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Rectal bleeding and implications for surgical care in Nepal.
Robert Tessler1, Shailvi Gupta2, John Pathak3
1Department of Surgery, University of California San Francisco East Bay, Oakland, California.
The Journal of Surgical Research
|April 23, 2015
Summary
Rectal bleeding affects 2.0% of adults in Nepal, with many facing barriers to care. This highlights a need for improved access to diagnostics and surgical services to address potential colorectal diseases.
Area of Science:
- Epidemiology
- Public Health
- Surgical Care
Background:
- Rectal bleeding is a key indicator for colorectal diseases, including cancer.
- South Asia, especially Nepal, lacks comprehensive data on colorectal disease prevalence.
- This study aimed to assess rectal bleeding prevalence in Nepal.
Purpose of the Study:
- To determine the prevalence of rectal bleeding in Nepal.
- To understand health-seeking behaviors for rectal bleeding.
- To highlight the need for improved colorectal disease diagnostics and care in South Asia.
Main Methods:
- A nationwide survey was conducted in 15 randomly selected districts of Nepal in 2014.
- The Surgeons OverSeas Assessment of Surgical Need tool was used for data collection.
- Interviews assessed rectal bleeding prevalence, patterns, and healthcare-seeking behaviors in individuals over 18.
Main Results:
- The prevalence of rectal bleeding was 2.0% (95% CI: 1.4%-2.7%) among 1941 adults.
- Of those with current rectal bleeding, 1.2% (95% CI: 0.8%-1.8%) had an unmet surgical need.
- Barriers to care included unavailability of services, fear, and cost.
Conclusions:
- Nepal's healthcare system has limited access to diagnostics for rectal bleeding.
- There is a potential for undiagnosed colorectal cancer in Nepal.
- Advocacy for preventative medicine and accessible surgical care is crucial for lower-income countries.
Keywords:
Access to surgical careAnorectal diseaseGlobal surgeryNepalRectal bleedingSoutheast AsiaSurgeons OverSeasMore Related Videos
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