Colorectal cancer is common and accounts for over 15,000 deaths annually in England and Wales.
Up to 30% of these patients require emergency surgery.
Screening for colorectal cancer can reduce the mortality of colorectal cancer.
This study addresses the impact of a population-based screening study on emergency admissions with colorectal cancer.
From 1981 a randomized trial of Faecal Occult Blood (FOB) screening has been undertaken in the Nottingham area, recruiting over 150,000 patients.
The present study examined the records of patients enrolled in this study who presented as an emergency with colorectal cancer.
Colorectal cancer was identified in 1962 cases, of which 468 (23.9%) presented as emergencies.
The overall compliance was 60% (proportion of individuals completing at least one test).
There were significantly fewer emergencies in the Screen-detected group compared with the Control group (P=<0.0001).
This group also had a significantly reduced 30-day mortality and a lower stoma rate than the Control group.
Conversely the Non-responders had a significantly greater proportion of emergency admissions and a significantly increased stoma rate compared with the Control group.
Screening for colorectal cancer using a faecal occult blood test can significantly reduce the number of emergency presentations with colorectal cancer. (...)
Mots-clés Pascal : Politique sanitaire, Royaume Uni, Europe, Tumeur maligne, Côlon, Rectum, Homme, Dépistage, Corrélation, Urgence, Hospitalisation, Chirurgie, Appareil digestif pathologie, Intestin pathologie, Côlon pathologie, Rectum pathologie
Mots-clés Pascal anglais : Health policy, United Kingdom, Europe, Malignant tumor, Colon, Rectum, Human, Medical screening, Correlation, Emergency, Hospitalization, Surgery, Digestive diseases, Intestinal disease, Colonic disease, Rectal disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0220534
Code Inist : 002B13B01. Création : 11/09/1998.