Development of metrics of the care process for colorectal cancer in England and application to bowel cancer screening : retrospective analysis of large datasets

Geraghty, J (2016) Development of metrics of the care process for colorectal cancer in England and application to bowel cancer screening : retrospective analysis of large datasets PhD thesis, University of Liverpool.

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Abstract

Introduction: In England the 5-year survival for colorectal cancer (CRC) is 50%, significantly lower than in other countries of comparable wealth, largely due to patients presenting late with the disease. Late presentation is strongly correlated with emergency presentation to hospital. The NHS Bowel Cancer Screening Programme (BCSP) has been the most significant nationwide intervention attempting to improve CRC outcomes. This programme began in 2006 and was active throughout the country by 2010. Screening programmes are notoriously difficult to evaluate and so far there is limited robust evidence of its effectiveness. Administrative data from hospitals can be used to study diseases, including cancers. Through careful interrogation of the data, it may be possible to identify factors associated with improved CRC outcomes, including the impact of introducing the BCSP. Aims: To develop a new methodology for identifying a national cohort of incident CRC cases, by applying clinical knowledge to the analysis of administrative data for English hospitals (Hospital Episode Statistics, HES). To use this new methodology to identify which admission signifies a patient’s first presentation to hospital care with CRC and ... (continues)

Item Type:	Thesis (PhD)
Divisions:	Faculty of Health & Life Sciences
Depositing User:	Symplectic Admin
Date Deposited:	28 Jul 2016 07:28
Last Modified:	13 Apr 2025 07:03
DOI:	10.17638/03001387
Supervisors:	Bodger, K ORCID: 0000-0002-1825-3239 Sarkar, S
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3001387
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