| Titre : | Trends in colorectal cancer care in southern England, 1989-1993 : Using HES data to inform cancer services reviews. (1998) |
| Auteurs : | A.M. POLLOCK ; N. VICKERS ; Department of Public Health Sciences. St George's Hospital Medical School. Cranmer Terrace. London. GBR |
| Type de document : | Article |
| Dans : | Journal of epidemiology and community health (vol. 52, n° 7, 1998) |
| Pagination : | 433-438 |
| Langues: | Anglais |
| Mots-clés : | Cancer ; Rectum ; Hospitalisation ; Entrée ; Thérapeutique ; Epidémiologie ; Evolution ; Soins ; Homme ; Angleterre ; Grande Bretagne ; Royaume Uni ; Europe ; Appareil digestif [pathologie] ; Intestin [pathologie] ; Côlon |
| Résumé : | [BDSP. Notice produite par INIST KIo6ZR0x. Diffusion soumise à autorisation]. 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). Results-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. (...) |
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