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Magnitude and Pattern of Anorectal Problems Among Patients Attending Surgical Departments of Public Hospitals in Addis Ababa, Ethiopia

Received: 17 August 2022     Accepted: 13 September 2022     Published: 29 September 2022
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Abstract

Background: Anorectal disorders include a diverse group of pathological disorders that generate significant patient discomfort and disability. Anorectal disorders are a common reason for visits to both primary care physicians and gastroenterologists. These disorders are varied and include benign condition such as hemorrhoids to more serious condition such as malignancy. Method: cross-sectional study with quantitative approach was deployed to identify the magnitude and pattern of anorectal problems. A total of 1174 adult patients (15 & above years old) visiting emergency and regular surgical OPD was included. Frequency tables and graphs were used to describe the study variables. A logistic regression model was used to measure the association between the predictors and Anorectal malformation, and a P-value < 0.05 was accepted as statistically significant. OR and 95% CI were used to express the direction and strength of the association. Result: One hundred ninety-five (16.6%) CI at 95% (14.5, 18.7) of the study participants had Anorectal problem. Among patients with Anorectal problems, 118 (60.5%) were males & 77 (52.3%) were females. Majority of them 145 (52.3%) are above 30 years. Among diagnosed with Anorectal problems more than half 118 (60.5%) of the problem were hemorrhoid, 73 (37.4%) of the patients were presented with complain of anal pain, and 37 (19.2%) of them with swelling in the anus. Female patients were less likely to develop Anorectal problems than male patients (AOR = 0.67, 95% CI: 0.44, 0.99). More over patient with occupation others like solider, factory worker, shop keeper, office worker, driver were more likely to develop Anorectal problems than patients with occupational status of student (AOR = 4.9, 95% CI: (1.55, 15.82). Conclusion: The goal of this study was to provide base line data on the pattern and magnitude of Anorectal problems based on the data obtained from public hospitals of the capital city of Ethiopia. The magnitude of Anorectal problems is high among surgical patients and sex, occupation and education status are significantly associated with Anorectal problems.

Published in Journal of Surgery (Volume 10, Issue 5)
DOI 10.11648/j.js.20221005.12
Page(s) 149-156
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Anorectal, Malformation, Magnitude, Pattern

References
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[2] Sarkar H, Hassan M, Laila R N. Pattern of Anorectal Disorders in Surgical Practice in Rajsha. TAJ. June 2008; Volume 21 Number 1.
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[4] Tournu G, Abramowitz L, Couffignal C, Juguet F, Sénéjoux A, et al. “Prevalence of anal symptoms in general practice: a prospective study”. BMC Fam Pract (2017); 18: 78.
[5] Kebede DK, Alemayehu A, Binyam G, Yunis M. A historical overview of traditional medicine practices and policy in Ethiopia. Ethiop. J. Health Dev. 2006; 20 (2): 127-134.
[6] Mathias S, Prof. F, Meseret K, et al. The State of Addis Ababa, The Addis Ababa We Want. Nairobi, Kenya: United Nations Human Settelment Programm (UN-Habitate); 2017.
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[15] Azeez A, Uche C, Abanihe I. Socio cultural Context and Determinants of Treatments for Hemorrhoids Among the Nigeria Police Force, Oyo State Command. Journal of Social, Behavioral, and Health Sciences. 2017; (11): 31–46. DOI: 10.5590/JSBHS.2017.11.1.02.
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    Adane Haile, Trhas Tadesse, Ephrem Mamo, Daniel Zemefense, Zelalem Assefa. (2022). Magnitude and Pattern of Anorectal Problems Among Patients Attending Surgical Departments of Public Hospitals in Addis Ababa, Ethiopia. Journal of Surgery, 10(5), 149-156. https://doi.org/10.11648/j.js.20221005.12

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    ACS Style

    Adane Haile; Trhas Tadesse; Ephrem Mamo; Daniel Zemefense; Zelalem Assefa. Magnitude and Pattern of Anorectal Problems Among Patients Attending Surgical Departments of Public Hospitals in Addis Ababa, Ethiopia. J. Surg. 2022, 10(5), 149-156. doi: 10.11648/j.js.20221005.12

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    AMA Style

    Adane Haile, Trhas Tadesse, Ephrem Mamo, Daniel Zemefense, Zelalem Assefa. Magnitude and Pattern of Anorectal Problems Among Patients Attending Surgical Departments of Public Hospitals in Addis Ababa, Ethiopia. J Surg. 2022;10(5):149-156. doi: 10.11648/j.js.20221005.12

