Colorectal cancer in Malaysia: its burden and implications for a multiethnic country

Veettil, Sajesh K, Lim, Kean Ghee, Chaiyakunapruk, Nathorn, Ching, Siew Mooi and Abu Hassan, Muhammad Radzi (2017) Colorectal cancer in Malaysia: its burden and implications for a multiethnic country. Asian Journal of Surgery, 40 6: 481-489. doi:10.1016/j.asjsur.2016.07.005

Author Veettil, Sajesh K
Lim, Kean Ghee
Chaiyakunapruk, Nathorn
Ching, Siew Mooi
Abu Hassan, Muhammad Radzi
Title Colorectal cancer in Malaysia: its burden and implications for a multiethnic country
Journal name Asian Journal of Surgery   Check publisher's open access policy
ISSN 0219-3108
Publication date 2017-11-01
Year available 2016
Sub-type Article (original research)
DOI 10.1016/j.asjsur.2016.07.005
Open Access Status DOI
Volume 40
Issue 6
Start page 481
End page 489
Total pages 9
Place of publication Causeway Bay, Hong Kong
Publisher Elsevier
Language eng
Subject 2746 Surgery
Abstract Background This study aims to provide an analytical overview of the changing burden of colorectal cancer and highlight the implementable control measures that can help reduce the future burden of colorectal cancer in Malaysia. Methods We performed a MEDLINE search via OVID with the ​Medical Subject Headings (MeSH) terms “Colorectal Neoplasms”[Mesh] and “Malaysia”[Mesh], and PubMed with the key words “colorectal cancer” and “Malaysia” from 1990 to 2015 for studies reporting any clinical, societal, and economical findings associated with colorectal cancer in Malaysia. Incidence and mortality data were retrieved from population-based cancer registries/databases. Results In Malaysia, colorectal cancer is the second most common cancer in males and the third most common cancer in females. The economic burden of colorectal cancer is substantial and is likely to increase over time in Malaysia owing to the current trend in colorectal cancer incidence. In Malaysia, most patients with colorectal cancer have been diagnosed at a late stage, with the 5-year relative survival by stage being lower than that in developed Asian countries. Public awareness of the rising incidence of colorectal cancer and the participation rates for colorectal cancer screening are low. Conclusion The efficiency of different screening approaches must be assessed, and an organized national screening program should be developed in a phased manner. It is essential to maintain a balanced investment in awareness programs targeting general population and primary care providers, focused on increasing the knowledge on symptoms and risk factors of colorectal cancer, awareness on benefits of screening, and promotion of healthy life styles to prevent this important disease.
Keyword Malaysia
Cancer prevention
Colorectal neoplasms
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

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Sub-type: Article (original research)
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Created: Wed, 15 Nov 2017, 12:59:38 EST