%0 Journal Article
%T Can we improve the efficiency of care in patients with colorectal cancer from the time of their initial referral for colonoscopy to surgical resection?
%A Anthony R. Maclean
%A Chad G. Ball
%A Daniela Keren
%A Elijah Dixon
%A Nicole Kloos
%A Rachid Mohamed
%A Ryan Rochon
%A Sean Gregg
%J Archive of "Canadian Journal of Surgery".
%D 2019
%R 10.1503/cjs.008818
%X Delays in the diagnosis and treatment of colon adenocarcinoma are distressing to patients and clinicians alike. Of 224 patients with resected colon cancer identified via a province-wide administrative database, 170 (76%) received their colonoscopy from a gastroenterologist (GI). Patients waited significantly longer between their colonoscopy and surgical resection when the colonoscopy was performed by a GI within an urban city (43 v. 27 d; p = 0.02). The total time from family practice referral to colonoscopy to surgical resection was shorter when a surgeon performed colonoscopy within an urban setting (105 v. 114 d; p = 0.03). In community settings, there were no significant differences in any interval, regardless of which service performed the colonoscopy
%U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6351269/