Research Article
Volume 9 Issue 6 - 2022
Colorectal Cancer Survival at Dr. Orlando Smith Hospital, Tortola, BVI
David Nelson*
Gastroenterology Surgery, British Virgin Islands Health Services Authority
*Corresponding Author: David Nelson, Gastroenterology Surgery, British Virgin Islands Health Services Authority.
Received: November 05, 2021; Published: May 27, 2022


Introduction: Colon cancer is the 4th leading cause of cancer deaths in the Caribbean, no study of colorectal cancer has been done previously on British Virgin Islands population, therefore there is limited data available on mortality and prevalence in this population. Our Multidisciplinary tumor board team was first established in 2016 and reviews all cancer patient at the Dr. Orland Smith Hospital, These Multidisciplinary tumor boards are intended to improve the outcomes of this group of patients. This is consistent with previous research in the UK by Mac Demid., et al [1] and Greece by Loannidis., et al [2]. In 2016 a systemic review by B. Pillay., et al [3] suggested that there was limited evidence that Multidisciplinary tumor board meetings resulted in improved patient outcomes. So how has Multidisciplinary tumor boards affected our patient outcomes at the Dr. Orlando Smith Hospital for colorectal cancer? Has there been any improvement in colorectal cancer survival?

Aim and Method: The aim of this study is to determine if there has been any difference in overall survival in colorectal cancer patients since the establishment of the Multidisciplinary tumor board at our principal referring hospital (Dr. Orlando Smith Hospital).A retrospective study was done reviewing all patients diagnosed with colorectal cancer from 2013 to 2019. Demographic, pathologic and treatment data were collected from the patients charts and electronic medical data base. All the pathology reports over this time period was also reviewed to capture all the patients with colorectal cancer. This data was then computed in excel and analyzed using SPSS. Additional data collected included, clinical presentation, screening, type of surgical management, postoperative complications and staging.

Results: 32 new patients were diagnosed with colorectal cancer over the 7-year period. The majority of patients presented late (stage 4) and a significant amount presented as intestinal obstruction requiring acute surgical care. The mean age at diagnosis was 70.2 years, 60% of patients were male, 43% had left sided tumors. Mortality was the same in both left and right sided tumors however 88% of rectal cancer patient died. 90% of patients had no screening done prior to diagnosis. overall survival time was 16.7 months. 63% of patients were discussed at multidisciplinary tumor boards. When a comparison was made between case discussed at multidisciplinary tumor boards and those who were not, there was no significance difference in the survival curve (p = 0.600).

Conclusion: The evidence does not support an improvement in patient overall survival in colorectal cancer after the implementation of the multidisciplinary tumor boards. There has been an increase in cases over the last 3 years, these cases present, with poor prognostic factors. The majority are stage 4 disease (43%), 23% presents as emergencies with intestinal obstruction, 50% have hypertension etc. Hence these patients have a decreased probability of overall survival even before being discussed at multidisciplinary tumor boards. A national screening program would definitely help in early detection and together with targeted care to British virgin island population, overall survival can be improved.


Keywords: Colorectal Cancer Survival; Orlando Smith Hospital; BVI


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Citation: David Nelson. “A Mobile App to Train in Laparoscopic Surgery”. EC Gastroenterology and Digestive System 9.6 (2022): 49-66.

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