The National Bowel Cancer Audit (NBoCA) has published its latest annual report, which aims to describe and compare the quality of care and outcomes of patients diagnosed with bowel cancer (of both the colon and rectum). It is separated into two parts:
The first part is based on 32,641 patients diagnosed with bowel cancer in England and Wales between 1 April 2019 and 31 March 2020. The report found that most patients presented via referral from a GP (54%), with the remainder identified by emergency presentation (18%), other referral methods (16%), and screening programmes (12%). Other key findings include:
- Overall 90-day mortality continued to improve from 3.5% in the 2015/16 audit period to 2.6%
- Patients presenting via screening programmes were more likely to have earlier stage disease and to undergo curative treatment (9 in 10 likely to be cured)
- 61% of patients undergoing major resection for stage III colon cancer received adjuvant chemotherapy, and
- Two-year all-cause mortality for all patients remained stable at 33%.