title: Chemotherapy and targeted agents for colorectal cancer in a real-life setting anticipate guidelines: the COLCHIC cohort study.
abstract: Introduction of new agents for the treatment for colorectal cancer (CRC) has been accompanied by the publication of guidelines. The COLCHIC cohort was set up to evaluate CRC treatment practices and the use of these innovative and expensive agents. Patients initiating CRC treatment at the Bordeaux teaching hospital between 1 March 2005 and 1 March 2006 were identified, and treatment courses from 1 March 2005 to 31 December 2006 were studied; 192 patients were included, 188 with analysable data: 43 patients initiated 51 courses for non-metastatic cancer, 153 initiated 366 courses for metastatic cancer, eight patients initiated courses for both non-metastatic and metastatic cancer. Most treatments were used for indications found in guidelines published during the study (83.9%). Of the others, nearly half were approved in guidelines published subsequently. In this teaching hospital, prescribing practice was generally in line with recommendations, with an anticipation of future guidelines. This mostly concerned monoclonal antibodies, which were new at the time of the study.
authors.affiliation: CHU de Bordeaux, Hôpital Saint André, Bordeaux, France.
authors.forename: Denis
authors.initials: D
authors.lastname: Smith
authors.forename: Eric
authors.initials: E
authors.lastname: Terrebonne
authors.forename: Magali
authors.initials: M
authors.lastname: Rouyer
authors.forename: Jean-Frédéric
authors.initials: JF
authors.lastname: Blanc
authors.forename: Dominique
authors.initials: D
authors.lastname: Breilh
authors.forename: Stéphane
authors.initials: S
authors.lastname: Pedeboscq
authors.forename: Alise
authors.initials: A
authors.lastname: Le Monies
authors.forename: Coralie
authors.initials: C
authors.lastname: Lecomte
authors.forename: Régis
authors.initials: R
authors.lastname: Lassalle
authors.forename: Nicholas
authors.initials: N
authors.lastname: Moore
authors.forename: Annie
authors.initials: A
authors.lastname: Fourrier-Réglat
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000970:Antineoplastic Agents / Q000008:administration & dosage / Q000627:therapeutic use; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000008:administration & dosage / Q000627:therapeutic use*; D015331:Cohort Studies; D015179:Colorectal Neoplasms / Q000188:drug therapy*; D004348:Drug Labeling; D011307:Drug Prescriptions; D005260:Female; D005602:France; D005762:Gastroenterology / Q000639:trends; D006077:Government Agencies; D006785:Hospitals, University; D006801:Humans; D008297:Male; D008875:Middle Aged; D056687:Off-Label Use; D010166:Palliative Care; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians'; D012955:Societies, Medical
chemical_list: D000970:Antineoplastic Agents