ArticleJournal of public health (Oxford, England)2025
Attribution of colorectal cancer symptoms to medications for pre-existing chronic conditions: a secondary analysis of a vignette study in England.
Article in Journal of public health (Oxford, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Article
- Preventive Healthcare and Disability: Challenges and Opportunities.Healthcare (Basel, Switzerland) · 2025Article
- Quality of Life Identifies High-Risk Groups in Advanced Rectal Cancer Patients.Healthcare (Basel, Switzerland) · 2025Article
- Emergency colon cancer diagnosis in people with mental health conditions: a population-based cohort study in northern Italy.BMJ mental health · 2025Article
- Article
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8 authors.
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Abstract
objectiveTo investigate the likelihood of attributing colorectal cancer (CRC) symptoms to medications for chronic conditions.
methodsThe online vignette survey included 1287 participants aged ≥50 years, with quota sampling to recruit sufficient participants with type 2 diabetes. Participants self-reported chronic conditions and answered questions on symptom attribution and help-seeking, after reading vignettes describing new-onset rectal bleeding or change in bowel habit. Using multivariable logistic regression, we analyzed the association between specific conditions and attributing new-onset CRC symptoms to medications, controlling for demographics.
resultsAmong participants, 25% reported type 2 diabetes, 31% being overweight, 25% hypertension and 22% arthritis. Participants with diabetes, versus those without, had a higher likelihood of attributing change in bowel habit to medications [7% vs 3%; adjusted Odds Ratio (aOR) 2.55, Confidence Interval (95% CI) 1.30-5.00]. This was also the case for participants reporting being overweight (7% vs 2%; aOR 2.36, 95% CI 1.25-4.44), arthritis (8% vs 3%; aOR 2.27, 95% CI 1.19-4.35), but not for hypertension. No significant association was found regarding attribution of rectal bleeding to medications.
conclusionsPatients with common chronic conditions have a higher likelihood of attributing change in bowel habit to medications. Tailored information is needed for these patients, encouraging them to discuss any new symptom with their doctor.
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