Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Colorectal cancer (CRC) is a growing global health concern, particularly in developing countries like India. Despite advancements in screening and treatment, late‐stage presentations and limited access to care complicate CRC management in resource‐limited settings. This study analyzes the patterns of presentation, treatment strategies and survival outcomes of colon cancer patients at Tertiary Care Hospitals/referral centres in the region. This retrospective analytical study was conducted in accordance with ethical standards, following prior consent from hospital authorities and medical superintendents of randomly selected secondary and tertiary care hospitals with surgical wards, including our teaching hospitals. A total of 160 patients identified as proven cases of colorectal carcinoma, were selected for the study(Between Jan‐2021 to Dec 2023). Patients from both genders, adult and geriatric age groups and all socioeconomic strata were included. Medical records showed that all patients underwent standard clinical examinations, routine biochemical and hematological investigations and abdominal ultrasonography and received appropriate treatment. Survival outcomes were analyzed using Kaplan‐Meier methods based on this prospectively maintained database of colon cancer patients treated at secondary and tertiary hospitals. A total of 160 patients were included, with 52.5% in the 40‐59 age group. Most patients (41.9%) were diagnosed at Stage IV. Moderately differentiated tumors accounted for 45.6% of cases. Curative treatment was administered to 68% of primary cases, while palliative care dominated for recurrent cases (65%). Surgical interventions included right hemicolectomy (33.1%) and sigmoidectomy (28.1%). Post‐surgery, 76.3% of patients had no complications and the recurrence rate was 60%, with 13.7% experiencing multiple recurrence sites. This study highlights the challenges in managing CRC in resource‐limited settings, with late‐stage presentations being common. Improving early detection and enhancing access to treatment are critical for better outcomes. The findings provide insight into the real‐world management of CRC in India and may guide policy and resource allocation in similar healthcare settings.
How to cite this article:
Atul Uttamrao Yadgire and Johara A. Khan. Challenges and Opportunities in Colorectal Cancer Management in India: A Retrospective Study.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.10.463.467
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.10.463.467