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|Title: ||The Processes of Care after Colorectal Cancer Surgery in Ontario|
|Authors: ||Tan, Jensen Chi Cheng|
|Advisor: ||Law, Calvin|
|Department: ||Health Policy, Management and Evaluation|
|Keywords: ||colorectal cancer|
|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.|
|Appears in Collections:||Master|
The Institute of Health Policy, Management and Evaluation - Master theses
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