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Article

Investigation of the Risk Factors and Associated Co-Morbid Conditions among Patients with Colorectal Cancer in Trinidad

1
Department of Medicine, Faculty of Medicine, University of Toronto, Toronto, ON M5S 1A8, Canada
2
Occupational Medicine Clinic, St. Michael’s Hospital, Toronto, ON M5C 2C5, Canada
3
Institute of International Relations, The University of the West Indies, St. Augustine, Trinidad and Tobago
4
Department of Haematology/Oncology, Sangre Grande Hospital, Eastern Regional Health Authority, Sangre Grande, Trinidad and Tobago
5
Department of Clinical Medical Sciences, Faculty of Medical Sciences, The University of the West Indies, St. Augustine, Trinidad and Tobago
*
Author to whom correspondence should be addressed.
Gastrointest. Disord. 2020, 2(3), 193-201; https://0-doi-org.brum.beds.ac.uk/10.3390/gidisord2030020
Received: 10 June 2020 / Revised: 9 July 2020 / Accepted: 9 July 2020 / Published: 14 July 2020
Colorectal cancer (CRC) is the third most common cancer, and the fourth most common cause of cancer mortality worldwide. In Trinidad and Tobago, it is the third most common type of cancer in both sexes. Since there is scanty research on the risk factors associated with CRC, this study was conducted to determine the correlation between risk factors, including associated comorbid conditions, and CRC in Trinidad. A cross-sectional study was conducted amongst diagnosed CRC patients (>18 years) using a pre-tested questionnaire consisting of sections on demographic data, lifestyle before diagnosis, quality of life, and depression status. Additional information such as recurrence of cancer, Body Mass Index (BMI), Hypertension (HT), blood glucose levels and family history of cancer were collected from the medical records. Of the total participants, the majority were males (58%), and the mean age of diagnosis in both sexes was 65 years. The retrospective chart review showed that 68% were found to have a comorbid condition (Diabetes or HT). Upon review of the medical records, 93.2% of the subjects did not have a familial history. However, the questionnaire data showed that 73% of subjects had a family history. Around 50% of CRC patients were alcohol consumers and 30% were cigarette smokers prior to their cancer diagnosis. Interestingly, a majority of patients (91%) had never been screened for CRC prior to their diagnosis. Subjects with CRC displayed minimal depression, indicating that being diagnosed with CRC did not have a grave impact on their state of mind or quality of life. Our findings showed that prevalence of CRC was higher in males and amongst individuals of African descent. However, larger prospective studies may be warranted to fully demonstrate this effect. View Full-Text
Keywords: colorectal cancer; hypertension; diabetes mellitus; depression; quality of life; Trinidad and Tobago; prevention; risk factors; alcohol; smoking; screening colorectal cancer; hypertension; diabetes mellitus; depression; quality of life; Trinidad and Tobago; prevention; risk factors; alcohol; smoking; screening
MDPI and ACS Style

Chattu, V.K.; Gopie, P.; Singh, R.K.; Singh, K.; Singh, S.; Singh, S.; Smith, J.; Sookram, V.; Saunders, D.; Thomas, K. Investigation of the Risk Factors and Associated Co-Morbid Conditions among Patients with Colorectal Cancer in Trinidad. Gastrointest. Disord. 2020, 2, 193-201. https://0-doi-org.brum.beds.ac.uk/10.3390/gidisord2030020

AMA Style

Chattu VK, Gopie P, Singh RK, Singh K, Singh S, Singh S, Smith J, Sookram V, Saunders D, Thomas K. Investigation of the Risk Factors and Associated Co-Morbid Conditions among Patients with Colorectal Cancer in Trinidad. Gastrointestinal Disorders. 2020; 2(3):193-201. https://0-doi-org.brum.beds.ac.uk/10.3390/gidisord2030020

Chicago/Turabian Style

Chattu, Vijay K., Priya Gopie, Rajiv K. Singh, Kimberly Singh, Sachin Singh, Sarah Singh, Javanna Smith, Vitra Sookram, DeAngello Saunders, and Krissi Thomas. 2020. "Investigation of the Risk Factors and Associated Co-Morbid Conditions among Patients with Colorectal Cancer in Trinidad" Gastrointestinal Disorders 2, no. 3: 193-201. https://0-doi-org.brum.beds.ac.uk/10.3390/gidisord2030020

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