Aim: In Morocco, colorectal cancer (CRC) is the third most common cancer considering both sexes.Its diagnosis at an advanced stage is often associated with a poor prognosis and reduced survival rates.However, the time from symptom onset to diagnosis or treatment has also been considered as a predictor of stage and survival.This study aims to investigate the sociodemographic, clinical and care pathway profile of CRC patients.Material and Methods: A retrospective cross-sectional study with analytical goals was conducted on CRC cases admitted to the National Institute of Oncology (NIO) during 2015-2016.Three hundred twenty-one CRC cases were included.Socio-demographic, clinical profile and care pathway data of the patients were collected from the medical records using a collection form.The Kish formula was used to determine the study population.Statistical analysis was performed using Epi-Info software (version 7).Results: The mean age was 58 years and the female/male sex ratio was 1.09; 73.7% of CRCs were diagnosed at a late stage (stage III or VI).Also, 73.0% of the cases were married, 67.3% were from urban areas, and 77.9% were mainly covered by RASED.The most frequent histological type was adenocarcinoma (93.4%).In 21.9% of cases, urgent surgery was the mode of discovery of the tumor.Surgery was the first treatment considered for CRC patients (55.5%).For colon cancer, surgery was the first treatment in 82.6% of cases; and for rectal cancer, radiotherapy and concomitant chemotherapy were the first treatment received in 46% of cases.Discussion: The results of the present study show that the onset of clinical signs was not in favor of an early diagnosis.It would then be essential to study the delays of diagnosis and treatment in the horizon to support early management of CRC before the appearance of alarming signs.
Tópico:
Colorectal Cancer Screening and Detection
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FuenteThe Annals of Clinical and Analytical Medicine