Colonoscopy practice in South Africa: The way forward

Katsidzira, Leolin; Thomson, Sandie

doi:10.7196/samj.2020.v110i12.15270

Cited by 4 publications

(4 citation statements)

References 11 publications

(14 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The Adherence Determinants Questionnaire (ADQ), a survey instrument developed by DiMatteo and colleagues to measure patient self-adherence to cancer prevention interventions and cancer treatments, was administered to all study participants [ 15 ]. The choice of survey instrument was well suited to our study since colonoscopy is an important tool used for diagnosing colorectal cancer in our setting [ 1 ]. The ADQ consists of seven elements, which were identified by DiMatteo et al, as being related to patient adherence to recommendations for both the prevention and treatment of cancer: Interpersonal aspects of medical care received, beliefs around the severity of cancer, beliefs around the perceived utility of the recommended treatments, subjective norms regarding adherence, intentions to adhere to the recommended treatments, and the presence of supports and absence of barriers to adherence [ 15 ].…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Self-adherence to post-colonoscopy consults in patients undergoing diagnostic colonoscopy: Findings from a cross-sectional, quantitative survey at a South African quaternary hospital

et al. 2023

View full text Add to dashboard Cite

Post-colonoscopy consults empower patients to make informed decisions around their subsequent treatment, and non-compliance with these consults (“no-shows”) hinders disease management. There is a paucity in the literature regarding self-adherence to post-colonoscopy consults in resource-limited settings such as South Africa. An understanding of self-adherence to post-colonoscopy consults in this setting is required to establish whether improved interventions are needed, and what specific elements of self-adherence should be addressed with these interventions. The objective of this hypothesis-generating, cross-sectional, quantitative survey was to conduct a baseline assessment of cognitive, motivational, social, and behavioural variables related to self-adherence to post-colonoscopy consults in patients who underwent diagnostic colonoscopy at a South African quaternary hospital. The Adherence Determinants Questionnaire (ADQ) was administered in 47 patients to establish a baseline assessment of elements related to self-adherence to post-colonoscopy consults, including interpersonal aspects of care, perceived utility, severity, susceptibility, subjective norms, intentions, and supports/barriers. ADQ scores were transformed to a percentage of the maximum score for each element (100.0%). The overall mean transformed ADQ score was 57.8%. The mean transformed scores for specific ADQ components were as follows: subjective norms (40.8%), perceived severity (55.4%), perceived utility (56.6%), intentions (59.4%), supports/barriers (59.9%), interpersonal aspects (62.2%), and perceived susceptibility (65.9%). There were no statistically significant differences in overall mean transformed ADQ scores and individual ADQ elements across categories of participant age (p-values ranging between 0.180 and 0.949 when compared between participants ≤40 years and >40 years old), gender (p-values ranging between 0.071 and 0.946 when compared between males and females), and race (p-values ranging between 0.119 and 0.774 when compared between Black Africans and non-Black Africans). Our findings suggest a general need for appropriate interventions to improve self-adherence to post-colonoscopy consults in our setting.

show abstract

Section: Methodsmentioning

confidence: 99%

“…Diagnostic colonoscopy is the method of choice for investigating lower gastrointestinal disease pathologies [ 1 , 2 ]. A finalised report from a diagnostic colonoscopy, including the histopathology findings from any biopsies performed, will not be available on the day of the procedure.…”

Section: Introductionmentioning

confidence: 99%

Self-adherence to post-colonoscopy consults in patients undergoing diagnostic colonoscopy: Findings from a cross-sectional, quantitative survey at a South African quaternary hospital

et al. 2023

View full text Add to dashboard Cite

show abstract

“…36 A study from South Africa reported that for an uninsured population of 50 million persons, only 70,000 colonoscopies were performed annually in the public health sector. 35 In Pakistan, a country with an average annual income of $650 and no national health insurance system, a colonoscopy costs $100 which is prohibitively expensive. 37…”

Section: Colonoscopymentioning

confidence: 99%

“…33 Screening colonoscopy for CRC is rare in LMICs due to the lack of human resources and equipment as well as financial constraints. 34 35 A WHO report showed that only Antigua and Barbuda, and Colombia from the Americas region had screening colonoscopy in their CRC screening guidelines but these were only done opportunistically rather than through systematic population-based screening programs. 36 A study from South Africa reported that for an uninsured population of 50 million persons, only 70,000 colonoscopies were performed annually in the public health sector.…”

Section: Colorectal Clinical Practice In Low- and Middle-income Count...mentioning

confidence: 99%

Colorectal Surgery Practice, Training, and Research in Low-Resource Settings

Chu

Bust

Forgan

2022

Clin Colon Rectal Surg

View full text Add to dashboard Cite

Colorectal surgery (CRS) practice, training, and research differ between low- and middle-income countries (LMICs) and high-income countries due to disparity in resources. LMIC CRS is primarily done by general surgeons due to the paucity of fully trained colorectal surgeons. The majority of colon and rectal resections are done using open techniques, and laparoscopy and robotic platforms are only available in select private or academic centers. Multi-disciplinary teams are not available in most hospitals, so surgeons must have a broad knowledge base, and learn to adapt their practice. Formal CRS training opportunities through accredited post-residency fellowships and professional colorectal surgical associations are limited in LMICs. CRS is less established as an academic field, and less data are generated in LMICs. There are fewer staff and less dedicated funding for CRS research. However, LMIC colorectal surgeons and researchers can contribute valuable clinical findings especially on conditions of higher prevalence in their settings such as anal squamous cell carcinoma and obstetric fistulas. Effective surgical care for colorectal conditions requires significant investment in infrastructure, training, and governance in LMICs. This is critical to improve access to safe surgical care for all.

show abstract

A comparative cost analysis of two screening strategies for colorectal cancer in Lynch Syndrome in a South African tertiary hospital

Johnson

Goldberg

Moodley

et al. 2022

Cancer Causes Control

View full text Add to dashboard Cite

Colonoscopy practice in South Africa: The way forward

Abstract: This open-access article is distributed under Creative Commons licence CC-BY-NC 4.0.

Cited by 4 publications

References 11 publications

Self-adherence to post-colonoscopy consults in patients undergoing diagnostic colonoscopy: Findings from a cross-sectional, quantitative survey at a South African quaternary hospital

Self-adherence to post-colonoscopy consults in patients undergoing diagnostic colonoscopy: Findings from a cross-sectional, quantitative survey at a South African quaternary hospital

Colorectal Surgery Practice, Training, and Research in Low-Resource Settings

A comparative cost analysis of two screening strategies for colorectal cancer in Lynch Syndrome in a South African tertiary hospital

Contact Info

Product

Resources

About