Eindhoven Cancer Registry, Comprehensive Cancer Centre South, PO Box 231, 5600 AE, Eindhoven, The Netherlands.
World J Surg. 2010 May;34(5):1071-9. doi: 10.1007/s00268-010-0480-x.
The Dutch Cancer Society proposed that the interval between diagnosis and start of treatment should be less than 15 working days. The purpose of this study was to determine whether the interval from diagnosis to treatment for patients with colorectal cancer (CRC) shortened between 2005 and 2008 in hospitals in southern Netherlands.
Patients with CRC diagnosed in six hospitals in southern Netherlands during January to December in 2005 (n = 445) and January to July in 2008 (n = 353) were included. The time between diagnosis and start of treatment was assessed, and the proportion of patients treated within the recommended time (<15 working days) was calculated.
The time to treatment for colon cancer patients was 13 working days in 2005 and 17 working days in 2008. For rectal cancer patients, the median time to preoperative radiotherapy was 28 working days in 2005 and 30 working days in 2008, and the median time to surgical treatment for rectal cancer patients was 26 working days in 2005 and 18 working days in 2008. Time to treatment did not shorten between 2005 and 2008 for colon and rectal cancer patients, except for rectal cancer patients who underwent surgery as initial treatment in patients aged >70 years and those with stage I disease. Substantial variation was seen among hospitals.
Time to treatment for patients with CRC in southern Netherlands did not shorten between 2005 and 2008. The time to treatment should be reduced to meet the advice of the Dutch Cancer Society.
荷兰癌症协会建议，诊断与治疗开始之间的时间间隔应少于 15 个工作日。本研究的目的是确定荷兰南部医院的结直肠癌（CRC）患者的诊断与治疗之间的时间间隔是否在 2005 年至 2008 年间缩短。
纳入 2005 年 1 月至 12 月（n = 445）和 2008 年 1 月至 7 月（n = 353）在荷兰南部六家医院诊断为 CRC 的患者。评估了诊断与治疗开始之间的时间，并计算了在推荐时间内（<15 个工作日）接受治疗的患者比例。
结肠癌患者的治疗时间在 2005 年为 13 个工作日，在 2008 年为 17 个工作日。对于直肠癌患者，术前放疗的中位数时间在 2005 年为 28 个工作日，在 2008 年为 30 个工作日，直肠癌患者的手术治疗中位数时间在 2005 年为 26 个工作日，在 2008 年为 18 个工作日。除了年龄>70 岁且患有 I 期疾病的患者作为初始治疗行直肠癌手术的患者和直肠癌患者外，2005 年至 2008 年期间，结肠癌和直肠癌患者的治疗时间没有缩短。各医院之间存在很大差异。
荷兰南部 CRC 患者的治疗时间在 2005 年至 2008 年之间没有缩短。为了满足荷兰癌症协会的建议，应缩短治疗时间。
