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Home
Research Domains
Biomedical And Clinical Sciences
Oncology And Carcinogenesis
Predictive And Prognostic Markers
Risk Factors For Suboptimal Colon Cancer Diagnosis And Management At A Safety-net Hospital System.

Home
Research Domains
Biomedical And Clinical Sciences
Oncology And Carcinogenesis
Predictive And Prognostic Markers
Risk Factors For Suboptimal Colon Cancer Diagnosis And Management At A Safety-net Hospital System.

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Competing-Risk Nomogram for Predicting Cancer-Specific Survival in Multiple Primary Colorectal Cancer Patients after Surgery

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Published on: September 27, 2024

Risk Factors for Suboptimal Colon Cancer Diagnosis and Management at a Safety-Net Hospital System.

Ju Young Lee¹, Erik Pihl², Hye Kwang Kim³

¹David Geffen School of Medicine, UCLA, Los Angeles, California.

The Journal of Surgical Research

|June 26, 2024

View abstract on PubMed

Summary

This summary is machine-generated.

This study found no significant demographic factors delaying colon cancer diagnosis or treatment. Delays were primarily due to optimizing comorbidities before surgery and surgery delays impacting chemotherapy initiation.

Keywords:

Adjuvant chemotherapy Colon cancer Colonoscopy FIT

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Evaluation of Colorectal Cancer Risk and Prevalence by Stool DNA Integrity Detection

Evaluation of Colorectal Cancer Risk and Prevalence by Stool DNA Integrity Detection

Published on: June 8, 2020

Area of Science:

Oncology
Public Health
Health Services Research

Background:

Colon cancer (CC) is a leading cause of cancer mortality in the US.
Quality measures exist for optimal CC management.
This study investigated delays in CC diagnosis and treatment at a safety-net hospital.

Purpose of the Study:

Identify factors hindering timely diagnosis and treatment of colon cancer.
Analyze delays from positive fecal immunochemical test to colonoscopy.
Examine delays from diagnosis to surgery and adjuvant chemotherapy.

Main Methods:

Retrospective chart review of 190 nonmetastatic CC patients (2018-2021).
Primary outcomes: time to colonoscopy, surgery, and chemotherapy.
Secondary outcomes: demographic factors associated with delays.

Surgical resection

Main Results:

74.1% had colonoscopy within 180 days of positive fecal test.
59.6% of nonemergent cases had surgery within 60 days.
77% eligible received chemotherapy within 120 days.
No significant demographic factors correlated with delays.
Comorbidity optimization (38.0%) and prior surgery delays (71.4%) were key reasons.

Conclusions:

No significant demographic factors were linked to delays in colon cancer care.
Care delays were mainly attributed to medical management and treatment sequencing.