Referral pathways in colorectal cancer: an audit of surgeons' records

Spigelman, Allan D., Pascoe, Shane W., Harris, Mark F., Beilby, Justin J., Crossland, Lisa J., Gett, Rohan M., Barton, Michael B., and Jayasinghe, Upali W. (2013) Referral pathways in colorectal cancer: an audit of surgeons' records. Australian Health Review, 37 (4). pp. 449-452.

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Abstract

Purpose: To explore the referral pathways of patients with newly diagnosed colorectal cancer to surgeons.

Method: Australian surgeons from three states completed a questionnaire and their records were audited.

Results: Thirty-three surgeons provided data on 530 patients seen in the preceding 12 months. The median time between colonoscopy and first surgical consult was 10 days, with 19% of patients waiting more than 28 days. After adjustment for clustering, no surgeon factors were associated with the number of days between colonoscopy and surgery. A report back to the general practitioner (GP) was found in 78% of patients' records. This feedback varied between surgeons but none of the specific surgeon characteristics examined could explain this.

Conclusion: Surgeons usually communicated with GP regardless of whether they were the referral source. However, communication with GP varied considerably among surgeons, with no evidence of a report to the GP in one-fifth of cases.

Item ID: 32979
Item Type: Article (Research - C1)
ISSN: 1449-8944
Date Deposited: 30 Apr 2014 09:35
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1112 Oncology and Carcinogenesis > 111299 Oncology and Carcinogenesis not elsewhere classified @ 100%
SEO Codes: 92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920102 Cancer and Related Disorders @ 60%
92 HEALTH > 9202 Health and Support Services > 920204 Evaluation of Health Outcomes @ 40%
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