PTU-266 Does participation in bowel cancer screening programme (BCSP) affect emergency admission in patients with bowel cancer?
PTU-266 Does participation in bowel cancer screening programme (BCSP) affect emergency admission in patients with bowel cancer?
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PTU-266 参加肠癌筛查计划 (BCSP) 是否会影响肠癌患者的紧急入院？
DOI：
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发表时间：
2015
期刊：
影响因子：
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通讯作者：
A. Prabhudesai
中科院分区：
文献类型：
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作者：
M. A. Ani;A. Moinie;E. Ekalakouti;Q. Iqbal;A. Prabhudesai
BCSP的目的是早期发现结直肠癌，以改善整体预后。在这项研究中，我们研究了参与BCSP对结直肠癌（CRC）急诊入院的影响。方法回顾性分析2009 - 2014年Hillingdon医院所有确诊为结直肠癌并符合粪便潜血试验（FOBt）条件的患者（n = 174）。对FOBt的反应是从国家筛查中心获得的。通过访问出院摘要、MDT数据库和患者评估服务来确定入院模式。应答者被定义为在任何时间点将FOBt样本送回的患者，无应答者被定义为未能送回样本的患者。结果在174例患者中，64例（37%）有反应，110例（63%）无反应。24例急诊患者，其中75% （n = 18）无反应，25% （n = 6）有反应。32例患者患有不治之症，其中23例（72%）无反应，9例（28%）有反应。结论：未参加BCSP的患者出现结直肠癌相关紧急情况的风险增加了三倍，患不治之症的可能性也增加了2.5倍。虽然我们的人数很少，但反应者和无反应者之间的差异是明显的。利益披露无申报。
Introduction The aim of the BCSP is the detection of early colorectal cancer in order to improve overall prognosis. In this study, we looked at the impact of participation in the BCSP on emergency admissions related to colorectal cancer (CRC). Method A retrospective analysis of all patients presenting with a confirmed diagnosis of CRC and were eligible for Faecal Occult Blood testing (FOBt) between 2009 and 2014 at Hillingdon Hospital was carried out (n = 174). The response to FOBt was obtained from the national screening hub. The mode of admission was determined by accessing discharge summaries, the MDT database and the patient assessment service. A responder was defined as a patient who sent a FOBt sample back at any point, and a non-responder as any patient who failed to send back a sample. Results Of the 174 patients, we had 64 (37%) responders and 110 (63%) non-responders. 24 patients presented as emergencies, of which 75% (n = 18) were non-responders, in comparison to 25% (n = 6) responders. 32 patients had incurable disease, of which 23 (72%) were non-responders in comparison to 9 (28%) responders. Conclusion Patients who did not participate in the BCSP had a threefold increase in risk of presenting with a colorectal cancer related emergency, and they were also two and half times more likely to have incurable disease. Although our numbers are small the difference between the responders and non-responders is evident. Disclosure of interest None Declared.