Time to Management of Colorectal Cancer: Audit of the Gastroenterology Department at Mongi Slim Hospital

Audit of Time to Colorectal Cancer Management

Authors

  • Abdelwahab Nakhli Department of Hepato-Gastroenterology, Mongi Slim Hospital, 2046, Faculty of Medicine of Tunis,University of Tunis El Manar, 1068,Tunis, Tunisia.
  • Cyrine Ben Mehrez Department of Hepato-Gastroenterology, Mongi Slim Hospital, 2046, Faculty of Medicine of Tunis, University of Tunis El Manar, 1068,Tunis, Tunisia.
  • Oussema Ghachem Department of Hepato-Gastroenterology, Mongi Slim Hospital, 2046, Faculty of Medicine of Tunis, University of Tunis El Manar, 1068,Tunis, Tunisia.
  • Amal Jerbi Department of Hepato-Gastroenterology, Mongi Slim Hospital, 2046, Faculty of Medicine of Tunis, University of Tunis El Manar, 1068,Tunis, Tunisia.
  • Zeineb Benzarti Department of Hepato-Gastroenterology, Mongi Slim Hospital, 2046, Faculty of Medicine of Tunis, University of Tunis El Manar, 1068,Tunis, Tunisia.
  • Yosr El Mouldi Department of Hepato-Gastroenterology, Mongi Slim Hospital, 2046, Faculty of Medicine of Tunis, University of Tunis El Manar, 1068,Tunis, Tunisia.
  • Bochra Bouchabou Department of Hepato-Gastroenterology, Mongi Slim Hospital, 2046, Faculty of Medicine of Tunis, University of Tunis El Manar, 1068,Tunis, Tunisia.
  • Rym Ennaifer Department of Hepato-Gastroenterology, Mongi Slim Hospital, 2046, Faculty of Medicine of Tunis, University of Tunis El Manar, 1068,Tunis, Tunisia.

DOI:

https://doi.org/10.62438/tunismed.v104i04.6598

Keywords:

Colorectal cancer , Time to treatment, Audit , Tunisia , Epidemiology

Abstract

Introduction: Colorectal cancer (CRC) is a major public health issue in Tunisia. This study aimed to evaluate the time to management of CRC at Mongi Slim Hospital and identify factors associated with a longer delay.

Methods: Retrospective study including adult patients with histologically confirmed CRC treated with curative intent between April 2013 and December 2019.

Results: Fifty-four patients were included (mean age 63 years, male-to-female ratio 1.16). The mean diagnosis-to-treatment interval was 44 days (median 33). Delay (>30 days) occurred in 57% of patients. Predictors of delay were staging in the public sector and outpatient management.

Conclusion: More than half of the patients experienced delayed management. Structural and organizational measures are required to improve timelines and CRC prognosis.

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Additional Files

Published

2026-04-30

Issue

Vol. 104 No. 04 (2026): Tunis Med Apr 2026

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Original articles

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