- Volume 17 Issue 4
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Surveillance of Populations at Risk of Cholangiocarcinoma Development in Rural Communities of Thailand Using the Korat-CCA Verbal Screening Test
- Kaewpitoon, Soraya J (Parasitic Disease Research Unit, Suranaree University) ;
- Rujirakul, Ratana (Parasitic Disease Research Unit, Suranaree University) ;
- Loyd, Ryan A (School of Family Medicine and Community Medicine, Suranaree University) ;
- Panpimanmas, Sukij (Suranaree University of Technology Hospital) ;
- Matrakool, Likit (Suranaree University of Technology Hospital) ;
- Tongtawee, Taweesak (Suranaree University of Technology Hospital) ;
- Kompor, Porntip (Faculty of Public Health, Vongchavalitkul University) ;
- Norkaew, Jun (Faculty of Public Health, Vongchavalitkul University) ;
- Chavengkun, Wasugree (Faculty of Public Health, Vongchavalitkul University) ;
- Wakkhuwattapong, Parichart (Parasitic Disease Research Unit, Suranaree University) ;
- Kujapun, Jirawoot (Faculty of Public Health, Vongchavalitkul University) ;
- Ponphimai, Sukanya (Faculty of Public Health, Vongchavalitkul University) ;
- Phatisena, Tanida (Faculty of Public Health, Nakhon Ratchasima Rajabhat University) ;
- Eaksunti, Thawatchai (Faculty of Public Health, Nakhon Ratchasima Rajabhat University) ;
- Polsripradist, Poowadol (Provincial Public Health of Nakhon Ratchasima) ;
- Joosiri, Apinya (Parasitic Disease Research Unit, Suranaree University) ;
- Sukkasam, Inchat (The Office of Disease Prevention and Control of Nakhon Ratchasima) ;
- Padchasuwan, Natnapa (Faculty of Public Health, Khon Kaen University) ;
- Kaewpitoon, Natthawut (Parasitic Disease Research Unit, Suranaree University)
- Published : 2016.06.01
Cholangiocarcinoma (CCA) is a serious problem in Thailand, particularly in the northeastern region. Active surveillance in rural communities with an appropriat low-cost screening tool is required to facilitate early detection. Therefore, this study aimed to investigate the population at risk of CCA in Bua Yai district, Nakhon Ratchasima province, Northeastern Thailand using the Korat-CCA verbal screening test (KCVST) during June to October 2015. Reliability of KCVST demonstrated a Cronbach alpha coefficient=0.75 Stepwise-multiple regression showed that alcohol consumption was important for CCA screened, followed by agriculture and pesticide use, under-cooked cyprinoid fish consumption, praziquantel use, naïve northeastern people, opisthorchiasis, family relatives with CCA, and cholangitis or cholecystitis or gallstones, respectively. Population at risk for CCA was classified to low risk (63.4%), moderate risk (33.7%), and high risk (1.32%) for CCA. When CCA was screened using ultrasonography, 4 of 32 high risk participants had an abnormal biliary tract with dilated bile ducts. This study indicates that KCVST is a potential useful too which decrease the cost of large scale CCA screening.
- Akamatsu N, Sugawara Y, Hashimoto D. (2011). Surgical strategy for bile duct cancer: Advances and current limitations. World J Clin Oncol, 10, 94-107.
- Bhamarapravati N, Viranuvatti W (1966). Liver diseases in Thailand. Analysis of liver biopsies. Am J Gastroenterol, 45, 267-76.
- Boonpucknavig S, Kurathong S, Thamavit W (1986). Detection of antibodies in sera from patients with opisthorchiasis. J Clin Lab Immunol, 19, 135-7.
- Gammon DW, Aldous CN, Carr WC Jr, et al (2005). A risk assessment of atrazine use in California: human health and ecological aspects. Pest Manag Sci, 61, 331-55. https://doi.org/10.1002/ps.1000
- Gardner HS Jr, Brennan LM, Toussaint MW, et al (1998). Environmental complex mixture toxicity assessment. Environ Health Perspect, 106, 1299-305. https://doi.org/10.1289/ehp.98106s61299
- Green A, Uttaravichien T, Bhudhisawasdi V, et al. (1991). Cholangiocarcinoma in northeast Thailand. A hospital-based study. Trop Geogr Med, 43, 193-8.
- Honjo S, Srivatanakul P, Sriplung H, et al (2005). Genetic and environmental determinants of risk for cholangiocarcinoma via Opisthorchis viverrini in a densely infested area in Nakhon Phanom, northeast Thailand. Int J Cancer, [epub]
- Kamsa-Ard S, Luvira V, Pugkhem A, et al (2015). Association between praziquantel treatment and cholangiocarcinoma: a hospital-based matched case-control study. BMC Cancer, 15, 776. https://doi.org/10.1186/s12885-015-1788-6
- Konda LN, Pasztor Z (2001). Environmental distribution of acetochlor, atrazine, chlorpyrifos, and propisochlor under field conditions. J Agric Food Chem, 49, 3859-63. https://doi.org/10.1021/jf010187t
- Koompairochana V, Sonakul S, Chinda K, et al (1978). Opisthorchiasis: a clinicopathologic study of 154 cases. Southeast Asian J Trop Med Public Health, 9, 60-4.
- Landis S, Murray T, Bolden S, et al (1998). Cancer statistics, 1998. CA Cancer J Clin, 48, 6-29. https://doi.org/10.3322/canjclin.48.1.6
- Liu GX, Wu XP, Wang ZJ, et al (2010). Research progress on the relationship between three kinds of liver fluke infections and cholangiocarcinoma. Zhongguo Ji Sheng Chong Xue Yu Ji Sheng Chong Bing Za Zhi, 28, 301-5.
