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    Can the National Health Service Cancer Plan timeline be applied to colorectal hepatic metastases?

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    Authors
    Jones, Claire
    Badger, Stephen A
    McClements, Jane
    McKie, Lloyd
    Diamond, Tom
    Taylor, Mark A
    Affiliation
    Hepatobiliary Surgical Unit, Mater Hospital, Belfast, UK. cjones82@hotmail.co.uk
    Issue Date
    2012-02-01T11:08:58Z
    MeSH
    Aged
    *Colorectal Neoplasms
    Female
    Guideline Adherence
    Humans
    Liver Neoplasms/*secondary/*surgery
    Male
    Medical Audit
    Middle Aged
    Northern Ireland
    Practice Guidelines as Topic
    Referral and Consultation/standards/statistics & numerical data
    State Medicine/*standards
    Time Factors
    *Waiting Lists
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    Citation
    Ann R Coll Surg Engl. 2010 Mar;92(2):136-8.
    Journal
    Annals of the Royal College of Surgeons of England
    URI
    http://hdl.handle.net/10147/207846
    DOI
    10.1308/003588410X12628812458734
    PubMed ID
    20353641
    Abstract
    INTRODUCTION: The National Health Service (NHS) Cancer Plan guidelines recommend a maximum 2-week wait from referral to first appointment, and 2 months from referral to treatment for primary cancers. However, there are currently no guidelines available for metastatic disease. In the UK, nearly half of all colorectal cancer patients develop hepatic metastases. Timely, surgical resection offers the potential for cure. The aim of this study was to audit current practice for colorectal liver metastases in a regional hepatobiliary unit, and compare this to the NHS Cancer Plan standards for primary disease. PATIENTS AND METHODS: A retrospective review of the unit's database was performed for all hepatic metastases referrals from January 2006 to December 2008. The dates of referral, first appointment, investigations and initiation of treatment, along with patient's age and sex, were recorded on Microsoft Excel and analysed. Time was expressed as mean +/- SD in days. RESULTS: A total of 102 patients with hepatic metastases were identified. Five were excluded due to incomplete data. The average time from referral to first appointment was 10.6 +/- 9.4 days and the average time from referral to treatment was 38.5 +/- 28.6 days. Seventy-five (72.7%) had surgical intervention, of whom 37 also had chemotherapy. CONCLUSIONS: The data compare favourably to the NHS Cancer Plan guidelines for primary malignancy, demonstrating that a regional hepatobiliary unit is capable of delivering a service for colorectal liver metastases that adheres to the NHS Cancer Plan. Therefore, the NHS Cancer Plan can be applied to this cohort.
    Language
    eng
    ISSN
    1478-7083 (Electronic)
    0035-8843 (Linking)
    ae974a485f413a2113503eed53cd6c53
    10.1308/003588410X12628812458734
    Scopus Count
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    Mater Misericordiae Hospital

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