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Summary of Results

Health Topic:   Cancer
Guidance:   Colorectal cancer
Description:   The summary of the published clinical guideline on Colorectal cancer. 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

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

Health and Social Care Informaion Centre (2013) National Bowel Cancer Audit 2012

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 and Wales between 1 August 2010 and 31 July 2011. Overall case ascertainment for this year was 87%; 86% for England and 94% Wales. One of the findings showed that laparascopic procedures continued to increase, with 37% of cases being completed laparoscopically (an increase from 30% in 2009-10).

Doubts about or mixed impact in practice National

Rajwani, K. et al (2013) Colonic malignant polyps: Is there a need for surveillance guidelines? Colorectal Disease. Conference Publication: (var.pagings). 14 (pp 56-57), 2012.

Description: The aim of this retrospective study was to assess whether guidelines on follow up for colorectal cancer are adhered to in cases of malignant polyps. Patient notes were reviewed and histological analysis was conducted for cases of malignant polyps at Medway Hospital, Kent. Results show of 54 patients with malignant polyps, 92% had two CT staging investigations within the first 3 years and 55% had a surveillance colonoscopy at 1 year.

Practice appears to be in line with guidance Local

Health and Social Care Information Centre (2013) National Bowel Cancer Audit Annual Report 2013

Description: This audit includes all, except one, NHS Trusts in England and all Health Boards in Wales. All participating trusts submitted data via the Open Exeter system on people diagnosed with bowel cancer in England and Wales between 1 April 2011 and 31 March 2012. Overall case ascertainment for this year was 85%. One of the findings showed that laparoscopic procedures continued to increase, with over 40% of cases being completed laparoscopically (an increase from 37% in 2010-11).

Not graded National

Jani, A. et al (2012) Referral proformas improve compliance to national colorectal 2-week wait targets: Does this affect cancer detection rates? Colorectal Disease. 14 (11) (pp 1351-1356), 2012.

Description: This audit assessed the use of a proforma for urgent colorectal cancer referral across the 6 Acute NHS trusts in the Thames Valley Cancer Network, and whether increased usage was linked with higher compliance to guidance and higher cancer detection rates. All 586 2-week wait referrals during June 2010 were analysed. Referral letters from Primary care had compliance ranging from 30-50%, increasing to 50-90% when a proforma was used. Proforma use was associated with higher cancer detection rates.

Doubts about or mixed impact in practice Local

This page was last updated: 19 July 2013

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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.