ArticleBMC cancer2025
Clinical and epidemiological profile of patients with colorectal cancer in Bhutan: a cross-sectional study.
Article in BMC cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Colorectal Cancer in Bhutan: Identifying Health System Gaps and Priorities.Cancer medicine · 2026Article
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4 authors.
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Abstract
introductionGlobally, colorectal cancer is the third most common cancer and the third leading cause of cancer-related deaths. This study describes the clinical and epidemiological profile of patients with colorectal cancer diagnosed at the Jigme Dorji Wangchuck National Referral Hospital, the only hospital with onco-surgery services in Bhutan.
methodsThis was a cross-sectional study based on the review of records of patients diagnosed with colorectal cancer between 2018 and 2024 at the National Referral Hospital, Thimphu.
resultsThere were 182 patients diagnosed with colorectal cancers in the six-year period. The highest proportions were observed in the Trashigang (28, 15.4%), Pema Gatshel (15, 8.2%), Mongar (14, 7.7%), Samtse (14, 7.7%) and Sarpang (14, 7.7%) districts. The mean age at diagnosis was 61.5 ± 15.6 years; almost half were males (95, 52.2%) and 82 (45.1%) were ≥ 65 years. The common presenting symptoms were abdominal pain (48, 26.4%), altered bowel habits (35, 19.2%), and per rectal bleeding (33, 18.1%). The predominant location of the tumour was in the middle/lower rectum (43, 23.6%) and the right colon (40, 22.0%). The majority of the patients were diagnosed with Stage III (59, 32.4%) and Stage IV (16, 8.8%) diseases. The dominant histology pattern was adenocarcinoma (38, 20.9%). The common form of treatment offered was surgery with chemotherapy (74, 40.7%).
conclusionHigher proportion of colorectal cancers were reported among older adults and with Stage III or IV disease. This study reports the baseline description of patients with colorectal cancer in Bhutan.
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