Trends in colorectal cancer care in southern England, 1989-1993 : Using HES data to inform cancer services reviews.
Background-This paper describes trends in hospital activity, hospital admissions, and treatments for colorectal cancer on residents of the South Thames regions (population 8 million) between 1989-1993 against the background of the Calman Report on the future of cancer services in England and Wales.
Methods-The analyses are derived from UK hospital data, which are collected as finished consultant episodes (FCEs).
These are defined as episodes « where a patient has completed a period of care under a consultant and is either transferred to another consultant or is discharged. » Probability matching was used to derive patient-based records, matching FCEs to admissions.
A total of 18 542 South Thames residents aged 40-99 were admitted for colorectal cancer between 1 January 1989 and 31 December 1993.
Time trends were analysed for procedures, FCEs, admissions, and patient numbers by admission type (ordinary admissions and day case admissions).
Between 1989 and 1993 inclusive colorectal cancer admissions doubled (98% increase p (trend)<0.0001).
These admissions were a result of a 6.4-fold increase in day case admissions and a 41% increase in ordinary admissions.
The proportion of patients having a day case admission rose from 9% in 1989 to 18% in 1993 (p<0.0001).
Overall, 2894 (16%) patients had a day case admission ; 1894 of these (65%) were also admitted as ordinary admissions.
The number of FCEs and admissions per patient rose from 1.37 and 1. (...)
Mots-clés Pascal : Tumeur maligne, Côlon, Rectum, Hospitalisation, Admission hôpital, Traitement, Epidémiologie, Evolution, Soin, Homme, Angleterre, Grande Bretagne, Royaume Uni, Europe, Appareil digestif pathologie, Intestin pathologie, Côlon pathologie, Rectum pathologie
Mots-clés Pascal anglais : Malignant tumor, Colon, Rectum, Hospitalization, Hospital admission, Treatment, Epidemiology, Evolution, Care, Human, England, Great Britain, United Kingdom, Europe, Digestive diseases, Intestinal disease, Colonic disease, Rectal disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0404096
Code Inist : 002B13B01. Création : 25/01/1999.