Urgency of referral and its impact on outcome in patients with colorectal cancer

G. Ramsay* (Corresponding Author), C. MacKay, S. Nanthakumaran, W. L. Craig, T. K. McAdam, M. A. Loudon

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

7 Citations (Scopus)


Aim Primary care referral for patients with bowel symptoms is triaged by general practitioners to urgent or routine based on the clinical suspicion of malignancy. Triage directly influences time to assessment and investigation. This study aimed to establish whether urgency of referral of patients with large bowel malignancy has any effect on management. Method An analysis was undertaken of all patients with colorectal cancer referred by primary care and discussed at the regional colorectal multi-disciplinary team (MDT) meetings from January 2009 to December 2010. Demographics and tumour data were collated prospectively from MDT records, and operation and investigation reports. Results Of 369 primary case referrals with colorectal cancer, 303 (82.1%) were urgent and 66 (17.9%) routine. Patient characteristics (age, sex, American Society of Anesthesiologists grade) and resection rates were similar in both groups and no significant difference in tumour location was observed. The time from referral to diagnosis was significantly longer in the routine group (mean 73.7days vs 30.2days; P=0.001). Dukes stage was less advanced for the routine referral group, (P=0.002). Conclusion Urgency of referral decreased the time to diagnosis. This did not influence resection rates. Dukes stage was higher for urgent referrals. Long-term follow-up is required to determine any impact on survival.

Original languageEnglish
Pages (from-to)e375-e377
Number of pages3
JournalColorectal Disease
Issue number7
Early online date8 Jun 2012
Publication statusPublished - Jul 2012


  • Colorectal cancer
  • Outcome
  • Referral urgency


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