Abstract
INTRODUCTION: Colorectal cancer (CRC) rank second among the most commonly diagnosed cancers in Malaysia. Its incidence increased after the age of 50 years in both sexes. Ministry of Health Malaysia had started implementation of CRC screening programmes since 2014. The objective of this study is to review the CRC screening programme since its implementation in Penang. METHODS: A retrospective cohort study was conducted using data collected from 2014 to 2018. Clients screened were attendees of Health Clinics throughout Penang. Those that are found to have positive immunochemical fecal occult blood tests (iFOBT) were referred for colonoscopy. RESULTS: A total of 19,280 clients were screened, which covered about 1.12% from the Penang population of ages 50 to 75 years old. Clients with positive iFOBT were 1,040 (5.4%), with subsequently 517 (49.7%) underwent colonoscopy. Colorectal cancers were diagnosed in 25 (4.8%) cases. CONCLUSION: The number of clients underwent iFOBT were encouraging. However, implementation of CRC screening program needs to be strengthened especially in convincing more clients to undergo colonoscopy.
Links
BibTeX (Download)
@proceedings{APCPH-2019-109,
title = {A 5-Year Review of Colorectal Screening Program in Penang},
author = {Nadia Salwa Mustafar Ramdzuan and Farzaana Adam},
year = {2019},
date = {2019-07-22},
urldate = {2019-07-22},
journal = {6th Asia-Pacific Conference on Public Health 2019 Proceedings},
issue = {6},
abstract = {INTRODUCTION: Colorectal cancer (CRC) rank second among the most commonly diagnosed cancers in Malaysia. Its incidence increased after the age of 50 years in both sexes. Ministry of Health Malaysia had started implementation of CRC screening programmes since 2014. The objective of this study is to review the CRC screening programme since its implementation in Penang. METHODS: A retrospective cohort study was conducted using data collected from 2014 to 2018. Clients screened were attendees of Health Clinics throughout Penang. Those that are found to have positive immunochemical fecal occult blood tests (iFOBT) were referred for colonoscopy. RESULTS: A total of 19,280 clients were screened, which covered about 1.12% from the Penang population of ages 50 to 75 years old. Clients with positive iFOBT were 1,040 (5.4%), with subsequently 517 (49.7%) underwent colonoscopy. Colorectal cancers were diagnosed in 25 (4.8%) cases. CONCLUSION: The number of clients underwent iFOBT were encouraging. However, implementation of CRC screening program needs to be strengthened especially in convincing more clients to undergo colonoscopy.},
note = {Type: POSTER PRESENTATION; Organisation: Non Communicable Disease Control Unit, Penang State Health Department},
keywords = {apcph2019, colorectal cancer, iFOBT, screening},
pubstate = {published},
tppubtype = {proceedings}
}