The colorectal cancer patients' journey: the Auckland region.

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dc.contributor.author Findlay, Michael en
dc.contributor.author Murray, M en
dc.contributor.author Brown, J en
dc.contributor.author Hinder, V en
dc.contributor.author Merrie, A en
dc.contributor.author Hill, A en
dc.contributor.author Hulme-Moir, M en
dc.contributor.author Sharples, K en
dc.date.accessioned 2012-05-24T19:42:23Z en
dc.date.issued 2011 en
dc.identifier.citation New Zealand Medical Journal 124(1331) 2011 en
dc.identifier.issn 0028-8446 en
dc.identifier.uri http://hdl.handle.net/2292/18368 en
dc.description.abstract Aim To identify the time taken from referral to first treatment of patients with colorectal cancer (CRC) in the Auckland region and benchmark these against available guidelines for timeliness. Method Retrospective study of clinical records of all patients diagnosed with CRC identified from the national registry and Auckland regional databases in the years 2001 and 2005. Data extracted included demographics, dates and types of interventions and the patient journey from referral to initiation of first treatment. Results Of the 1128 patients diagnosed and treated in these cohorts, 68% were referred through their general practitioner and 58% saw a surgeon at their first specialist appointment. Seventy-nine percent received initial treatment with curative intent. The median time from initial referral to first treatment was 35 days, with only 68% of patients being treated within 62 days of initial referral. Conclusion The colorectal patient journey is complicated by multiple pathways of presentation and treatment and by patient choice. These factors need to be considered when assessing the acceptability of transit times based on summary data. That nearly one-third of patients did not complete the United Kingdom-based target of 62 days from referral to first treatment indicates there is a need for further improvement in service delivery for patients developing CRC in the Auckland region. en
dc.publisher New Zealand Medical Association en
dc.relation.ispartofseries New Zealand Medical Journal en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from http://www.sherpa.ac.uk/romeo/issn/0028-8446/ en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.title The colorectal cancer patients' journey: the Auckland region. en
dc.type Journal Article en
pubs.issue 1331 en
pubs.volume 124 en
dc.rights.holder Copyright: New Zealand Medical Association en
pubs.author-url http://journal.nzma.org.nz/journal/124-1331/4578/ en
pubs.publication-status Published en
dc.rights.accessrights http://purl.org/eprint/accessRights/RestrictedAccess en
pubs.subtype Article en
pubs.elements-id 206637 en
pubs.org-id Medical and Health Sciences en
pubs.org-id Medical Sciences en
pubs.org-id Oncology en
pubs.org-id Science en
pubs.org-id Science Research en
pubs.org-id Maurice Wilkins Centre (2010-2014) en
pubs.record-created-at-source-date 2011-02-28 en


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