- Marahatta SB, Punyarit P, Bhudisawasdi V, et al (2006). Polymorphism of glutathione S-transferase omega gene and risk of cancer. Cancer Lett, 236, 276-81. https://doi.org/10.1016/j.canlet.2005.05.020
- Mairiang E, Elkins DB, Mairiang P, et al (1992). Relationship between intensity of Opisthorchis viverrini infection and hepatobiliary disease detected by ultrasonography. J Gastroenterol Hepatol, 7, 17-21. https://doi.org/10.1111/j.1440-1746.1992.tb00928.x
- Mairiang E, Haswell-Elkins MR, Mairiang P, et al (1993). Reversal of biliary tract abnormalities associated with Opisthorchis viverrini infection following praziquantel treatment. Trans R Soc Trop Med Hyg, 87, 194-7. https://doi.org/10.1016/0035-9203(93)90489-D
- Manwong M, Songserm N, Promthet S, et al (2013). Risk factors for cholangiocarcinoma in the lower part of Northeast Thailand: a hospital-based case-control study. Asian Pac J Cancer Prev, 14, 5953-6. https://doi.org/10.7314/APJCP.2013.14.10.5953
- Miwa M, Honjo S, You G, et al (2014). Genetic and environmental determinants of risk for cholangiocarcinoma in Thailand. World J Gastrointest Pathophysiol, 5, 570-8. https://doi.org/10.4291/wjgp.v5.i4.570
- Ozonoff D, Longnecker MP (1991). Epidemiologic approaches to assessing human cancer risk from consuming aquatic food resources from chemically contaminated water. Environ Health Perspect, 90, 141-6. https://doi.org/10.2307/3430858
- Patel T (2002). Worldwide trends in mortality from biliary tract malignancies. BMC Cancer, 2, 10. https://doi.org/10.1186/1471-2407-2-10
- Pilati A, Vanni MJ, Gonzalez MJ, Gaulke AK (2009). Effects of agricultural subsidies of nutrients and detritus on fish and plankton of shallow-reservoir ecosystems. Ecol Appl, 19, 942-60. https://doi.org/10.1890/08-0807.1
- Rabalais NN (2002). Nitrogen in aquatic ecosystems. Ambio, 31, 102-12. https://doi.org/10.1579/0044-7447-31.2.102
- Shin HR, Oh JK, Masuyer E, et al. (2010). Epidemiology of cholangiocarcinoma: an update focusing on risk factors. Cancer Sci, 101, 579-85. https://doi.org/10.1111/j.1349-7006.2009.01458.x
- Sithithaworn P, Pipitgool V, Srisawangwong T, et al (1997). Seasonal variation of Opisthorchis viverrini infection in cyprinoid fish in north-east Thailand: implications for parasite control and food safety. Bull World Health Organ, 75, 125-31.
- Sonakul D, Koompirochana C, Chinda K, et al (1978). Hepatic carcinoma with opisthorchiasis. Southeast Asian J Trop Med Public Health, 9, 215-9.
- Songserm N, Promthet S, Sithithaworn P, et al (2012). Risk factors for cholangiocarcinoma in high-risk area of Thailand: role of lifestyle, diet and methylenetetrahydrofolate reductase polymorphisms. Cancer Epidemiol, 36, 89-94. https://doi.org/10.1016/j.canep.2011.04.005
- Songserm N, Promthet S, Pientong C, et al (2014). Geneenvironment interaction involved in cholangiocarcinoma in the Thai population: polymorphisms of DNA repair genes, smoking and use of alcohol. BMJ Open, 4, 5447.
- Sripa B, Brindley PJ, Mulvenna J, et al (2012). The tumorigenic liver fluke Opisthorchis viverrini-multiple pathways to cancer. Trends Parasitol, 28, 395-407. https://doi.org/10.1016/j.pt.2012.07.006
- Sripa B, Kaewkes S, Sithithaworn P M, et al. (2007). Liver fluke induces cholangiocarcinoma. PLoS Med, 4, 201. https://doi.org/10.1371/journal.pmed.0040201
- Subrungruanga I, Thawornkunob C, Chawalitchewinkoon- Petmitrc P, et al (2013). Gene expression profiling of intrahepatic cholangiocarcinoma. Asian Pac J Cancer Prev, 14, 557-63. https://doi.org/10.7314/APJCP.2013.14.1.557
- Viranuvatti V, Mettiyawongse S (1953). Observations on two cases of opisthorchiasis in Thailand. Ann Trop Med Parasitol, 47, 291-3. https://doi.org/10.1080/00034983.1953.11685570
- Yeo CJ, Pitt HA, Cameron JL (1990). Cholangiocarcinoma. Surg Clin North Am, 70, 1429-47. https://doi.org/10.1016/S0039-6109(16)45293-X
- Thunyaharn N, Promthet S, Wiangnon SS et al (2013). Survival of cholangiocarcinoma patients in northeastern Thailand after supportive treatment. Asian Pac J Cancer Prev, 14, 7029-32. https://doi.org/10.7314/APJCP.2012.14.11.7029
- Effect of Educational Intervention Based on the Health Belief Model and Self-Efficacy in Promoting Preventive Behaviors in a Cholangiocarcinoma Screening Group pp.1543-0154, 2018, https://doi.org/10.1007/s13187-018-1424-7