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A Straight to Test Pathway in Colorectal Cancer Referrals Tailor Made for an Elderly and Frail Population
Colorectal Disease ; 23(SUPPL 1):35, 2021.
Article in English | EMBASE | ID: covidwho-1457756
ABSTRACT

Purpose:

The number of target colorectal cancer [TCC] referrals continues to rise, particularly in the elderly and frail population. Here we evaluate the outcome of patients over 80 seen in clinic not qualifying for our Straight To Test (STT) scheme. We aim to propose an alternative, cost-effective pathway for these vulnerable patients in a Covid-19 era.

Method:

A retrospective observational study of 267 >80-year- old patients referred to the STT service over a 3 month period. Data on demographics, investigations and outcome was taken from the electronic patient record system and analysed.

Results:

Of the 171 patients having a face-to- face appointment;90% had a CT (including virtual colonoscopy) requested as deemed unfit for bowel prep/endoscopy. Comparing patients only having a CT with those having more invasive investigations, they were older and frailer (WHO performance score of >2) (P = 0.0017∗ and 0.005∗ ∗) but there was no difference in discharge frequency (P = 0.45∗ ∗) and identification of Lower GI or other malignancy (P = 0.48 and 0.63∗ ∗).

Conclusion:

Selection of patients based on their age and frailty to go directly to CT is a safe and effective strategy in TCC referrals processed by a STT service without comprising outcome. This process may lead to higher patient satisfaction as well as fulfilling current Clinical Practice Groups' key performance indicators.

Full text: Available Collection: Databases of international organizations Database: EMBASE Language: English Journal: Colorectal Disease Year: 2021 Document Type: Article

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Full text: Available Collection: Databases of international organizations Database: EMBASE Language: English Journal: Colorectal Disease Year: 2021 Document Type: Article