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Summary of Results

Health Topic:   Digestive system
Guidance:   Colorectal
Description:   The summary of the published cancer service guidance on Colorectal. It links to the published guidance and key documents.

NICE implementation uptake reports

Implementation uptake report Assessment Published Date Coverage

External literature

External literature Assessment Coverage

The Information Centre (2006) National bowel cancer audit report 2006: public and executive summary Leeds: The Information Centre

Description: The annual report for 2006 of the national clinical audit on bowel cancer. The report includes information from 30% of all hospital units in the UK. The proportion of units meeting the NICE target of an average of 12 lymph nodes to be examined per case has risen from 28% to 50% between 2001 and 2005. However, only one third of hospitals submitted data and it is not possible to assess the uptake for the remaining hospitals.

Doubts about or mixed impact in practice National

Dr Foster Intelligence (2006) Dr Foster Hospital Report: How healthy is your hospital?

Description: The report of the 2006 Dr Foster Hospital survey included a section called Spotlight on NICE guidance. The results show a high level of implementation of multidisciplinary teams (MDTs), as recommended in NICE cancer guidance for lung cancer and colorectal cancer (97% MDTs for lung cancer, 98% MDTs for colorectal cancer).

Practice appears to be in line with guidance National

The NHS Information Centre for Health and Social Care (2009) National Bowel Cancer Audit 2009

Description: 95% of Trusts submitted data for the purposes of this audit and 20,262 cases were submitted for the 2007/8 reporting period, representing 68% of expected incident cases. Results found that the number of patients recorded as being discussed at an MDT meeting increased from 80.3 per cent in 2006/7 to 83.7 per cent in 2007/8. Overall the number of patients having a CT scan increased from 54.9 per cent in 2006/7 to 60.9% in 2007/8.

Doubts about or mixed impact in practice National

Evans M.D et al (2010) Open reporting in a national audit of lymph node harvest against national guidance improves performance Colorectal Disease 12 (Suppl.1) 1-13

Description: Lymph node (LN) harvest data submitted by Welsh Trusts to the Welsh National Bowel Cancer Audit was compared before and after publication of the 2004 NICE guidance. Results found that in the year preceding the NICE guideline and open reporting 2003-04, the Welsh median LN harvest was 9 nodes/patient. In 2009-09, the Welsh median LN harvest had risen to 15 notes/patient.

Practice appears to be in line with guidance Regional

Damery S et al (2010) Iron deficiency anaemia and delayed diagnosis of colorectal cancer: a retrospective cohort study Colorectal Disease 10 1463-1318

Description: Aim: Identify the extent to which various referral pathways following a diagnosis of iron deficiency anaemia (IDA) are associated with a delay to diagnosis of colorectal cancer (CRC). Differences in the proportion of cases referred pre and post re-issue of NICE guidance were assessed. Of 628,882 patients 3.1% were diagnosed with IDA. 3.0% were subsequently diagnosed with CRC. There was no significant change in the time to CRC diagnosis pre and post NICE guidance publication.

Doubts about or mixed impact in practice Local

NHS Information Centre (2011) National Bowel Cancer Audit Report 2011

Description: This audit includes all NHS Trusts in England and Health Boards in Wales. All participating trusts submitted data via the Open Exeter system on people diagnosed with bowel cancer in England between August 2009 and July 2010, and people diagnosed in Wales between April 2009 and March 2010. One of the findings showed that laparascopic procedures continued to increase with nearly 30% of cases being completed laparoscopically, however the mode of surgery was not stated in 12% of cases.

Doubts about or mixed impact in practice National

Health and Social Care Information Centre (2011) National Bowel Cancer Audit Report 2010

Description: This annual report contains data on patients with a bowel cancer diagnosis date between 1 August 2008 and 31 July 2009. 98% of Trusts in England and Health Boards in Wales contributed; with over 23,000 cases recorded via the Open Exeter National Bowel Cancer Audit Database. Findings include 22.9% of major resections for rectal cancer being an abdominoperineal excision of rectum; and in rectal cancer cases there was evidence of the use of magnetic resonance (MR) imaging in over 60% of cases.

Doubts about or mixed impact in practice National

This page was last updated: 01 November 2011

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Selected, reliable information for health and social care in one place

Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.