| Title of Article |
Factors Associated with Time Intervals for Diagnosis of Colorectal Cancer: A Hospital Based Study in Khon Kaen, Thailand |
| Date of Acceptance |
23 June 2020 |
| Journal |
| Title of Journal |
Asian pacific Journal of Cancer Prevention |
| Standard |
SCOPUS |
| Institute of Journal |
Asian Pacific Organization for Cancer Prevention |
| ISBN/ISSN |
1513-7368 |
| Volume |
6 |
| Issue |
21 |
| Month |
มิถุนายน |
| Year of Publication |
2020 |
| Page |
1835-1840 |
| Abstract |
Background: Colorectal cancer (CRC) is among the five-leading cancers in Thailand. Delayed diagnosis is crucial
for undermining the prognosis of the patients. This study aims to evaluate the factors associated with the time interval
for diagnosis (TID). Methods: A cross-sectional analytical study of 191 CRC patients with histological confirmation
who were undergoing treatment in the tertiary hospital in Khon Kaen Province was conducted. The data were obtained
by interview and retrieving from medical records. The time interval in each diagnostic process is reported in geometric
mean. The geometric mean ratio (GMR) used to interpret the results from multiple linear regressions that analyze
the relationship between factors and log-transformed TID. Results: Most patients were males (61.78%) with mean
age of 61.28±10.2 years old. The geometric mean of TID was 263.48 days. Two factors were significantly associated
with longer TID: first visit at a tertiary hospital (GMR=7.77 relative to secondary hospital; 95%CI=1.95 to 30.57)
and distance to tertiary healthcare. Two factors were significantly associated with shorter TID: officer/ state enterprise
(GMR=0.53 relative to agriculture; 95%CI=0.28 to 0.98) and cost of traveling to secondary healthcare. Conclusions:
The results showed the occupation, first health care visit, distance and cost were factors associated with TID. Improving
the facilities at the secondary healthcare units for diagnosing CRC would be likely to help to reduce the wasted time
in the healthcare system.
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| Keyword |
Time intervals- delay diagnosis- colorectal cancer |
| Author |
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| Reviewing Status |
มีผู้ประเมินอิสระ |
| Status |
ตีพิมพ์แล้ว |
| Level of Publication |
นานาชาติ |
| citation |
false |
| Part of thesis |
true |
| Attach file |
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| Citation |
0
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Publication
Journal Publication
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