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Managing Colorectal Cancers In The NHS
June 28, 2004How best to detect and manage bowel cancer is the subject of the latest issue of EFFECTIVE HEALTH CARE.
Colorectal (bowel) cancer is the second most common cause of cancer death in England and Wales. Early detection and good management result in improved survival rates.
Improvements have been made in the provision of services and treatment of colorectal cancers, but wide variations still exist across the country. There are still patients who fit the NHS 'two-week wait' criteria who are not being referred as urgent.
On 25 June 2004, the National Institute of Clinical Excellence (NICE) published an update of the guidance on improving outcomes in colorectal cancers. EFFECTIVE HEALTH CARE summarises the research evidence that informed this update. This reveals that:
Where open-access clinics for patients with bowel symptoms are provided, they have helped reduce overall waiting times and detect cancers at an earlier stage.
Lack of trained endoscopists is a major constraint to the expansion of secondary care services. This problem may be eased with the use of appropriately trained nurses and GPs, who are already providing a safe and accurate service in some centres, to the satisfaction of their patients.
Good surgery - in particular, total mesorectal excision (TME) for patients with rectal cancer - can reduce the chances of a recurrence and improve long term survival. The more frequently a surgeon undertakes a procedure, and gains experience in a specialization, the better the outcomes are for his/her patients.
Centre for Reviews and Dissemination-CRD
Colorectal Cancer Current Events and Colorectal Cancer News RSSAnnals colonoscopy study underscores importance of quality standards
A study by Baxter, et al. released this week and scheduled to be published in the Jan. 6, 2009, edition of Annals of Internal Medicine, concluded that while screening colonoscopy is associated with fewer deaths from colorectal cancer, the association is primarily limited to deaths from cancer developing in the left side of the colon.
ASGE urges patients to seek a qualified endoscopist before undergoing a colonoscopy
A study released today in the Annals of Internal Medicine found that colonoscopy is associated with lower death rates from colorectal cancer, however, the procedure missed lesions more often on the right side of the colon versus the left side.
CT colonography offers 1-stop screening for cancer and osteoporosis
New research reveals that computed tomography (CT) colonography, also known as virtual colonoscopy, has the potential to screen for two diseases at once-colorectal cancer and osteoporosis, both of which commonly affect adults over age 50.
Screening for colorectal cancer detects unrecognized disease
Screening for colorectal cancer detects four out of ten cancers and should be carefully designed to be more effective, according to a study published today on bmj.com.
A Simple Blood Test for Colon Cancer
People are often reluctant to undergo a routine but painful colonoscopy ― but the consequences can be fatal. According to the American Cancer Society, colon cancer is the third most common cancer found in American men and women and kills about 50,000 Americans every year.
New platinum-phosphate compounds kill ovarian cancer cells
A new class of compounds called phosphaplatins can effectively kill ovarian, testicular, head and neck cancer cells with potentially less toxicity than conventional drugs, according to a new study published this week in the journal Proceedings of the National Academy of Sciences.
Survival of head and neck cancer patients is greatly affected by coexisting ailments
Current estimates for head and neck cancer survival are largely inaccurate because they widely disregard many of the most common diseases such patients have in addition to their primary cancer, says Jay Piccirillo, M.D., a head and neck specialist at Washington University School of Medicine in St. Louis, the Siteman Cancer Center and Barnes-Jewish Hospital.
Home-based diet and exercise intervention improves elderly cancer survivors' physical function
A home-based program to improve exercise and diet led to significant, clinically meaningful improvement in body weight and physical function among older long-term cancer survivors in preliminary findings from the RENEW (Reach-out to ENhancE Wellness) trial.
Adalimumab may reduce health-care costs for Crohn's disease patients
Inflammatory bowel disease (IBD) is a term that refers to both ulcerative colitis (UC) and Crohn's disease (CD). IBD occurs most frequently in people in their late teens and twenties. There have been cases in children as young as two years old and in older adults in their seventies and eighties; men and women have an equal chance of getting the disease.
SNPs affect folate metabolism in study of Puerto-Rican adults
Researchers at Tufts University have gained further understanding of the genomic basis for altered folate metabolism and the content of uracil in blood DNA.
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