期刊
COLORECTAL DISEASE
卷 14, 期 4, 页码 E177-E180出版社
WILEY-BLACKWELL
DOI: 10.1111/j.1463-1318.2011.02826.x
关键词
Colorectal Cancer; 2-week wait; referral guidelines; cancer survival
Aim The aim of this study was to compare 5-year survival rates in colorectal cancer (CRC) patients who underwent potentially curative surgery before and after the introduction of the 2-week wait (2WW) referral system. Method Data were collected retrospectively from a prospectively maintained cancer database for CRC patients who underwent surgery in 1999 (pre-2WW group, n = 150) and 2002 (post-2WW group, n = 126). Patients who presented as an emergency, those who died within 30 days of surgery and those who presented with incurable CRCwere excluded. Weused the Kaplan-Meier method to plot survival curves and the log rank test to compare survival rates between the two groups. Results The 5-year survival rates in the pre-2WW and post-2WW groups did not differ significantly (71% vs 72%, respectively; P = 0.880). The number of CRC patients who presented via urgent pathways was higher in the post-2WW group than in the pre-2WW group (77% vs 38%, P < 0.001). Further, owing to this change in the referral pattern, the overall delay between referral and treatment was significantly lower in the post-2WW group than in the pre-2WW group (median 76 days vs 115, P = 0.009). Conclusion The 2WW referral system for patients with symptoms of CRC does not translate into improved survival. However, more patients with symptomatic CRC are being referred via urgent pathways.
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