Evidence map›Paper›PMID 27446872›Full record

ArticleCanadian journal of gastroenterology & hepatology2016

Time to Endoscopy in Patients with Colorectal Cancer: Analysis of Wait-Times.

Renée M Janssen, Oliver Takach, Estello Nap-Hill, Robert A Enns

Registry-linked trialAbstract readEvaluation Study
In one paragraph

Article in Canadian journal of gastroenterology & hepatology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04889352 (Optimizing Timing of Follow-up Colonoscopy), which is not on this map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04889352 nacompletednot on this mapstarted 2021, after this paper: background citation

Optimizing Timing of Follow-up Colonoscopy: A Pilot Cluster Randomized Trial to Test the Utility of a Knowledge Translation Tool

TypeinterventionalSponsorUniversity of ManitobaRan2021 to 2022Enrolled29ConditionsColo-rectal Cancer, Colon Polyp, Colonic Polyp, Rectal PolypArmsAccess to colonoscopy web app
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Renée M JanssenDepartment of Medicine, University of British Columbia Faculty of Medicine, Vancouver, BC, Canada V5Z 1M9.
Oliver TakachDivision of Gastroenterology, St. Paul's Hospital, University of British Columbia Faculty of Medicine, Vancouver, BC, Canada V6Z 2K5.
Estello Nap-HillDivision of Gastroenterology, St. Paul's Hospital, University of British Columbia Faculty of Medicine, Vancouver, BC, Canada V6Z 2K5.
Robert A EnnsDivision of Gastroenterology, St. Paul's Hospital, University of British Columbia Faculty of Medicine, Vancouver, BC, Canada V6Z 2K5; Department of Medicine, Division of Gastroenterology, St. Paul's Hospital, Vancouver, BC, Canada V6Z 2K5.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective. The Canadian Association of Gastroenterology Wait Time Consensus Group recommends that patients with symptoms associated with colorectal cancer (CRC) should have an endoscopic examination within 2 months. However, in a recent survey of Canadian gastroenterologists, wait-times for endoscopy were considerably longer than the current guidelines recommend. The purpose of this study was to evaluate wait-times for colonoscopy in patients who were subsequently found to have CRC through the Division of Gastroenterology at St. Paul's Hospital (SPH). Methods. This study was a retrospective chart review of outpatients seen for consultation and endoscopy ultimately diagnosed with CRC. Subjects were identified through the SPH pathology database for the inclusion period 2010 through 2013. Data collected included wait-times, subject characteristics, cancer characteristics, and outcomes. Results. 246 subjects met inclusion criteria for this study. The mean wait-time from primary care referral to first office visit was 63 days; the mean wait-time to first endoscopy was 94 days. Patients with symptoms waited a mean of 86 days to first endoscopy, considerably longer than the national recommended guideline of 60 days. There was no apparent effect of length of wait-time on node positivity or presence of distant metastases at the time of diagnosis. Conclusion. Wait-times for outpatient consultation and endoscopic evaluation at the St. Paul's Hospital Division of Gastroenterology exceed current guidelines.

Indexed as

Time FactorsWaiting ListsAdultAgedBritish ColumbiaColonoscopyColorectal NeoplasmsDelayed DiagnosisFemaleHumansMaleMiddle AgedReferral and ConsultationRetrospective StudiesSurveys and Questionnaires

Identifiers

PMID27446872
PMCPMC4904636

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.