PT - JOURNAL ARTICLE AU - Nicole Kloos AU - Daniela Keren AU - Sean Gregg AU - Anthony R. Maclean AU - Elijah Dixon AU - Rachid Mohamed AU - Ryan Rochon AU - Chad G. Ball TI - Can we improve the efficiency of care in patients with colorectal cancer from the time of their initial referral for colonoscopy to surgical resection? AID - 10.1503/cjs.008818 DP - 2019 Feb 01 TA - Canadian Journal of Surgery PG - E4--E6 VI - 62 IP - 1 4099 - http://canjsurg.ca/content/62/1/E4.short 4100 - http://canjsurg.ca/content/62/1/E4.full SO - CAN J SURG2019 Feb 01; 62 AB - Delays in the diagnosis and treatment of colon adenocarcinoma are distressing to patients and clinicians alike. Of 224 patients with resected colon cancer identified via a province-wide administrative database, 170 (76%) received their colonoscopy from a gastroenterologist (GI). Patients waited significantly longer between their colonoscopy and surgical resection when the colonoscopy was performed by a GI within an urban city (43 v. 27 d; p = 0.02). The total time from family practice referral to colonoscopy to surgical resection was shorter when a surgeon performed colonoscopy within an urban setting (105 v. 114 d; p = 0.03). In community settings, there were no significant differences in any interval, regardless of which service performed the colonoscopy.