Hospital Costs of Colorectal Cancer Care

Objective In a hospital based setting, identify factors which influence the cost of colorectal cancer care? Design Retrospective case note review Setting Nottingham, United Kingdom Participants 227 patients treated for colorectal cancer Methods Retrospective review of the hospital records provided the primary data for the costing study and included all CRC related resource consumption over the study period. Results Of 700 people identified, 227 (32%) sets of hospital notes were reviewed. The median age of the study group was 70.3 (IQR 11.3) years and there were 128 (56%) males. At two years, there was a significant difference in costs between Dukes D cancers (£3641) and the other stages (£3776 Dukes A; £4921 Dukes B). Using univariate and multivariate regression, the year of diagnosis, Dukes stage of disease, intensive nursing care, stoma requirements and recurrent disease all significantly affected the total cost of care. Conclusions CRC remains costly with no significant difference in costs if diagnosed before compared to after 1992. Very early and very late stage cancers remain the least costly stage of cancers to treat. Other significant effectors of hospital costs were the site of cancer (rectal), intensive nursing care, recurrent disease and the need for a stoma

Three-Dimensional Thermoluminescence Spectra and Their Application in the Study of Some Sedimentary Quartz

The intensity of thermoluminescence emission is a function of both temperature and photon energy (or wavelength) and therefore lends itself to a three-dimensional (3-D) display, either in the form of an isometric plot or a contour diagram. The technique of 3-D thermoluminescence spectrometry is briefly reviewed and the advantages and applications are illustrated by reference to the spectral properties of samples of Australian sedimentary quartz drawn from the context of thermoluminescence dating. In this context, the temperature of emission, the photon energy and the ease with which the emission is bleachable by sunlight are of significance. It is suggested that, in one of the samples, the energy of the photon emitted from one of the luminescence centres depends on the temperature of emission

Leaching Losses of N, P and K from Grazed Legume Based Swards: Some Preliminary Results

There is increasing interest in sustainable agricultural systems because of environmental concerns. Animal production which utilises mixed grass and legume swards could be an effective measure in increasing the efficiency of nutrient utilisation, and investigation into different legume species is necessary. Leaching losses of N, P and K from 3 legume species under grazing by sheep were measured using Teflon-coated suction cups. The experiment took place on the UK site of the EU-funded, multi-site experiment – LEGGRAZE