Navigation Links
Bowel Cancer Screening Program

Managing current demand for bowel cancer services has become an increasingly important issue with the roll out of Australia’s National Bowel Cancer Screening Program.//

Four separate articles in the latest Medical Journal of Australia (MJA) look at various issues related to the implementation of the program.

In his editorial for the MJA, Professor Finlay Macrae, Head of Colorectal Medicine and Genetics at Royal Melbourne Hospital, says there are some uncertainties about whether the health system can cope with the extra need for colonoscopies that will be generated by the program.

“It should be possible to spread the load across both private and public facilities, with appropriate jurisdictional contractual agreements between Federal and State Governments, and optimal use of existing facilities and personnel,” says Prof Macrae.

Prof Macrae says it is the responsibility of hospital administrators to identify any funding opportunities for extra services and match resources to the increased demand for services.

A study by Dr Jane Young, Executive Director of the Surgical Outcomes Research Centre at the University of Sydney, and colleagues, on behalf of the Cancer Council NSW shows hospital administrators can also aid uptake of the current guidelines for colorectal cancer treatment and care.

“Our findings show that, on average, 78 per cent of relevant guidelines were followed for individual patients,” says Dr Young.

“Hospital caseload influenced the use of some guidelines, highlighting the importance of institutional factors.

“The considerable variation found in the application of the National Health and Medical Research Council’s guidelines for colorectal cancer implies that better strategies are needed to ensure greater compliance.”

In a separate study published in the MJA, Dr Charlie Viiala, a gastroenterologist from Fremantle Hospital, and colleagues, f ound that waiting times for patients having semi-urgent and routine colonoscopies in public hospitals were longer than clinically desirable, but waiting times for urgent colonoscopies were well within the recommended timeframe.

Dr Viiala suggests reduced waiting times could be achieved by increasing the capacity and productivity of endoscopic units or by ensuring the appropriateness of procedures, for example by stricter adherence to guidelines for surveillance colonoscopies.

“The recognition of risk factors for a diagnosis of cancer, including age over 65 years and certain blood-loss indications, could ensure that most patients with cancer are diagnosed within a three month waiting period,” says Dr Viiala.

Associate Professor Cameron Platell of the School of Surgery and Pathology at the University of Western Australia, and colleagues, conducted a study into survival rates of colorectal cancer patients in public versus private hospitals.

They found patients receiving treatment in a private hospital had improved survival outcomes compared with those treated in public hospitals.

“If these observed improvements are a result of superior treatment, and not just patient selection, then they raise serious concerns regarding equity and access to treatment,” says Assoc Prof Platell.

“The reasons for these improved survival outcomes in private hospitals need to be further elucidated.”


Related medicine news :

1. Bowel diseases linked to bug in milk
2. Hope For Patients With Inflammatory Bowel Disease
3. Cannabinoids - Antidepressant And Inflammatory Bowel Disease Treatment
4. Eating Red and Processed Meat may cause Bowel cancer
5. Just Had Bowel Surgery? Chew Gum For A Speedy Recovery
6. Delay In Life-Saving Bowel Cancer Screening Programme In UK
7. National Bowel Cancer Screening Programme Lauded
8. Bowel Cancer Drug Campaigner Dies After Surgery
9. New compounds Help Sustain relief For Patients With Symptoms of Bowel Disorders
10. Parasitic Worms Could Be Used To Treat Bowel Disease
11. Inflammatory Bowel Diseases Cured By Parasitic Worms
Post Your Comments:

(Date:12/1/2015)... ... December 01, 2015 , ... ... continue the expansion of the company’s growing product line of food safety and ... tshawytscha) and Sockeye (Oncorhynchus nerka) – allow InstantLabs to offer fast, reliable species ...
(Date:12/1/2015)... ... 2015 , ... It’s official: Tattoo taboo is a thing of the past. ... Millennials (a whopping one in three aged 18 to 25 is inked). As tattoos ... their ink. In fact, RealSelf , the world’s largest community for learning and ...
(Date:12/1/2015)... ... December 01, 2015 , ... ... of adjunctive imaging is the focus of numerous abstracts accepted for presentation here, ... 4, 2015. Nine abstracts highlight the use of Volpara Solutions’ quantitative breast ...
(Date:12/1/2015)... ... December 01, 2015 , ... ... Inc. (“Visage”), a wholly owned subsidiary of Pro Medicus Ltd. (ASX: PME), has ... the Radiological Society of North America (RSNA) 2015 annual meeting through December 3 ...
(Date:12/1/2015)... ... December 01, 2015 , ... McLean, VA., December ... a fixed price per sprint agile development contract to support the National Geospatial-Intelligence ... five years, provides software engineering, infrastructure, as well as operations and sustainment support ...
Breaking Medicine News(10 mins):
(Date:12/1/2015)... VERONA, Va. , Dec. 1, 2015 /PRNewswire/ ... today unveiled a new corporate logo and brand ... in the design and engineering of bladed products ... --> --> Serving ... fiber, glass, and auto glass equipment, AccuTEC,s product ...
(Date:12/1/2015)... --> --> ... Acid Labeling Market by Product (Reagents & Kits, Services), ... Vitro Transcription, Reverse Transcription, End Labeling), by Region - ... market is expected to reach USD 1,925.7 Million by ... a CAGR of 8.65%. Browse 77 market ...
(Date:12/1/2015)... December 1, 2015 Russia has ... trials. 70% of new drugs registered in Europe ... . --> Russia has always been a ... new drugs registered in Europe in 2015 were ... Russia has always been a country of ...
Breaking Medicine Technology: