Abstract
Introduction: Colorectal screening programme through immunological Faecal Occult Blood Test followed by colonoscopy was started gradually since 2014 in Malaysia which aimed to detect cancer in early stage and precancerous lesion (polyp).
Objectives: This study was aimed to determine the percentage of iFOBT positive among screened patient and the percentage of precancerous lesion (polyp) and colorectal cancer among patient who underwent colonoscopy in KK Kuala Berang.
Methodology: A retrospective cross-sectional study was done which include individual age 50-75 years old who was asymptomatic of colorectal cancer. Data was collected from Buku Daftar Saringan Kanser Kolorektal Klinik Kesihatan Kuala Berang from year 2017 to 2021 using universal sampling method involving 948 screened individuals.
Results: Within these 5 years, 8.6% of screened individuals had iFOBT positive result. Among these iFOBT positive individuals, male (9.6%) was slightly higher than female (8.1%). Age 65-69 years old had highest percentage of iFOBT positive (10.2%). Among 82 positive iFOBT patient, 73.2% of them underwent colonoscopy. The remaining were either refused (19.5%) or defaulted (7.3%) colonoscopy. From these patients who underwent colonoscopy, 3.3% were diagnosed with colorectal cancer and 21.7% were precancerous lesion (polyps).
Conclusions/recommendations: The high percentage of polyp detection proved that colorectal cancer programme is important in order to detect precancerous lesion. Precancerous lesion can become cancerous lesion if left undiagnosed and untreated. Further improvement in management of iFOBT positive is needed to reduce refusal rate and defaulter rate for colonoscopy.
Links
- https://apcph.cphm.my/wp-content/uploads/2022/07/APCPH2022-O-9.pdf
- https://apcph.cphm.my/events/oral-session-1-ballroom-A/
BibTeX (Download)
@proceedings{APCPH2022-O-9,
title = {Colorectal Cancer Screening Programme: iFOBT Positive Trend and Colonoscopy Outcomes in Klinik Kesihatan Kuala Berang, Hulu Terengganu in 5 Years (2017-2021)},
author = {Nor Adila Abdul Aziz and Nurfarahanim Che Haron and Siti Zulafzan Zulkepli and Natasha Atiqah Mat Amin and Madiihah Mohamad Nasriff and Maimon Sulaiman and Siti Hafizah Hamid and Goh Soo Ning and Mohd Anuar Abd Rahman and Kasemani Embong},
url = {https://apcph.cphm.my/wp-content/uploads/2022/07/APCPH2022-O-9.pdf
https://apcph.cphm.my/events/oral-session-1-ballroom-A/},
year = {2022},
date = {2022-08-01},
urldate = {2022-08-02},
issue = {7},
abstract = {Introduction: Colorectal screening programme through immunological Faecal Occult Blood Test followed by colonoscopy was started gradually since 2014 in Malaysia which aimed to detect cancer in early stage and precancerous lesion (polyp).
Objectives: This study was aimed to determine the percentage of iFOBT positive among screened patient and the percentage of precancerous lesion (polyp) and colorectal cancer among patient who underwent colonoscopy in KK Kuala Berang.
Methodology: A retrospective cross-sectional study was done which include individual age 50-75 years old who was asymptomatic of colorectal cancer. Data was collected from Buku Daftar Saringan Kanser Kolorektal Klinik Kesihatan Kuala Berang from year 2017 to 2021 using universal sampling method involving 948 screened individuals.
Results: Within these 5 years, 8.6% of screened individuals had iFOBT positive result. Among these iFOBT positive individuals, male (9.6%) was slightly higher than female (8.1%). Age 65-69 years old had highest percentage of iFOBT positive (10.2%). Among 82 positive iFOBT patient, 73.2% of them underwent colonoscopy. The remaining were either refused (19.5%) or defaulted (7.3%) colonoscopy. From these patients who underwent colonoscopy, 3.3% were diagnosed with colorectal cancer and 21.7% were precancerous lesion (polyps).
Conclusions/recommendations: The high percentage of polyp detection proved that colorectal cancer programme is important in order to detect precancerous lesion. Precancerous lesion can become cancerous lesion if left undiagnosed and untreated. Further improvement in management of iFOBT positive is needed to reduce refusal rate and defaulter rate for colonoscopy.},
howpublished = {published online at https://apcph.cphm.my},
note = {Type: ORAL PRESENTATION; Organisation: Hulu Terengganu District Health Office, Kuala Berang, Terengganu, Terengganu State Health Department, Kuala Terengganu, Terengganu},
keywords = {colonoscopy, colorectal cancer, iFOBT, polyps, precancerous},
pubstate = {published},
tppubtype = {proceedings}
}