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- W1966687657 abstract "Abstract Objective We established a fast‐track flexible sigmoidoscopy service to meet the two‐week target for colorectal cancer, and have performed a prospective observational study over three years to assess its impact on the proportion of patients with colorectal cancer presenting as an emergency. Methods The fast‐track system was established on 1 November 1999 using six screening criteria to select high‐risk patients. Data on all high‐risk patients referred through the fast‐track system and all patients diagnosed with colorectal cancer were recorded prospectively in two time periods: six months before fast‐track (1 November 1998 to 30 April 1999, Period 1) and three years following fast‐track (1 November 1999 to 31 October 2002, Period 2). Results In Period 2, 2294 fast‐track referrals were received. A total of 635 cases (321 male, 314 female) of colorectal cancer were diagnosed in Period 2 vs. 84 cases (43 male, 41 female) in Period 1. In Period 1, 30 patients with colorectal cancer (35.7% of the total) presented as an emergency vs. 165 patients (25.9%) in Period 2 ( P = 0.059, χ 2 test). Conclusion Introduction of a fast‐track service to meet the two‐week target has resulted in a trend towards fewer emergency presentations with colorectal cancer." @default.
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- W1966687657 date "2004-06-18" @default.
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- W1966687657 title "Reduction in the proportion of patients with colorectal cancer presenting as an emergency following the introduction of fast-track flexible sigmoidoscopy: a three-year prospective observational study" @default.
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- W1966687657 doi "https://doi.org/10.1111/j.1463-1318.2004.00598.x" @default.
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