title: Patterns of colorectal cancer care in Europe, Australia, and New Zealand.
abstract: Colorectal cancer is the second most common cancer in women and the third most common in men worldwide. In this study, we used MEDLINE to conduct a systematic review of existing literature published in English between 2000 and 2010 on patterns of colorectal cancer care. Specifically, this review examined 66 studies conducted in Europe, Australia, and New Zealand to assess patterns of initial care, post-diagnostic surveillance, and end-of-life care for colorectal cancer. The majority of studies in this review reported rates of initial care, and limited research examined either post-diagnostic surveillance or end-of-life care for colorectal cancer. Older colorectal cancer patients and individuals with comorbidities generally received less surgery, chemotherapy, or radiotherapy. Patients with lower socioeconomic status were less likely to receive treatment, and variations in patterns of care were observed by patient demographic and clinical characteristics, geographical location, and hospital setting. However, there was wide variability in data collection and measures, health-care systems, patient populations, and population representativeness, making direct comparisons challenging. Future research and policy efforts should emphasize increased comparability of data systems, promote data standardization, and encourage collaboration between and within European cancer registries and administrative databases.
authors: Health Services and Economics Branch/Applied Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, 9609 Medical Center Dr, Room 3E346, Rockville, MD 20852, USA.
authors: Neetu
authors: N
authors: Chawla
authors: Eboneé N
authors: EN
authors: Butler
authors: Jennifer
authors: J
authors: Lund
authors: Joan L
authors: JL
authors: Warren
authors: Linda C
authors: LC
authors: Harlan
authors: K Robin
authors: KR
authors: Yabroff
mesh_terms: D000328:Adult; D000368:Aged; D001315:Australia / Q000453:epidemiology; D015179:Colorectal Neoplasms / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy*; D003695:Delivery of Health Care; D005060:Europe / Q000453:epidemiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009520:New Zealand / Q000453:epidemiology; D011787:Quality of Health Care; D012042:Registries; D012959:Socioeconomic Factors; D013727:Terminal Care; D055815:Young Adult
references: Tumori. 2005 Nov-Dec;91(6):472-6
references: 16457144
references: Eur J Cancer. 1998 Dec;34(14 Spec No):2176-83
references: 10070284
references: Cochrane Database Syst Rev. 2009 Jan 21;(1):CD006041
references: 19160264
references: ANZ J Surg. 2004 Jan-Feb;74(1-2):55-64
references: 14725707
references: Aliment Pharmacol Ther. 2005 Aug 1;22(3):233-41
references: 16091061
references: Ann R Coll Surg Engl. 2006 Mar;88(2):181-4
references: 16551415
references: Hepatogastroenterology. 2001 Mar-Apr;48(38):440-4
references: 11379328
references: ANZ J Surg. 2002 Apr;72(4):265-70
references: 11982512
references: Eur J Surg Oncol. 2009 Apr;35(4):427-33
references: 18436417
references: Eur J Cancer Prev. 2007 Dec;16(6):535-41
references: 18090126
references: Int J Cancer. 2010 Jun 15;126(12):2928-34
references: 19569047
references: Gut. 2000 Oct;47(4):533-8
references: 10986214
references: Colorectal Dis. 2003 Mar;5(2):180-4
references: 12780910
references: Gastroenterol Clin Biol. 2006 Jun-Jul;30(6-7):852-8
references: 16885869
references: Eur J Cancer Prev. 2005 Feb;14(1):31-7
references: 15677893
references: Cancer Epidemiol Biomarkers Prev. 2009 Jun;18(6):1688-94
references: 19505900
references: Br J Cancer. 2005 May 23;92(10):1842-5
references: 15886707
references: J Public Health (Oxf). 2009 Dec;31(4):541-5
references: 19321518
references: Radiother Oncol. 2000 Nov;57(2):137-42
references: 11054517
references: Br Med Bull. 2002;64:119-25
references: 12421729
references: Gastroenterol Clin Biol. 2004 Apr;28(4):371-6
references: 15146153
references: N Z Med J. 2005 Feb 25;118(1210):U1323
references: 15776099
references: Onkologie. 2009 Feb;32(1-2):25-9
references: 19209015
references: Tumori. 2007 Sep-Oct;93(5):417-22
references: 18038871
references: Acta Oncol. 2010 Aug;49(6):776-83
references: 20429733
references: Eur J Gastroenterol Hepatol. 2004 Oct;16(10):1003-9
references: 15371924
references: Eur J Surg Oncol. 2002 Mar;28(2):126-34
references: 11884047
references: Ann Oncol. 2010 Jun;21(6):1273-1278
references: 19880434
