Publication:
Factors Influencing Late Consultation Among Patients with Rectal Bleeding in University Kebangsaan Malaysia Medical Centre

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dc.contributor.authorSyahnaz Mohd Hashimen_US
dc.contributor.authorKhairani Omaren_US
dc.contributor.authorTong Seng Fahen_US
dc.contributor.authorRadzniwan Abdul Rashiden_US
dc.contributor.authorTuti Iryani Dauden_US
dc.contributor.authorShamsul Azhar Shahen_US
dc.contributor.authorIsmail Sagapen_US
dc.date.accessioned2024-05-28T04:29:23Z
dc.date.available2024-05-28T04:29:23Z
dc.date.issued2010
dc.descriptionVolume:11 Issue:5en_US
dc.description.abstractBackground: 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.en_US
dc.identifier.epage1339
dc.identifier.issn1513-7368
dc.identifier.issue5
dc.identifier.spage1335
dc.identifier.urihttp://journal.waocp.org/article_25374.html
dc.identifier.urihttps://oarep.usim.edu.my/handle/123456789/5744
dc.identifier.volume11
dc.language.isoen_USen_US
dc.publisherAsian Pacific Organization for Cancer Preventionen_US
dc.relation.ispartofAsia Pacific Journal of Cancer Preventionen_US
dc.subjectRectal bleeding - cancer symptom - presentation - colorectal cancer diagnosis - Malaysiaen_US
dc.titleFactors Influencing Late Consultation Among Patients with Rectal Bleeding in University Kebangsaan Malaysia Medical Centreen_US
dc.typeArticleen_US
dspace.entity.typePublication

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