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Improving Outcomes in Colorectal Cancer (June 2004)
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In 1997, the Department of Health published a document called Improving Outcomes in Colorectal Cancer. NICE has
now published an updated version for the NHS in England and Wales. Some of the
original recommendations have been updated, and further recommendations have been added.
The key recommendations are:
People who may have colorectal cancer should be offered rapid referral for endoscopy
Endoscopy should be available for diagnosis
People should be treated by a multidisciplinary team
Colorectal teams treating people with rectal cancer should have special training
People who need emergency treatment should be treated by a colorectal cancer team
Information and support should be improved
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Improving Outcomes in Colorectal Cancers – Manual Update
Improving Outcomes in Colorectal Cancers – Research Evidence
Improving Outcomes in Colorectal Cancers - Information for the public
This document summarises the key recommendations of the manual. It is in an easy to read style, and may be used in local patient information leaflets or any other suitable publication.
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Improving Outcomes in Colorectal Cancer (original publication - 1997)
This manual is the first of two guidance documents on colorectal or large bowel cancer. The aim of this
manual is to assist those commissioning, planning, and developing cancer services by focusing on those
aspects of colorectal cancer which are most likely to have a significant impact on health outcomes.
The background to the manual is outlined in terms of incidence and mortality rates; characteristics and prognosis; populations at increased risk; prevention;
surveillance and screening; treatment; and costs. Key recommendations for improving the quality of care are identified.
Guidance material is presented on ten topic areas. Each topic includes sections on recommendations,
anticipated benefits, evidence, measurement, and resource implications. Topics covered are patient-centred care;
access to appropriate services; multi-disciplinary team; primary diagnosis and pre-operative evaluation; surgery and
histopathology, radiotherapy in primary disease; adjuvant chemotherapy; follow-up; recurrent and advanced dis ease;
and palliative care.
http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_4080283.pdf
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