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Updated: Dec 22, 2025
E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
Reducing time from colon cancer surgery to initiation of adjuvant chemotherapy: pilot project
Barbara Melosky1, Renata D'Alpino Peixoto1, Ahmer A Karimuddin1
1From the BC Cancer Vancouver Centre, Vancouver, BC (Melosky, Brown); the Hospital Alemão Oswaldo Cruz, São Paulo, Brazil (Peixoto); St. Paul's Hospital, Vancouver, BC (Karimuddin, Raval, Brown, Phang); the Department of Medicine, University of British Columbia, Vancouver, BC (Raval, Brown, Meneghetti, Phang); and the Vancouver General Hospital, Vancouver, BC (Meneghetti).
Summary:
Surgical resection followed by adjuvant chemotherapy is the standard of care for patients with stage III colon cancer. To shorten the time interval between surgery and chemotherapy in patients with colon cancer, we instituted a standardized referral pathway. Evaluation of the intervention demonstrated that referring our patients with colon cancer to a medical oncologist earlier in the treatment process increased the number of patients in whom chemotherapy was initiated within 8 weeks compared with historical controls. These results support early medical oncology referral at institutions where delays in adjuvant chemotherapy initiation exist.
