- 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.
Cholangiocarcinoma;surveillance;Korat-CCA verbal screening test;Thailand
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