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  • @article{10.11648/j.js.20221005.12,
      author = {Adane Haile and Trhas Tadesse and Ephrem Mamo and Daniel Zemefense and Zelalem Assefa},
      title = {Magnitude and Pattern of Anorectal Problems Among Patients Attending Surgical Departments of Public Hospitals in Addis Ababa, Ethiopia},
      journal = {Journal of Surgery},
      volume = {10},
      number = {5},
      pages = {149-156},
      doi = {10.11648/j.js.20221005.12},
      url = {https://doi.org/10.11648/j.js.20221005.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20221005.12},
      abstract = {Background: Anorectal disorders include a diverse group of pathological disorders that generate significant patient discomfort and disability. Anorectal disorders are a common reason for visits to both primary care physicians and gastroenterologists. These disorders are varied and include benign condition such as hemorrhoids to more serious condition such as malignancy. Method: cross-sectional study with quantitative approach was deployed to identify the magnitude and pattern of anorectal problems. A total of 1174 adult patients (15 & above years old) visiting emergency and regular surgical OPD was included. Frequency tables and graphs were used to describe the study variables. A logistic regression model was used to measure the association between the predictors and Anorectal malformation, and a P-value Result: One hundred ninety-five (16.6%) CI at 95% (14.5, 18.7) of the study participants had Anorectal problem. Among patients with Anorectal problems, 118 (60.5%) were males & 77 (52.3%) were females. Majority of them 145 (52.3%) are above 30 years. Among diagnosed with Anorectal problems more than half 118 (60.5%) of the problem were hemorrhoid, 73 (37.4%) of the patients were presented with complain of anal pain, and 37 (19.2%) of them with swelling in the anus. Female patients were less likely to develop Anorectal problems than male patients (AOR = 0.67, 95% CI: 0.44, 0.99). More over patient with occupation others like solider, factory worker, shop keeper, office worker, driver were more likely to develop Anorectal problems than patients with occupational status of student (AOR = 4.9, 95% CI: (1.55, 15.82). Conclusion: The goal of this study was to provide base line data on the pattern and magnitude of Anorectal problems based on the data obtained from public hospitals of the capital city of Ethiopia. The magnitude of Anorectal problems is high among surgical patients and sex, occupation and education status are significantly associated with Anorectal problems.},
     year = {2022}
    }
    

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  • TY  - JOUR
    T1  - Magnitude and Pattern of Anorectal Problems Among Patients Attending Surgical Departments of Public Hospitals in Addis Ababa, Ethiopia
    AU  - Adane Haile
    AU  - Trhas Tadesse
    AU  - Ephrem Mamo
    AU  - Daniel Zemefense
    AU  - Zelalem Assefa
    Y1  - 2022/09/29
    PY  - 2022
    N1  - https://doi.org/10.11648/j.js.20221005.12
    DO  - 10.11648/j.js.20221005.12
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 149
    EP  - 156
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.20221005.12
    AB  - Background: Anorectal disorders include a diverse group of pathological disorders that generate significant patient discomfort and disability. Anorectal disorders are a common reason for visits to both primary care physicians and gastroenterologists. These disorders are varied and include benign condition such as hemorrhoids to more serious condition such as malignancy. Method: cross-sectional study with quantitative approach was deployed to identify the magnitude and pattern of anorectal problems. A total of 1174 adult patients (15 & above years old) visiting emergency and regular surgical OPD was included. Frequency tables and graphs were used to describe the study variables. A logistic regression model was used to measure the association between the predictors and Anorectal malformation, and a P-value Result: One hundred ninety-five (16.6%) CI at 95% (14.5, 18.7) of the study participants had Anorectal problem. Among patients with Anorectal problems, 118 (60.5%) were males & 77 (52.3%) were females. Majority of them 145 (52.3%) are above 30 years. Among diagnosed with Anorectal problems more than half 118 (60.5%) of the problem were hemorrhoid, 73 (37.4%) of the patients were presented with complain of anal pain, and 37 (19.2%) of them with swelling in the anus. Female patients were less likely to develop Anorectal problems than male patients (AOR = 0.67, 95% CI: 0.44, 0.99). More over patient with occupation others like solider, factory worker, shop keeper, office worker, driver were more likely to develop Anorectal problems than patients with occupational status of student (AOR = 4.9, 95% CI: (1.55, 15.82). Conclusion: The goal of this study was to provide base line data on the pattern and magnitude of Anorectal problems based on the data obtained from public hospitals of the capital city of Ethiopia. The magnitude of Anorectal problems is high among surgical patients and sex, occupation and education status are significantly associated with Anorectal problems.
    VL  - 10
    IS  - 5
    ER  - 

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Author Information
  • Department of Surgery, Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia

  • Public Health Department, Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia

  • Public Health Department, Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia

  • Department of Surgery, College of Health Science, Addis Ababa, Ethiopia

  • Department of Surgery, College of Health Science, Addis Ababa, Ethiopia

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