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A Pilot Colorectal Cancer Study Using Fecal Occult Blood Tests and Colonoscopy to Identify the Weaknesses of the Romanian Public Healthcare System before Implementing National Screening

The objective of this study is to investigate the feasibility of colorectal cancer (CRC) screening in the absence of a national screening program using the resources provided by the Romanian healthcare system. Study participants were recruited from adult patients (over 18 years old) registered with...

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Autores principales: Bărbulescu, Linda-Nicoleta, Mogoantă, Stelian-Ștefăniță, Bărbulescu, Lucian-Florentin, Kamal, Constantin, Popa, Didi-Liliana, Popa, Radu-Teodoru
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9915351/
https://www.ncbi.nlm.nih.gov/pubmed/36767908
http://dx.doi.org/10.3390/ijerph20032531
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author Bărbulescu, Linda-Nicoleta
Mogoantă, Stelian-Ștefăniță
Bărbulescu, Lucian-Florentin
Kamal, Constantin
Popa, Didi-Liliana
Popa, Radu-Teodoru
author_facet Bărbulescu, Linda-Nicoleta
Mogoantă, Stelian-Ștefăniță
Bărbulescu, Lucian-Florentin
Kamal, Constantin
Popa, Didi-Liliana
Popa, Radu-Teodoru
author_sort Bărbulescu, Linda-Nicoleta
collection PubMed
description The objective of this study is to investigate the feasibility of colorectal cancer (CRC) screening in the absence of a national screening program using the resources provided by the Romanian healthcare system. Study participants were recruited from adult patients (over 18 years old) registered with a general practitioner from an urban area over a period of 3 years (October 2019 to September 2022). Patients were recruited when they came for a consult at their family physician’s office. The study excluded patients with a medical history of colorectal cancer. Written consent was obtained from the patients who agreed to participate. Patients who agreed to participate were recommended to undergo a fecal occult blood test (FOBT). For those with a positive FOBT result, a colonoscopy was recommended. The study identified a need and willingness of patients to participate in CRC screening when they were informed about it, especially when it involved a noninvasive test such as FOB. We did not anticipate the refusal to perform FOBT in the public healthcare system because the recommendation was made by a GP. We identified a deficit of specialists that can perform colonoscopies in the public healthcare system, insufficient health education, and a lack of dedicated pathways for screening.
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spelling pubmed-99153512023-02-11 A Pilot Colorectal Cancer Study Using Fecal Occult Blood Tests and Colonoscopy to Identify the Weaknesses of the Romanian Public Healthcare System before Implementing National Screening Bărbulescu, Linda-Nicoleta Mogoantă, Stelian-Ștefăniță Bărbulescu, Lucian-Florentin Kamal, Constantin Popa, Didi-Liliana Popa, Radu-Teodoru Int J Environ Res Public Health Article The objective of this study is to investigate the feasibility of colorectal cancer (CRC) screening in the absence of a national screening program using the resources provided by the Romanian healthcare system. Study participants were recruited from adult patients (over 18 years old) registered with a general practitioner from an urban area over a period of 3 years (October 2019 to September 2022). Patients were recruited when they came for a consult at their family physician’s office. The study excluded patients with a medical history of colorectal cancer. Written consent was obtained from the patients who agreed to participate. Patients who agreed to participate were recommended to undergo a fecal occult blood test (FOBT). For those with a positive FOBT result, a colonoscopy was recommended. The study identified a need and willingness of patients to participate in CRC screening when they were informed about it, especially when it involved a noninvasive test such as FOB. We did not anticipate the refusal to perform FOBT in the public healthcare system because the recommendation was made by a GP. We identified a deficit of specialists that can perform colonoscopies in the public healthcare system, insufficient health education, and a lack of dedicated pathways for screening. MDPI 2023-01-31 /pmc/articles/PMC9915351/ /pubmed/36767908 http://dx.doi.org/10.3390/ijerph20032531 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Bărbulescu, Linda-Nicoleta
Mogoantă, Stelian-Ștefăniță
Bărbulescu, Lucian-Florentin
Kamal, Constantin
Popa, Didi-Liliana
Popa, Radu-Teodoru
A Pilot Colorectal Cancer Study Using Fecal Occult Blood Tests and Colonoscopy to Identify the Weaknesses of the Romanian Public Healthcare System before Implementing National Screening
title A Pilot Colorectal Cancer Study Using Fecal Occult Blood Tests and Colonoscopy to Identify the Weaknesses of the Romanian Public Healthcare System before Implementing National Screening
title_full A Pilot Colorectal Cancer Study Using Fecal Occult Blood Tests and Colonoscopy to Identify the Weaknesses of the Romanian Public Healthcare System before Implementing National Screening
title_fullStr A Pilot Colorectal Cancer Study Using Fecal Occult Blood Tests and Colonoscopy to Identify the Weaknesses of the Romanian Public Healthcare System before Implementing National Screening
title_full_unstemmed A Pilot Colorectal Cancer Study Using Fecal Occult Blood Tests and Colonoscopy to Identify the Weaknesses of the Romanian Public Healthcare System before Implementing National Screening
title_short A Pilot Colorectal Cancer Study Using Fecal Occult Blood Tests and Colonoscopy to Identify the Weaknesses of the Romanian Public Healthcare System before Implementing National Screening
title_sort pilot colorectal cancer study using fecal occult blood tests and colonoscopy to identify the weaknesses of the romanian public healthcare system before implementing national screening
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9915351/
https://www.ncbi.nlm.nih.gov/pubmed/36767908
http://dx.doi.org/10.3390/ijerph20032531
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