author = "{Mohd Hashim}, Syahnaz and Khairani Omar and {Seng Fah}, Tong and Rashid, {Radzniwan Abdul} and {Mohd Daud}, {Tuti Iryani} and Shah, {Shamsul Azhar} and Ismail Sagap",
year = "2010",
language = "English",
volume = "11",
pages = "1335--1339",
journal = "Asian Pacific Journal of Cancer Prevention",
issn = "1513-7368",
publisher = "Asian Pacific Organization for Cancer Prevention",
number = "5",

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T1 - Factors influencing late consultation among patients with rectal bleeding in University Kebangsaan Malaysia Medical Centre

AU - Mohd Hashim, Syahnaz

AU - Omar, Khairani

AU - Seng Fah, Tong

AU - Rashid, Radzniwan Abdul

AU - Mohd Daud, Tuti Iryani

AU - Shah, Shamsul Azhar

AU - Sagap, Ismail

PY - 2010

Y1 - 2010

N2 - Background: Patients' delay in the presentation with rectal bleeding had been identified as a factor for late diagnosis of colorectal cancer. This study was conducted to determine the prevalence of delay in consulting a medical practitioner and identifying associated factors. Materials and Methods: A cross-sectional study of 80 patients with rectal bleeding, aged 40 and above, was conducted between December 2008 and June 2009 in the endoscopy unit, University Kebangsaan Malaysia Medical Centre. The self-administered questionnaire included data on sociodemographic, concern of rectal bleeding, whether patients sought initial advice, any self treatment prior to medical consultation and patients' opinion on causes of their own rectal bleeding. Results: The prevalence of delay in the presentation of rectal bleeding was 60%. Patients who were less worried (OR 9.6; 95% CI 3.3-27.5), who did not seek anyone's advice (OR 11.8; 95% CI 3.8-36.8) and took some treatment before seeking medical consultation (OR 5.0; 95% CI 1.0-24.1) were significantly more likely to delay. Multiple logistic regression revealed that less worry of rectal bleeding and not seeking anyone's advice were important predictors (p < 0.05). The majority of patients attributed their bleeding to benign causes. Conclusion: A high proportion of patients with rectal bleeding in the high risk group delayed in seeking medical advice. Public education needs to focus on interventions to reduce the delay in presenting and diagnosis of colorectal carcinoma.

AB - Background: Patients' delay in the presentation with rectal bleeding had been identified as a factor for late diagnosis of colorectal cancer. This study was conducted to determine the prevalence of delay in consulting a medical practitioner and identifying associated factors. Materials and Methods: A cross-sectional study of 80 patients with rectal bleeding, aged 40 and above, was conducted between December 2008 and June 2009 in the endoscopy unit, University Kebangsaan Malaysia Medical Centre. The self-administered questionnaire included data on sociodemographic, concern of rectal bleeding, whether patients sought initial advice, any self treatment prior to medical consultation and patients' opinion on causes of their own rectal bleeding. Results: The prevalence of delay in the presentation of rectal bleeding was 60%. Patients who were less worried (OR 9.6; 95% CI 3.3-27.5), who did not seek anyone's advice (OR 11.8; 95% CI 3.8-36.8) and took some treatment before seeking medical consultation (OR 5.0; 95% CI 1.0-24.1) were significantly more likely to delay. Multiple logistic regression revealed that less worry of rectal bleeding and not seeking anyone's advice were important predictors (p < 0.05). The majority of patients attributed their bleeding to benign causes. Conclusion: A high proportion of patients with rectal bleeding in the high risk group delayed in seeking medical advice. Public education needs to focus on interventions to reduce the delay in presenting and diagnosis of colorectal carcinoma.

KW - Cancer symptom

KW - Colorectal cancer diagnosis

KW - Malaysia

KW - Presentation

KW - Rectal bleeding

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