NDLI: Impact of comorbidity and healthcare utilization on colorectal cancer stage at diagnosis: literature review

Content Provider	Springer Nature Link
Author	Corkum, Mark Urquhart, Robin Kendell, Cynthia Burge, Fred Porter, Geoffrey Johnston, Grace
Copyright Year	2011
Abstract	Individuals diagnosed with cancer close to death have low access to enrollment in palliative care programs. The purpose of this literature review was to assess the usefulness of pre-diagnostic comorbidity and healthcare utilization as indicators of late-stage colorectal cancer (CRC) diagnosis, to help with early identification of individuals who may benefit from palliative care.A literature search was conducted in relevant databases using title/abstract terms which included “cancer,” “stage,” “diagnosis,” “determinants,” “predictors,” and “associated.” Included studies examined whether comorbidity and/or healthcare utilization had an impact on the stage at which CRC was diagnosed. A standardized data abstraction form was used to assess the eligibility of each study. Thirteen articles were included in the literature review. These studies were assessed and synthesized using qualitative methodology.We found much heterogeneity among study variables. The findings of this literature review point to the presence of comorbidity and non-emergent healthcare utilization as having no association with late-stage diagnosis. Conversely, emergency room presentation (ERP) was associated with late-stage diagnosis.The results of this literature review did not find strong evidence to suggest that comorbidity and healthcare utilization are potential indicators of late-stage diagnosis. However, ERP may be useful as a flag for consideration of prompt referral to palliative care. Additional research is required to identify potential indicators of late-stage diagnosis that may be available in administrative databases, particularly in the area of healthcare utilization.
Starting Page	213
Ending Page	220
Page Count	8
File Format	PDF
ISSN	09575243
Journal	Cancer Causes & Control
Volume Number	23
Issue Number	2
e-ISSN	15737225
Language	English
Publisher	Springer Netherlands
Publisher Date	2011-11-20
Publisher Place	Dordrecht
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Colorectal neoplasms Diagnosis Neoplasm staging Epidemiologic factors Oncology Cancer Research Public Health/Gesundheitswesen Epidemiology Biomedicine general Hematology
Content Type	Text
Resource Type	Article
Subject	Cancer Research Oncology

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