Evidence map›Paper›PMID 35501803›Full record

ArticleBMC public health2022

Awareness of colorectal cancer signs and symptoms: a national cross-sectional study from Palestine.

Mohamedraed Elshami, Mohammed Ayyad, Mohammed Alser, Ibrahim Al-Slaibi, Shoruq Ahmed Naji, Balqees Mustafa Mohamad, Wejdan Sudki Isleem, Adela Shurrab, Bashar Yaghi, Yahya Ayyash Qabaja and 21 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in BMC public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
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  5. Fear of progression among colorectal cancer patients: a latent profile analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

31 authors at 9 institutions in 2 countries.

Mohamedraed Elshami *Division of Surgical Oncology, Department of Surgery, University Hospitals Cleveland Medical Center, 11100 Euclid Avenue, Lakeside 7100, Cleveland, OH, USA. mohamedraed.elshami@gmail.com.
Mohammed Ayyad *Faculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Mohammed AlserMinistry of Health, Gaza, Palestine.
Ibrahim Al-SlaibiAlmakassed Hospital, Jerusalem, Palestine.
Shoruq Ahmed NajiFaculty of Pharmacy, Al-Azhar University of Gaza, Gaza, Palestine.
Balqees Mustafa MohamadBeit Jala Governmental Hospital (Al-Hussein), Bethlehem, Palestine.
Wejdan Sudki IsleemFaculty of Medicine, Islamic University of Gaza, Gaza, Palestine.
Adela ShurrabPalestine Medical Complex, Khanyounis, Palestine.
Bashar YaghiFaculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Yahya Ayyash QabajaFaculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Fatima Khader HmdanFaculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Mohammad Fuad DwikatFaculty of Medicine, An-Najah National University, Nablus, Palestine.
Raneen Raed SweityFaculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Remah Tayseer JneedFaculty of Medicine, Islamic University of Gaza, Gaza, Palestine.
Khayria Ali AssafFaculty of Medicine, An-Najah National University, Nablus, Palestine.
Maram Elena AlbandakFaculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Mohammed Madhat HmaidFaculty of Medicine, Islamic University of Gaza, Gaza, Palestine.
Iyas Imad AwwadFaculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Belal Khalil AlhabilFaculty of Medicine, Islamic University of Gaza, Gaza, Palestine.
Marah Naser AlardaFaculty of Dentistry, Arab American University, Jenin, Palestine.
Amani Saleh AlsattariFaculty of Medicine, Islamic University of Gaza, Gaza, Palestine.
Moumen Sameer AboyousefFaculty of Medicine, Islamic University of Gaza, Gaza, Palestine.
Omar Abdallah AljbourFaculty of Medicine, Islamic University of Gaza, Gaza, Palestine.
Rinad AlSharifFaculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Christy Teddy GiacamanFaculty of Nursing and Health Sciences, Bethlehem University, Bethlehem, Palestine.
Ali Younis AlnagaFaculty of Medicine, Islamic University of Gaza, Gaza, Palestine.
Ranin Mufid Abu NemerFaculty of Allied Medical Sciences, Arab American University, Jenin, Palestine.
Nada Mahmoud AlmadhounFaculty of Medicine, Al-Azhar University, Gaza, Palestine.
Sondos Mahmoud SkaikFaculty of Medicine, Al-Quds Abu Dis University Al-Azhar Branch of Gaza, Gaza, Palestine.
Nasser Abu-El-Noor *Faculty of Nursing, Islamic University of Gaza, Gaza, Palestine.
Bettina Bottcher *Faculty of Medicine, Islamic University of Gaza, Gaza, Palestine.
Islamic University of Gaza · PSAl-Quds University · PSAl-Azhar University – Gaza · PSAn-Najah National University · PSArab American University · PSUniversity of Palestine · PSBethlehem University · PSMission Hospital · USUniversity Hospitals of Cleveland · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn low-resource settings, the awareness level of colorectal cancer (CRC) signs and symptoms plays a crucial role in early detection and treatment. This study examined the public awareness level of CRC signs and symptoms in Palestine and investigated the factors associated with good awareness.

methodsThis was a national cross-sectional study conducted at hospitals, primary healthcare centers, and public spaces in 11 governorates across Palestine between July 2019 and March 2020. A translated-into-Arabic version of the validated bowel cancer awareness measure (BoCAM) was utilized to assess the awareness level of CRC signs and symptoms. For each correctly identified CRC sign/symptom, one point was given. The total score (ranging from 0 to 12) was calculated and categorized into three categories based on the number of symptoms recognized: poor (0 to 4), fair (5 to 8), and good awareness (9 to 12).

resultsOf 5254 approached, 4877 participants completed the questionnaire (response rate = 92.3%). A total of 4623 questionnaires were included in the analysis; 1923 were from the Gaza Strip and 2700 from the West Bank and Jerusalem (WBJ). Participants from the Gaza Strip were younger, gained lower monthly income, and had less chronic diseases than participants in the WBJ. The most frequently identified CRC sign/symptom was 'lump in the abdomen' while the least was 'pain in the back passage'. Only 1849 participants (40.0%, 95% CI: 39.0%-41.0%) had a good awareness level of CRC signs/symptoms. Participants living in the WBJ were more likely to have good awareness than participants living in the Gaza Strip (42.2% vs. 37.0%; p = 0.002). Knowing someone with cancer (OR = 1.37, 95% CI: 1.21-1.55; p < 0.001) and visiting hospitals (OR = 1.46, 95% CI: 1.25-1.70; p < 0.001) were both associated with higher likelihood of having good awareness. However, male gender (OR = 0.80, 95% CI: 0.68-0.94; p = 0.006) and following a vegetarian diet (OR = 0.59, 95% CI: 0.48-0.73; p < 0.001) were both associated with lower likelihood of having good awareness.

conclusionLess than half of the study participants had a good awareness level of CRC signs and symptoms. Future education interventions are needed to improve public awareness of CRC in Palestine.

Indexed as

Colorectal NeoplasmsHealth Knowledge, Attitudes, PracticeCross-Sectional StudiesHumansMaleRisk FactorsSurveys and QuestionnairesAwarenessColorectal cancerEarly detectionEarly presentationHealth educationPalestineSignsSymptoms

Identifiers

PMID35501803
PMCPMC9063349
OpenAlexW4225265699

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.