Darmkankerchirurgie sinds het bevolkingsonderzoek : Veranderingen in volume en wachttijden onderzocht

Objective To investigate the impact of the Netherlands national colorectal cancer screening programme on the number of surgical resections for colorectal carcinoma and on waiting times for surgery. Design Descriptive study. Method Data were extracted from the Dutch Surgical Colorectal Audit. Patients with primary colorectal cancer surgery between 20112015 were included. The volume and median waiting times for the years 20112015 are described. Waiting times from first tumor positive biopsy until the operation (biopsyoperation) and first preoperative visit to the surgeon until the operation (visitoperation) are analyzed with a univariate and multivariate linear regression analysis. Separate analysis was done for visitoperation for academic and nonacademic hospitals and for screening compared to nonscreening patients. Results In 2014 there was an increase of 1469 (15%) patients compared to 2013. In 2015 this increase consisted of 1168 (11%) patients compared to 2014. In 2014 and 2015, 1359 (12%) and 3111 (26%) patients were referred to the surgeon through screening, respectively. The median waiting time of biopsyoperation significantly decreased (s: 0.94, 95%BI) over the years 20142015 compared to 20112013. In nonacademic hospitals, the waiting time visitoperation also decreased significantly (s: 0.89, 95%BI 0.870.90) over the years 20142015 compared to 20112013. No difference was found in waiting times between patients referred to the surgeon through screening compared to nonscreening. Conclusion There is a clear increase in volume since the introduction of the colorectal cancer screening programme without an increase in waiting time until surgery.