Can we improve the efficiency of care in patients with colorectal cancer from the time of their initial referral for colonoscopy to surgical resection?

Can we improve the efficiency of care in patients with colorectal cancer from the time of their initial referral for colonoscopy to surgical resection?

Can J Surg 2019;62(1):E4-E6 | PDF

Nicole Kloos, MD*; Daniela Keren, MD*; Sean Gregg, MD; Anthony R. Maclean, MD; Elijah Dixon, MD; Rachid Mohamed, MD; Ryan Rochon, MD, MSc; Chad G. Ball, MD, MSc

Summary

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.


This manuscript was presented at the American Society of Colon and Rectal Surgeons Annual Scientific Meeting, Nashville, TN, May 9–23, 2018.

*These authors contributed equally to this work.

Accepted Sept. 28, 2018

Affiliations: From the Department of Surgery, Cumming School of Medicine, University of Calgary, Calgary, Alta. (Kloos, Keren, Gregg, Dixon, Rochon, Ball); and the Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB (Mohamed).

Competing interests: None declared.

Contributors: All authors contributed substantially to the conception, writing and revision of this article and approved the final version for publication.

DOI: 10.1503/cjs.008818

Correspondence to: C.G. Ball, Foothills Medical Centre, 1403 – 29 St NW, Calgary AB T2N 2T9, ball.chad@gmail.com