| مستخلص: |
Background: A rising trend in colorectal cancer incidence has been observed in Gulf countries. In Saudi Arabia, colorectal cancer has been the most common cancer in men and 3rd most common in female since 2002. Moreover, in a recent study in Saudi Arabia, the 5-year survival for colorectal cancer patients was 45% and 28% of patents were diagnosed with distant metastases. Aim: Present the existing colorectal screening programs in Gulf countries, highlight the role of primary care professionals, national guidelines, challenges and barriers to implementation, as well as priority actions to improve implementation. Methods: Data reported based on in-depth review of published literatures on relevant database (PubMed, Science Direct) and gray literatures, including WHO/IARC country mission reports. To support the data, an interview with national managers and key informants, was undertaken. Results: Four case studies on colorectal cancer screening in Saudi Arabia, UAE, Qatar, and Kuwait. Conclusion: Introduction of colorectal cancer screening is feasible in Gulf countries, in a phased manner. The national guidelines for colorectal cancer screening assist in integration of screening into primary care as well as early diagnosis in symptomatic persons. Pilot program in Qatar, KSA of colorectal cancer screening with FIT, targeting healthy persons aged 45-75 years, 4.5% were found to be positive. To improve uptake of the screening, Gulf countries need to invest in training of primary care professional in examination, referral mechanisms and setting up multidisciplinary diagnosis and treatment facilities. Raising awareness of colorectal cancer among the public. [ABSTRACT FROM AUTHOR] |
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