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Wait Times in Colon Cancer Care Delivery: An Analysis of Disparate Factors and Delay
Mariana Tumminello1, Jacob Broome1, Chelsea McDermott1
1Department of General and Colorectal Surgery, Medstar Georgetown University Hospital, Washington, District of Columbia.
Introduction:
Delays in colorectal cancer (CRC) care can heighten patient stress. Our aim was to identify factors that influence wait times at various time points along a CRC patient's treatment journey and the barriers to staging and definitive treatment of nonmetastatic CRC.
Methods:
We performed a retrospective review of patients with nonmetastatic colon cancer who underwent nonemergent colon surgeries at a single, academic center (2017-2022). Time intervals (in days) from points along the colon cancer journey were evaluated.
Results:
Two hundred thirty-three patients were included. Median time from diagnosis to staging was 9 d, diagnosis to Colorectal Surgery visit was 15 d, Colorectal Surgery visit to surgery was 33 d, surgery to discharge was 3 d, and discharge to Medical Oncology visit was 23 d. Patients >65 y and those with Medicaid/Medicare required more frequent preoperative risk stratification and specialty consults (both P < 0.0001).
Conclusions:
By evaluating patient-specific reasons for delay, we may be able to improve our timeline for delivery of care to patients with CRC.
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