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Surveillance Compliance and Quality of Life Assessment Among Surgical Patients with Familial Adenomatous Polyposis Syndrome.
- Source :
-
Journal of epidemiology and global health [J Epidemiol Glob Health] 2024 Mar; Vol. 14 (1), pp. 86-93. Date of Electronic Publication: 2024 Jan 03. - Publication Year :
- 2024
-
Abstract
- Background: Familial adenomatous polyposis (FAP) syndrome has a near-100% lifetime risk of colorectal cancer. Early surveillance and prophylactic surgery have been advocated to reduce this risk. However, the surveillance practices among FAP individuals in Saudi Arabia are unknown. We aimed to explore surveillance compliance in our population, as well as the disease impact on their quality of life (QoL).<br />Methods: All patients with FAP who underwent surgical resection at King Saud University Medical City between 2016 and 2022 were included. Demographic data, clinical features, family history, and compliance with surveillance were collected and analyzed. QoL questionnaires: Short-form health survey (SF-36) and European Organization for Research and Treatment (EORTC) were conducted by phone interview.<br />Results: A total of 14 patients were included with an average age of 25 years. Three patients (21.4%) were the first of their family members to develop FAP. Nine patients (64%) were untested for genetic mutation due to lack of referral to geneticists. The compliance rate toward both pre-operative colonoscopy and upper endoscopy were 78%. However, 38% and 27% compliance rates were observed toward initial and post-operative colonoscopy, respectively. The compliance rate was 14% toward thyroid ultrasound. QoL scores varied among patients, with a mean score above 60 across all SF-36 domains.<br />Conclusion: An overall poor compliance was observed among our participants, particularly toward thyroid ultrasound. Increased health awareness and patient education are essential. In addition, the importance of surveillance and genetic counseling should be emphasized among physicians treating these patients.<br /> (© 2023. The Author(s).)
- Subjects :
- Humans
Male
Female
Adult
Saudi Arabia epidemiology
Young Adult
Middle Aged
Surveys and Questionnaires
Colonoscopy statistics & numerical data
Colonoscopy psychology
Adolescent
Population Surveillance methods
Adenomatous Polyposis Coli surgery
Adenomatous Polyposis Coli psychology
Adenomatous Polyposis Coli diagnosis
Quality of Life
Patient Compliance statistics & numerical data
Patient Compliance psychology
Subjects
Details
- Language :
- English
- ISSN :
- 2210-6014
- Volume :
- 14
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Journal of epidemiology and global health
- Publication Type :
- Academic Journal
- Accession number :
- 38170399
- Full Text :
- https://doi.org/10.1007/s44197-023-00171-8