In the later portion of 1988, surgeons at Darnall Army Community Hospital abruptly liberalized the use of colonoscopy in the evaluation of colorectal symptoms.
During this period, colonoscopy rates jumped from a median of 31.6 examinations/100,000/year to 217.3 examinations/100,000/year.
This study details the changes in outcome from colorectal cancer that followed this change.
Before 1989,74.5% of colorectal cancer patients presented with stage III or IV disease, and median survival was only 25 months.
After 1988, the proportion of early cancers (stage 0, I, and II) increased dramatically to 56.4% (p=0.002).
Five-year survival increased concomitantly from 34.0 to 53.5% (p=0.042).
The liberalization of colonoscopy is judged to have had a beneficial effect on the health of the population served by this community hospital.
Mots-clés Pascal : Tumeur maligne, Côlon, Rectum, Milieu hospitalier, Armée, Colonoscopie, Diagnostic, Précoce, Survie, Mortalité, Epidémiologie, Pronostic, Evolution, Homme, Appareil digestif pathologie, Intestin pathologie, Côlon pathologie, Rectum pathologie, Endoscopie
Mots-clés Pascal anglais : Malignant tumor, Colon, Rectum, Hospital environment, Army, Colonoscopy, Diagnosis, Early, Survival, Mortality, Epidemiology, Prognosis, Evolution, Human, Digestive diseases, Intestinal disease, Colonic disease, Rectal disease, Endoscopy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0006823
Code Inist : 002B13B01. Création : 17/04/1998.