Colorectal adenocarcinoma staging of patients in a public tertiary hospital in the state of Grande do Sul

Abstract

Introduction Colorectal cancer has the second highest prevalence and the third highest incidence in the world. Mortality is directly related to the stage of the disease. Objective To evaluate the staging of patients with colorectal adenocarcinoma treated at the Coloproctology Department of the Hospital Nossa Senhora da Conceição between 2010 and 2015. Method Prevalence study. Data collection was performed retrospectively through a survey in the electronic system of the Hospital Group Conceição, seeking all patients with ICD 10 C18, C19 and C20 who were attended at the Coloproctology Department between 2010 and 2015. Results Four hundred and twenty patients were eligible for the study. The mean age was 65.6 years (±12.8). Regarding staging, we observed the following distribution: 7.9%, stage I; 23.6%, stage II; 37.6%, stage III; and 30.2%, stage IV. The percentage of patients with advanced colorectal adenocarcinoma (stage III + stage IV) is 67.8%. Regarding the origin, 51% of the patients were attended at the emergency department. Conclusion Most patients treated at this hospital have advanced disease (67%) and come from the emergency department (51%).

Spatial distribution of mortality from colorectal cancer in the southern region of Brazil

“…A study presented by Berg et al [63] and Valadão et al [64] regarded the CRC stage of the patients admitted to hospitals in Rio Grande do Sul and Rio de Janeiro, respectively. Both described that more than 60% of the population presented advanced colorectal cancer with stage III or IV at the time of diagnosis.…”

“…It is public knowledge that the waiting time for diagnostic exams in the Unified Public System in Brazil can be very long. In Porto Alegre municipality, the monthly number of consultations for Proctology-Oncology ranged from 5 to 29 visits, with a waiting time of 18-34 days, and only after diagnosis of malignant neoplasm, patients can be referred to the Oncology service [63]. The significant number of patients awaiting consultation in the primary care services may indirectly reinforce the need to extend the colonoscopy exam to Unified Public System patients.…”