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Please use this identifier to cite or link to this item: http://hdl.handle.net/1807/17228

Title: The Processes of Care after Colorectal Cancer Surgery in Ontario
Authors: Tan, Jensen Chi Cheng
Advisor: Law, Calvin
Hodgson, David
Department: Health Policy, Management and Evaluation
Keywords: colorectal cancer
surveillance
relapse
Issue Date: 26-Feb-2009
Abstract: Colorectal cancer (CRC) is common in Ontario. This study described the processes of care following CRC resection, and identified CRC relapse from administrative data. Methods: CRC patients aged 18-80 from 1996-2001 with a colorectal resection were identified from the Ontario Cancer Registry. Linked discharge abstracts and physician billings were examined for physician visits, body imaging and endoscopy over the 5 year follow-up period. Administrative codes suggesting disease relapse were compared with patient charts. Results: Overall, 12,804 patients were identified and 8,804 had no evidence of relapse. Most (96.2%) patients had general practitioner follow-up, while 49.3% had medical oncology and 80.4% had general surgery follow-up. Greater than 90% of patients received endoscopy, while only 68.7% of patients received body imaging. Detecting disease relapse was 87.5% sensitive and 93.0% specific. Conclusions: There is potential for improving post-resectional follow-up in CRC patients. It is possible to detect relapse through administrative databases.
URI: http://hdl.handle.net/1807/17228
Appears in Collections:Master
The Institute of Health Policy, Management and Evaluation - Master theses

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