Artikel Jurnal

Colorectal cancer screening in Semarang, Indonesia: A multicenter primary health care based study

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Colorectal cancer (CRC) is a major public health problem in Indonesia. It ranks among the
top four cancers with high mortality rates. CRC screening is expected to improve early diagnosis that can reduce mortality and morbidity rate. Primary health care-based CRC screening in Indonesia has not yet been performed. This study was conducted to obtain
information about prevalence, adenoma detection rate and public compliance for CRC
screening in Semarang, Indonesia. This cross-sectional study was done across 10 primary
health care centers in Semarang during April—October 2021. The screening method used
Immunochromatography Faecal Occult Blood Tests (I-FOBT) as the primary test. Patients
with positive I-FOBT result would be referred to Kariadi hospital for colonoscopy and histology examination. A total of 221 patients were included, 66.1% were female, mean age was
59.38 ± 7.48 years. Participation rate was 63%, 37 patients (16.7%) were I-FOBT positive,
26 patients (70.27%) underwent colonoscopy. Colonoscopy compliance rate was 70.27%.
The colonoscopy results were haemorrhoid (30.8%), polyps (30.8%), malignancy (19.2%),
colitis (7.7%), diverticulosis (7.7%), and normal (3.8%). The adenoma detection rate was
26.9%. BMI abnormality (overweight and obese) (OR 10.968; 95% CI 2.33–51.55) and family history of malignancy (OR 18.800; 95% CI 5.13–68.85) increased the risk of colorectal
cancer and adenoma and respectively. The prevalence of I-FOBT positive in primary health
care centers is high. The CRC screening program based on primary care should be considered. Public awareness education should be considered to increase colonoscopy
compliance.

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Availability

Detail Information

Series Title

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Call Number

616.99437 Her c

Publisher

Semarang : Plos One., 2023

Collation

-

Language

English

ISBN/ISSN

-

Classification

616.99437

Content Type

text

Media Type

other

Carrier Type

other (computer)

Edition

-

Subject(s)

Colorectal Neoplasms
Mass Screening
Primary Health Care

Specific Detail Info

12 hlm.

Statement of Responsibility

Hery Djagat Purnomo

Viewer

74

Other Information

Tanggal Pelaksanaan - Dari

2024-12-19

Tanggal Pelaksanaan - Sampai

2024-12-19

Akreditasi

Tidak

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