Abstract
Today, survival rate of patients with chronic renal failure/hemodialysis has increased so that chronic illnesses are more likely to occur. Cancer is the main cause of morbidity and mortality in such patients. In this study, physician attitudes were examined about cancer screening in patients with renal failure. This study was done by face to face questionnaire in the 27th National Nephrology Congress to determine if the physicians dealing with chronic renal failure, hemodialysis or renal transplanted patients, recommend cancer screening or not and the methods of screening for cervix, prostate, breast and colon cancer. One hundred and fifty six physicians were included in the survey. A total of 105 (67%) participants were male and the age of responders was 48 ± 9 years. About 29% were specialists in nephrology, 28% internal medicine, and 5% were other areas of expertise. Some 48% of participants were hemodialysis certified general practitioners. Patients were grouped as compensated chronic renal failure, hemodialysis or renal transplanted. Of the 156 responders, 128 (82%) physicians recommended breast cancer screening and the most recommended subgroup was hemodialysis patients (15%). The most preferred methods of screening were combinations of mammography, self breast examination and physician breast examination. 112 (72%) physicians recommended cervix cancer screening, and the most preferred method of screening was pap-smear. Colon cancer screening was recommended by 102 (65%) physicians and prostate screening by 109 (70%) physicians. The most preferred methods of screening were fecal occult blood test and PSA plus rectal digital test, respectively. It is not obvious whether cancer screening in renal failure patients is different from the rest of society. There is a variety of screening methods. An answer can be found to these questions as a result of studies by a common follow-up protocol and cooperation of nephrologists and oncologists.
Highlights
Cancer is frequently seen in patients with chronic renal failure and it is the main reason of morbidity and mortality in this group of patients
The chance to provide curative therapy and long survival in cancer patients who have been diagnosed in early stages of the disease has led to early diagnosis and screening policies especially for the frequently seen breast, colorectal, cervix cancers but the effect of early diagnosis and cancer screening on the chance to be cured and on long survival is less clear in patients with chronic renal failure (Zarychanski et al, 2007)
This study was done by face to face questionnaire in the 27th National Congress of Nephrology, Hypertension, Renal Diseases and Transplantation to determine if the physicians dealing with chronic renal failure, hemodialysis or renal transplanted patients, recommend cancer screening or not and the methods of screening for cervical, prostate, breast and colorectal cancers
Summary
Cancer is frequently seen in patients with chronic renal failure and it is the main reason of morbidity and mortality in this group of patients. It has been shown in previous studies that the frequency of all malignancies has been increased by 20-50% in early and late stages of patients with renal failure. Materials and Methods: This study was done by face to face questionnaire in the 27th National Nephrology Congress to determine if the physicians dealing with chronic renal failure, hemodialysis or renal transplanted patients, recommend cancer screening or not and the methods of screening for cervix, prostate, breast and colon cancer. An answer can be found to these questions as a result of studies by a common follow-up protocol and cooperation of nephrologists and oncologists
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