Development of a Treatment Service Model for Colorectal Cancer Patients Management
Treatment Service Model for Colorectal Cancer Patients
Keywords:
colorectal cancer, an integrated service, model developmentAbstract
Colorectal cancer (CRC) is the most common gastrointestinal tract cancer in Loei. Aim of the study was to improve and develop a new evaluation and management protocol for the patients with CRC in Loei by research and development design. The study was performed in target group, who came for the screenings of CRC during 2018-2019. The collected categorical data were presented by frequency and percentage. Data between two fiscal years were compared using chi-square test, chi-square test for linear-by-linear association and Fisher's exact test with significant level at 0.05. The results of the development of service model were 1) the CRC screening program by our health service network 2) the treatment and referral system 3) the continuous and palliative care. For clinical results: the indicators were performed above target goal, 1) FIT tests were 77.1% 2) colonoscopic examinations were 1.8 time 3) colonoscopic examinations with tissue biopsies were 11 time 4) new patients with CRC were increasingly detected 2.1 time and nine patients were detected from CRC screening program (2.3%). Among these were three cases of carcinoma in situ and two more cases of stage I cancer.The results of comparing proportion of first-stage CRC patients between showed waiting times for pathological reports, surgical operations and chemotherapy were all within the standards and met the criteria. Therefore, we recommend using our new evaluation and management protocol for CRC as a part of routine patient care. two fiscal years were statistically significant when classified by stages 0, 1, 2 (p = 0.029). The summary
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