references: Eur J Med Res. 2008 Apr 30;13(4):139-46
references: 18504168
references: Dis Colon Rectum. 2010 Dec;53(12):1645-51
references: 21178859
references: Int J Cancer. 2012 Oct 1;131(7):1649-58
references: 21607946
references: World J Gastroenterol. 2008 Jul 7;14(25):3956-67
references: 18609678
references: Eur J Surg Oncol. 2006 Mar;32(2):168-73
references: 16387468
references: Ann Surg. 2008 Jan;247(1):77-84
references: 18156926
references: Med J Aust. 2007 Mar 19;186(6):292-5
references: 17371209
references: Eur J Cancer. 2003 Oct;39(15):2214-22
references: 14522381
references: Eur J Cancer. 2010 May;46(8):1421-9
references: 20172711
references: Colorectal Dis. 2001 May;3(3):179-84
references: 12790986
references: Br J Surg. 2001 Oct;88(10):1397-402
references: 11578299
references: Gut. 2002 Jul;51(1):60-4
references: 12077093
references: Eur J Surg Oncol. 2007 Oct;33(8):993-7
references: 17400420
references: Br J Surg. 2007 Jul;94(7):880-9
references: 17410637
references: Dig Surg. 2009;26(3):187-99
references: 19494494
references: Radiother Oncol. 2006 Feb;78(2):131-7
references: 16443297
references: Eur J Gastroenterol Hepatol. 2007 Nov;19(11):995-1001
references: 18049170
references: J Gastrointest Surg. 2005 Mar;9(3):320-8
references: 15749591
references: ANZ J Surg. 2005 Nov;75(11):929-35
references: 16336380
references: Int J Cancer. 2010 Dec 15;127(12):2893-917
references: 21351269
references: Eur J Cancer Prev. 2006 Aug;15(4):295-300
references: 16835501
references: Br J Cancer. 2002 Sep 9;87(6):585-90
references: 12237766
references: Ann Oncol. 2003;14 Suppl 5:v14-27
references: 14684498
references: J Epidemiol Community Health. 2005 Jun;59(6):506-11
references: 15911648
references: Colorectal Dis. 2010 Sep;12(9):874-9
references: 19878515
references: BMJ. 2010 Jan 14;340:b5479
references: 20075152
references: Curr Probl Cancer. 2010 May-Jun;34(3):201-10
references: 20541058
references: Colorectal Dis. 2008 May;10(4):314-27; discussion 327-9
references: 18190614
references: Eur J Surg Oncol. 2010 Sep;36 Suppl 1:S74-82
references: 20598844
references: Gastroenterol Clin Biol. 2007 Nov;31(11):950-5
references: 18166883
references: Eur J Surg Oncol. 2007 Sep;33(7):854-61
references: 17933024
references: Br J Cancer. 2007 Feb 26;96(4):546-50
references: 17285136
references: Ann Oncol. 2005 May;16(5):767-72
references: 15817594
references: Cancer. 2008 Dec 15;113(12):3279-89
references: 18951522
references: Lancet. 2011 Jan 8;377(9760):127-38
references: 21183212
references: Int J Radiat Oncol Biol Phys. 2009 Jun 1;74(2):464-71
references: 19289268
references: Colorectal Dis. 2003 May;5(3):233-40
references: 12780884
references: Eur J Cancer. 1996 May;32A(5):831-5
references: 9081362
references: Ann Ist Super Sanita. 2009;45(3):315-24
references: 19861737
references: ANZ J Surg. 2004 Jun;74(6):406-12
references: 15191469
references: Acta Oncol. 2009;48(3):377-84
references: 19294541
references: Eur J Surg Oncol. 2004 Feb;30(1):26-33
references: 14736519
references: Anticancer Res. 2006 Nov-Dec;26(6C):4809-15
references: 17214345
references: Eur J Surg Oncol. 2003 May;29(4):400-2
references: 12711298
references: Br J Surg. 2007 Jan;94(1):113-8
references: 17083107
references: Aliment Pharmacol Ther. 2002 Mar;16(3):353-9
references: 11876687
references: J Natl Cancer Inst Monogr. 2013;2013(46):13-35
references: 23962508
references: Cancer Treat Rev. 2009 Apr;35(2):160-6
references: 19013023
references: Gastroenterol Clin Biol. 2004 Apr;28(4):378-83
references: 15146154
references: Br J Cancer. 2008 Jul 22;99(2):266-74
references: 18594530
references: Ann Surg. 2002 Apr;235(4):449-57
references: 11923599
references: Br J Hosp Med (Lond). 2008 Dec;69(12):681-5
references: 19186605
references: Expert Rev Anticancer Ther. 2007 Apr;7(4):477-87
references: 17428169
references: Acta Oncol. 2005;44(1):65-74
references: 15848908
references: Eur J Cancer. 2003 Sep;39(14):2073-9
references: 12957462
references: Int J Colorectal Dis. 2009 Aug;24(8):923-9
references: 19488771
references: Dis Colon Rectum. 2004 Jan;47(1):48-58
references: 14719151
references: Dis Colon Rectum. 2005 Oct;48(10):1890-9
references: 15981054
references: Br J Cancer. 2002 Nov 18;87(11):1221-6
references: 12439709
references: Br J Surg. 2005 May;92(5):615-23
references: 15779071
references: Int J Colorectal Dis. 2007 Aug;22(8):887-95
references: 17235506
references: Lancet Oncol. 2007 Sep;8(9):773-83
references: 17714991