RT Journal Article
SR Electronic
T1 Can we improve the efficiency of care in patients with colorectal cancer from the time of their initial referral for colonoscopy to surgical resection?
JF Canadian Journal of Surgery
JO CAN J SURG
FD Canadian Medical Association
SP E4
OP E6
DO 10.1503/cjs.008818
VO 62
IS 1
A1 Nicole Kloos
A1 Daniela Keren
A1 Sean Gregg
A1 Anthony R. Maclean
A1 Elijah Dixon
A1 Rachid Mohamed
A1 Ryan Rochon
A1 Chad G. Ball
YR 2019
UL http://canjsurg.ca/content/62/1/E4.abstract
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.