Wait Times from Presentation to Treatment for Colorectal Cancer: A Population-Based Study
| Autor: | S Latosinksy, M Cheang, C De Coster, D Turner, Marshall Pitz, Katherine Fradette, Emma Shu, Harminder Singh |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2010 |
| Předmět: |
Male
medicine.medical_specialty Delayed Diagnosis Time Factors Urban Population Waiting Lists Colorectal cancer Population Adenocarcinoma Health Services Accessibility Cohort Studies Internal medicine medicine Humans Registries lcsh:RC799-869 education Referral and Consultation Aged Proportional Hazards Models Retrospective Studies Aged 80 and over education.field_of_study business.industry Proportional hazards model Fecal occult blood Age Factors Gastroenterology Cancer Retrospective cohort study Manitoba General Medicine Middle Aged medicine.disease Surgery Cancer registry Original Article Female lcsh:Diseases of the digestive system. Gastroenterology business Colorectal Neoplasms Cohort study |
| Zdroj: | Canadian Journal of Gastroenterology, Vol 24, Iss 1, Pp 33-39 (2010) |
| ISSN: | 0835-7900 |
| Popis: | BACKGROUND: The wait time from cancer diagnosis to treatment has been a recent focus of cancer care in Canada.OBJECTIVE: To examine the trends in wait times from patient presentation to treatment (overall health system wait time [OWT]) for colorectal cancer (CRC).METHODS: Patients with colorectal adenocarcinomas, diagnosed between 2001 and 2005, and their first definitive treatments were identified from the population-based Manitoba Cancer Registry (Winnipeg, Manitoba). By linkage to Manitoba Health and Healthy Living’s administrative databases, a patient’s first gastrointestinal investigation (abdominal radiological imaging, lower gastrointestinal endoscopy or fecal occult blood test) before CRC diagnosis was identified. The index contact with the health care system was estimated from the date of the visit with the physician who ordered the first gastroenterological investigation. The OWT was defined as the time from the index contact to the first treatment, while diagnostic delay was defined as the time from the index contact to the diagnosis of CRC. Multivariate Cox regression analysis was performed to determine independent predictors of OWT.RESULTS: The OWT was estimated for 2552 cases of CRC over the five years that were examined. The median OWT increased from 61 days in 2001 to 95 days in 2005 (PCONCLUSIONS: The OWT from presentation to treatment of CRC in Manitoba steadily increased between 2001 and 2005, mostly due to diagnostic delays. |
| Databáze: | OpenAIRE |
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