Barriers to Care in Patients With Rectal Bleeding in Nigeria

Health-seeking Behavior and Barriers to Care in Patients With Rectal Bleeding in Nigeria

This study sought to find the health seeking behavior of patients with rectal bleeding as related to their risk to develop colorectal cancer and also assess the general practitioner's perceived barriers to colonoscopy for patients with bleeding per rectum.

Study Overview

• Status: Completed
• Conditions: Colorectal Cancer

Detailed Description

Patients who had rectal bleeding are invited to electronic media and print media will be invited for free medical consultation. Consented patients will complete a purposely design questionnaire for the study to assess the knowledge, attitude and practice of patient with rectal bleeding as regard the possibility of occurrence of colorectal cancer.

General practitioners in three cities will be contacted to assess their screening strategy for patients with rectal bleeding

• Study Type: Observational
• Enrollment (Actual): 134

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

All patients with Rectal bleeding who consented to the study

Description

Inclusion Criteria:

• All adult patients with rectal bleeding that persisted for up to one month

Exclusion Criteria:

• Patient that has the cause of rectal bleeding already determined before presentation

Study Plan

How is the study designed?

Number of groups / cohorts

2

Cohorts and Interventions

Group / Cohort
Patient group; This are patients who have current or previous history of rectal bleeding
General Practitioner group; This are General practitioner who are in public or private hospitals who treat patients with rectal bleeding

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Knowledge score in relations to the demographics of patients with rectal bleeding	To investigates patients' knowledge of the causes of rectal bleeding and their attitudes towards seeking expert opinion for possible diagnostic testing for colorectal cancer (CRC)	60 days
Colonoscopy referral triggers among General Practitioners (GP)	To seeks to examine the GPs' perceived barriers to colonoscopy for patients with bleeding per rectum	60 days

Collaborators and Investigators

• Sponsor: Obafemi Awolowo University Teaching Hospital
• Collaborators: Memorial Sloan Kettering Cancer Center; University College Hospital, Ibadan; University of Ilorin Teaching Hospital

Study record dates

Study Major Dates

• Study Start: April 1, 2013
• Primary Completion (Actual): November 1, 2014
• Study Completion (Actual): November 1, 2014

Study Registration Dates

• First Submitted: July 28, 2016
• First Submitted That Met QC Criteria: August 3, 2016
• First Posted (Estimate): August 4, 2016

Study Record Updates

• Last Update Posted (Estimate): August 4, 2016
• Last Update Submitted That Met QC Criteria: August 3, 2016
• Last Verified: August 1, 2016

More Information

Terms related to this study

• Keywords: Screening; high risk patients; Attitude; Nigeria; Rectal bleeding, , ,; Health seeking behaviour
• Additional Relevant MeSH Terms: Pathologic Processes; Hemorrhage
• Other Study ID Numbers: ERC/2013/09/01

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED
• IPD Plan Description: Yes