ArticleCanadian journal of surgery. Journal canadien de chirurgie2014
A patient-centred approach toward surgical wait times for colon cancer: a population-based analysis.
Article in Canadian journal of surgery. Journal canadien de chirurgie, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Clinical Delays and Comparative Outcomes in Younger and Older Adults with Colorectal Cancer: A Systematic Review.Current oncology (Toronto, Ont.) · 2022Pooled it
- Time to diagnosis and treatment in younger adults with colorectal cancer: A systematic review.PloS one · 2022Pooled it
- Trial
- A population-based study on the impact of social determinants of health on time to treatment of stage I lung cancer in Ontario, Canada.BMC cancer · 2026Article
- Signals of inequity in the care pathway: rural lab diagnosis, systemic therapy delays, and RAS mutation differences in metastatic colorectal cancer.Frontiers in oncology · 2026Article
- Association of time to resection with survival in patients with colon cancer.Surgical endoscopy · 2024Article
- Small-Area Geographic and Socioeconomic Inequalities in Colorectal Cancer in Cyprus.International journal of environmental research and public health · 2022Article
- Time to treatment of esophageal cancer in Ontario: A population-level cross-sectional study.JTCVS open · 2022Article
- Time to Surgery for Patients with Esophageal Cancer Undergoing Trimodal Therapy in Ontario: A Population-Based Cross-Sectional Study.Current oncology (Toronto, Ont.) · 2022Article
- Barriers to colonoscopy in remote northern Canada: an analysis of cancellations.International journal of circumpolar health · 2020Article
- Reliance on Self-Medication Increase Delays in Diagnosis and Management of GI Cancers: Results From Nepal.JCO global oncology · 2020Article
- Care of acute conditions and chronic diseases in Canada and the United States: Rapid systematic review and meta-analysis.Journal of public health research · 2019Article
- Can we improve the efficiency of care in patients with colorectal cancer from the time of their initial referral for colonoscopy to surgical resection?Canadian journal of surgery. Journal canadien de chirurgie · 2019Article
- Four-week prehabilitation program is sufficient to modify exercise behaviors and improve preoperative functional walking capacity in patients with colorectal cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2017Article
- Time to Endoscopy in Patients with Colorectal Cancer: Analysis of Wait-Times.Canadian journal of gastroenterology & hepatology · 2016Article
- Colon cancer care and survival: income and insurance are more predictive in the USA, community primary care physician supply more so in Canada.International journal for equity in health · 2015Article
- Ontario wait times for delayed surgical treatment of traumatic peripheral nerve injury.Canadian journal of surgery. Journal canadien de chirurgieArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAdministrative wait times reflect the time from the decision to treat until surgery; however, this does not reflect the total time a patient actually waits for treatment. Several factors may prolong the wait for colon cancer surgery. We sought to analyze the time from the date of surgical consultation to the date of surgery and any events within this time frame that may extend wait times.
methodsWe retrospectively reviewed the cases of all adult patients in Ontario aged 18-80 years with diagnosed colon cancer who did not receive neoadjuvant therapy and underwent resection electively between Jan. 1, 2002, and Dec. 31, 2009. Wait times were measured from the date of surgical consultation to the date of surgery. We chose a wait time of 28 days, reflecting local administrative targets, as a comparative benchmark. We performed univariate and multivariate analyses to identify variables contributing to a waits longer than 28 days. Variables were analyzed in continuous linear and logistic regression models.
resultsWe included 10 223 patients in our study. The median wait time from initial surgical consultation to resection was 31 (range 0-182) days. Age older than 65 years had a negative impact on wait time. Preoperative services, including computed tomography, cardiac consultation, echocardiography, multigated acquisition scan, magnetic resonance imaging, colonoscopy and cardiac catheterization also significantly increased wait times. Wait times were longer in rural hospitals.
conclusionPreoperative services significantly increased wait times between initial surgical consultation and surgery.
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