Systematic review with meta‐analysis of over 90 000 patients. Does fast‐track review diagnose colorectal cancer earlier?
Alimentary Pharmacology & Therapeutics2019Vol. 50(4), pp. 348–372
Citations Over TimeTop 12% of 2019 papers
Ella Mozdiak, Yonas Ghebremichael‐Weldeselassie, Michael McFarlane, Maria Tabuso, Monika Widłak, Amber Dunlop, Alexander Tsertsvadze, Ramesh Arasaradnam
Abstract
Only 7.7% of patients referred by the 2-week wait pathway were found to have CRC. No beneficial effect on stage at diagnosis was found compared to non-2-week wait referral pathways. Over half of patients had no colonic pathology and detection of adenomas was very low. These results should prompt a reconsideration of the benefits of the 2-week wait pathway in CRC diagnosis and outcomes, with more focus on strategies to improve patient selection.
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