Situation of colorectal cancer in the national health security system, Thailand fiscal year 2004-2021

Authors

  • Pianghatai Ingun Fund Management Unit (FMU), National Health Security Office
  • Jutatip Thungthnog Monitoring and Evaluation Cluster (ME), National Health Security Office
  • Sombat Thanprasertsuk Independent Technical Officer
  • Tanasak Kaewchompoo Monitoring and Evaluation Cluster (ME), National Health Security Office
  • Sanya Vasoppakarn Monitoring and Evaluation Cluster (ME), National Health Security Office
  • Prapaporn Janpet Monitoring and Evaluation Cluster (ME), National Health Security Office
  • Nata Srihinkong National Health Security Office Region 4 Saraburi
  • Sumontha Sophaphan Fund Management Unit (FMU), National Health Security Office
  • Saichon Ngerntangsakool Fund Management Unit (FMU), National Health Security Office
  • Natthaprang Nittayasoot Division of Epidemiology, Department of Disease Control

DOI:

https://doi.org/10.14456/dcj.2024.41

Keywords:

colorectal cancer, national health security system, Thailand

Abstract

This study was a part of the program to develop evaluation capacity of the National Health Security Office (NHSO)’s staff by assigning personal from various strategic groups and regional offices working together in agile teams and colorectal cancer was chosen for the study. Data from NHSO database were analyzed in terms of situations on epidemiology, results of treatment focusing survival rate, and service provisions. The study was performed during August - September B.E.2565. The study reveals colorectal cases were continuously increase. There were 5,245 new cases in fiscal year 2547 and rose to 12,998 cases in fiscal year 2564. Incidence rates during fiscal year 2560-2564 increased from 21.83 to 27.41 cases per 100,000 population. Survival rates at year 1 and year 2 were 67.42 and 54.02% respectively and year 5 was 37.53%. Data concerning treatment with chemotherapy, radiation or surgery indicated that there was no data of such treatment in 54.74-62.89 % of cases, and among cases with existed data, 83.37-87.33 of cases diagnosed during fiscal year 2560-2564 received such treatment initially within 3 months after diagnosis. In addition, number of cases receiving any kind of services rose from 12,732 to 82,680 times during fiscal year 2547 to 2564, while number of treatments with chemotherapy, radiation or surgery rose from 2,041 to 9,626 times during the same period. This study points out that colorectal cancer cases were increasing alarmingly. Researches should be conducted to explore the causes and guide formulation of more effective interventions for further prevention and control. Further health care system should be developed and resources should be prepared to accommodate expected higher number of cases in the future.

Downloads

Download data is not yet available.

References

Srimaserm N, Uasmith Y. Applying the agile principles to develop work systems: a case of the office of the director, Institute of Molecular Biosciences, Mahidol University. Integrated Social Science Journal [Internet]. 2023 [cited 2024 Jan 1];9(2):193-214. Available from: https://so02.tci-thaijo.org/index.php/isshmu/article/view/258383/174517 (in Thai)

World Health Organization. Cancer: key facts [Internet]. 2022 [cited 2024 Jan 1]. Available from: https://who.int/news-room/fact-sheets/detail/cancer

Imsamran W, Chaiwerawattana A, Thanasitthichai S, Laowahutanont P, Sangrajrang S, Supaattagorn P, et al. Cancer. In: Makarasara C, editor. Thailand Medical Services Profile 2011-2014. 1st Edition. Nonthaburi: Department of Medical Services, Ministry of Public Health; 2014. (in Thai)

Attasara P, Sriplung H. Cancer Incidence in Thailand. In: Khuhaprema T, Attasara P, Sriplung H, Wiangnon S, Sangrajrang S, editors. Cancer in Thailand. Bangkok: National Cancer Institute; 2013. p. 8-73.

Rawla P, Sunkara T, Barsouk A. Epidemiology of colorectal cancer: incidence, mortality, survival and risk factors. Prz Gastroenterol [Internet]. 2019 [cited 2024 Jan 1]:14(2):89-103. Available from: https://www.ncbi.nlm.gov/pmc/articles/PMC6791134/

Hull MA. Nutritional prevention of colorectal cancer. Proc Nutr Soc 2021;80(1):59-64.

Cancer Research UK. Survival for bowel cancer [Internet]. 2021 [cited 2024 Jan 1]. Available from: https://www.cancerresearchuk.org/about-cancer/bowel-cancer/survival

National Cancer Institute (TH). Fecal immunochemical test (FIT) [Internet]. Nonthaburi: Department of Medical Services, Ministry of Public Health. [cited 2024 Jan 1]. Available from: https://www.nci.go.th/th/File_download/D_index/ptu/update1761/4.%20วิธีการตรวจอุจจาระ_Update%20V.7%2017-01-61.pdf (in Thai)

National Health Security Office (TH). Public relation news: NHSO participates in the 4 February world cancer day campaign opening the health benefit of the gold card covering services on cancer [Internet]. [cited 2024 Jan 1]. Available from: https://www.nhso.go.th/news/3893 (in Thai)

National Cancer Institute (TH). Clinical practice guidelines on screening, diagnosis and treatment of colorectal cancer [Internet]. Bangkok. Kosit Press; 2021. [cited 2024 Jan 1]. Available from: https://www.nci.go.th/th/cpg/CPG%20Colon%20(020266-final).pdf (in Thai)

Downloads

Published

2024-09-18

How to Cite

1.
Ingun P, Thungthnog J, Thanprasertsuk S, Kaewchompoo T, Vasoppakarn S, Janpet P, Srihinkong N, Sophaphan S, Ngerntangsakool S, Nittayasoot N. Situation of colorectal cancer in the national health security system, Thailand fiscal year 2004-2021. Dis Control J [Internet]. 2024 Sep. 18 [cited 2024 Oct. 14];50(3):513-25. Available from: https://he01.tci-thaijo.org/index.php/DCJ/article/view/270785

Issue

Section

Original Article