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COVID-19 recovery: tackling the 2-week wait colorectal pathway backlog by optimising CT colonography utilisation.

Authors
  • O'Donohoe, N1
  • Jamal, S1
  • Cope, J1
  • Strom, L2
  • Ryan, S2
  • Nunoo-Mensah, J W3
  • 1 Department of Colorectal Surgery, King's College Hospital Foundation NHS Trust, London, UK.
  • 2 Department of Radiology, King's College Hospital Foundation NHS Trust, London, UK.
  • 3 Department of Colorectal Surgery, King's College Hospital Foundation NHS Trust, London, UK; Department of Colorectal Surgery, Cleveland Clinic London, UK. Electronic address: [email protected]
Type
Published Article
Journal
Clinical radiology
Publication Date
Sep 21, 2020
Identifiers
DOI: 10.1016/j.crad.2020.09.008
PMID: 33059853
Source
Medline
Language
English
License
Unknown

Abstract

To review the indications for computed tomography colonography (CTC) performed on patients referred via the 2-week wait colorectal pathway (2WWCP). A retrospective study was performed on all patients referred through the 2WWCP between October 2018 and September 2019. The referrals were audited against the National Institute for Health and Care Excellence (NICE) NG12/DG30 guidelines for referral to the 2WWCP, and against the Royal College of Radiologists (RCR) 2017 guidelines for CTC. Over the study period, there were 1,707 2WWCP referrals, and 362 (21.2%) of these patients underwent CTC. The median age was 66 years, and 55% were female. Forty-six patients did not meet the NICE NG12/DG30 guidelines for referral to the 2WWCP, and a further 268, although meeting the NICE guidelines, did not meet the RCR 2017 guidelines for CTC. In total, only 13% of CTCs performed complied with both guidelines. This audit demonstrated a significant opportunity to reallocate CTC resources in the recovery stage of the COVID-19 pandemic. To improve outcomes for colorectal cancer (CRC) in the UK, establishing a selective straight-to-test CTC 2WWCP should be considered. Documented consent detailing the risks and benefits of CTC versus colonoscopy should take place in order to assist the patient in making an informed choice. Copyright © 2020 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.

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