TY - JOUR
T1 - Improved colorectal cancer survival in an army community hospital
AU - Euhus, David M.
N1 - Copyright:
Copyright 2020 Elsevier B.V., All rights reserved.
PY - 1997/11
Y1 - 1997/11
N2 - In the later portion of 1988, surgeons at Darnall Army Community Hospital abruptly liberalized the use of colonoscopy in the evaluation of colorectal symptoms. During this period, colonoscopy rates jumped from a median of 31.6 examinations/100,000/year to 217.3 examinations/100,000/year. This study details the changes in outcome from colorectal cancer that followed this change. Before 1989, 74.5% of colorectal cancer patients presented with stage III or IV disease, and median survival was only 25 months. After 1988, the proportion of early cancers (stage 0, I, and II) increased dramatically to 56.4% (p = 0,002). Five-year survival increased concomitantly from 34.0 to 53.5% (p = 0.042). The liberalization of colonoscopy is judged to have had a beneficial effect on the health of the population served by this community hospital.
AB - In the later portion of 1988, surgeons at Darnall Army Community Hospital abruptly liberalized the use of colonoscopy in the evaluation of colorectal symptoms. During this period, colonoscopy rates jumped from a median of 31.6 examinations/100,000/year to 217.3 examinations/100,000/year. This study details the changes in outcome from colorectal cancer that followed this change. Before 1989, 74.5% of colorectal cancer patients presented with stage III or IV disease, and median survival was only 25 months. After 1988, the proportion of early cancers (stage 0, I, and II) increased dramatically to 56.4% (p = 0,002). Five-year survival increased concomitantly from 34.0 to 53.5% (p = 0.042). The liberalization of colonoscopy is judged to have had a beneficial effect on the health of the population served by this community hospital.
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U2 - 10.1093/milmed/162.11.726
DO - 10.1093/milmed/162.11.726
M3 - Article
C2 - 9358717
AN - SCOPUS:0030710950
SN - 0026-4075
VL - 162
SP - 726
EP - 728
JO - Military medicine
JF - Military medicine
IS - 11
ER -