Characterization of visits to the emergency room by patients with colorectal cancer in the year prior to their diagnosis: A retrospective study.

• DOI: 10.1200/jco.2023.41.16_suppl.e15609
• Publication Date: 2023-06-04T15:36:51Z
• Authors: Amir Massarweh; Baruch Brenner; Jonathan Ofer
• Keywords: Medical record

e15609 Background: Colorectal cancer (CRC) is one of the leading causes death globally, with more than 0.9 million deaths annually. Despite screening programs, many CRC patients (pts) are diagnosed at an advanced stage, resulting in overall 5-year survival rate only about 60%. Enhancing detection pts referred to Emergency Room (ER) could potentially improve early and outcomes. While prevalence initial diagnoses obtained through ER admission documented, proportion individuals who visited during year proceeding their diagnosis remains unknown. This study aimed examine percentage treated Rabin Medical Center (RMC) prior characterize these visits. Methods: A retrospective cohort was conducted identify RMC for histologically confirmed between 2012-2022 visits diagnosis. Each visit recorded by date number months before initiated a recent CRC, i.e., occurring month diagnosis, were excluded. Demographic clinical information (age visit, gender, stage visits, interval first diagnosis) collected analyzed. Results: Of 2,240 2012-2022, 476 (21.2%) ER, (13.3%) or elsewhere (7.9%), The median age 72 years (range: 25-96) 55.7% males. Pts localized, locally advanced, metastatic disease 134 (45.0%), 70 (23.5%), 63 (21.1%) cases, respectively, while not yet established 31 (10.4%). Quantitative temporal characteristics presented (Table 1). had on average 1.6 1-11) diagnosis; 113 (37.9%) 2 that year. 4 2-12); 5 longer observed 127 (42.6%) pts. Conclusions: To our knowledge, this report high visiting highlights importance developing tools level further emphasized repeat long cases. [Table: see text]