Department updates» Go to news main
Patterns of health care utilization preceding a colorectal cancer diagnosis are strong predictors of dying quickly following diagnosis
See full publication
Understanding the predictors of a quick death following diagnosis may improve timely access to palliative care. The objective of this study was to explore whether factors in the 24 months prior to a colorectal cancer (CRC) diagnosis predict a quick death post-diagnosis.
Data were from a longitudinal study of all adult persons diagnosed with CRC in Nova Scotia, Canada, from 01Jan2001-31Dec2005. This study included all persons who died of any cause by 31Dec2010, except those who died within 30 days of CRC surgery (n = 1885 decedents). Classification and regression tree models were used to explore predictors of time from diagnosis to death for the following time intervals: 2, 4, 6, 8, 12, and 26 weeks from diagnosis to death. All models were performed with and without stage at diagnosis as a predictor variable. Clinico-demographic and health service utilization data in the 24 months pre-diagnosis were provided via linked administrative databases.
The strongest, most consistent predictors of dying within 2, 4, 6, and 8 weeks of CRC diagnosis were related to health services utilization in the 24 months prior to diagnosis: i.e., number of specialist visits, number of days spent in hospital, and number of family physician visits. Stage at diagnosis was the strongest predictor of dying within 12 and 26 weeks of diagnosis.
Identifying potential predictors of a short timeframe between cancer diagnosis and death may aid in the development of strategies to facilitate timely and appropriate referral to palliative care upon a cancer diagnosis.
- RRF studentship application deadline Feb 3rd
- Looking for research pitches
- CSTR 2020 – Focus on Lung Screening
- Department Head Update
- Congrats Dr. Mata‑Mbemba
- Psychotic symptoms are associated with lower cortical folding in youth at risk for mental illness
- Experience with compressed gelfoam plugs in children during liver biopsies and other IR procedures: a retrospective single‑center case series
- Dr. Efford new Modality Lead for CT
comments powered by Disqus