The Journal of surgical research · 2025
Wait Times in Colon Cancer Care Delivery: An Analysis of Disparate Factors and Delay.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
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Tumminello Mariana, Broome Jacob, McDermott Chelsea, Holleran Timothy, Berkey Sara, Ali Preetha, Bello Brian, Sun Zhifei
Аннотация
INTRODUCTION: Delays in colorectal cancer (CRC) care can heighten patient stress. Our aim was to identify factors that influence wait times at various time points along a CRC patient's treatment journey and the barriers to staging and definitive treatment of nonmetastatic CRC.
METHODS: We performed a retrospective review of patients with nonmetastatic colon cancer who underwent nonemergent colon surgeries at a single, academic center (2017-2022). Time intervals (in days) from points along the colon cancer journey were evaluated.
RESULTS: Two hundred thirty-three patients were included. Median time from diagnosis to staging was 9 d, diagnosis to Colorectal Surgery visit was 15 d, Colorectal Surgery visit to surgery was 33 d, surgery to discharge was 3 d, and discharge to Medical Oncology visit was 23 d. Patients >65 y and those with Medicaid/Medicare required more frequent preoperative risk stratification and specialty consults (both P < 0.0001).
CONCLUSIONS: By evaluating patient-specific reasons for delay, we may be able to improve our timeline for delivery of care to patients with CRC.
METHODS: We performed a retrospective review of patients with nonmetastatic colon cancer who underwent nonemergent colon surgeries at a single, academic center (2017-2022). Time intervals (in days) from points along the colon cancer journey were evaluated.
RESULTS: Two hundred thirty-three patients were included. Median time from diagnosis to staging was 9 d, diagnosis to Colorectal Surgery visit was 15 d, Colorectal Surgery visit to surgery was 33 d, surgery to discharge was 3 d, and discharge to Medical Oncology visit was 23 d. Patients >65 y and those with Medicaid/Medicare required more frequent preoperative risk stratification and specialty consults (both P < 0.0001).
CONCLUSIONS: By evaluating patient-specific reasons for delay, we may be able to improve our timeline for delivery of care to patients with CRC.