title: [Hospital admissions, diagnostic and therapeutic procedures of patients with colorectal cancer during 5 years after diagnosis: population-based study].
abstract: This research evaluated basic parameters of care, also in the terms of costs. The study examined a sample of colorectal cancer cases incident in 1987 in the population of Florence's municipality, taken from the data base of Tuscany Cancer Registry (RTT). We collected, for 71 patients, all clinical records, for the five follow-up years and evaluated the diagnostic and therapeutic procedures (blood tests, histologic examination, instrumental investigation and surgical intervention) and the duration of all hospitalisations. Besides, on the basis of the diagnostic and therapeutic procedures and of the discharge diagnosis, each hospitalisation was coded following the DRG system and the economic cost of hospital care was analysed. The average number of hospitalisations and the average length of stay for patient in five follow-up years are respectively 1.9 (SD = 1.3) and 41.3 (SD = 25.8); the length of stay resulted highly correlated with the stage of disease. The mean hospital cost per patient (about ItL 18.000.000 overall) was higher in patients with more advanced disease at diagnosis. In the period of study an average 125.9 blood tests (SD = 110.7), 1.2 histologic examinations (SD = 0.9) and 10.3 instrumental investigations (SD = 9.0) were performed for each patient; 61 subjects (86%) were submitted to surgical intervention, of which 4 had a second intervention, and 1 subject was submitted to surgical intervention for liver's metastases.
authors.affiliation: Epidemiologia Ambientale Istituto Tumori Genova (Sez. Firenze).
authors.forename: M
authors.initials: M
authors.lastname: Geddes
authors.forename: A
authors.initials: A
authors.lastname: Barchielli
authors.forename: S
authors.initials: S
authors.lastname: Carli
authors.forename: C
authors.initials: C
authors.lastname: Orlandini
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D015179:Colorectal Neoplasms / Q000175:diagnosis* / Q000401:mortality / Q000628:therapy*; D005069:Evaluation Studies as Topic; D006760:Hospitalization / Q000191:economics; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007558:Italy; D007902:Length of Stay; D008875:Middle Aged; D010343:Patient Admission; D011787:Quality of Health Care; D015996:Survival Rate
vernacular_title: Ricoveri ospedalieri, prestazioni diagnostiche e terapeutiche nei pazienti affetti da tumore del colonretto durante cinque anni dalla diagnosi: uno studio di popolazione.