Colorectal Cancer
Emergency referrals
Phone on call Oncology Registrar and send patient to the Department of Emergency Medicine at their nearest hospital.
Contact on call Oncology Registrar through:
- Royal Brisbane & Women’s Hospital (07) 3646 8111
- The Prince Charles Hospital (07) 3139 4000
- Redcliffe Hospital (07) 3883 7777
- Caboolture Hospital (07) 5433 8888
Does your patient wish to be referred?
Minimum referral criteria
Does your patient meet the minimum referral criteria?
Category 1
Appointment within 30 days is desirable
- Metastatic colon cancer with rapid progress or organ dysfunction. For optimum care, patient should be seen within 2 weeks.
- Neoadjuvant chemotherapy with radiation prior to surgery (usually referred by surgeon after MDT). For optimum care, patient should be seen within 2 weeks.
- Adjuvant treatment after surgery (usually referred after MDT by surgeon).
- Metastatic colon cancer (de novo or following treatment for early stage cancer) and has tissue confirmation.
Category 2
Appointment within 90 days is desirable
- No category 2 criteria
Category 3
Appointment within 365 days is desirable
- No category 3 criteria
If your patient does not meet the minimum referral criteria
Consider other treatment pathways or an alternative diagnosis.
If you still need to refer your patient:
- Please explain why (e.g. warning signs or symptoms, clinical modifiers, uncertain about diagnosis, etc.)
- Please note that your referral may not be accepted or may be redirected to another service
Other important information for referring practitioners
- Most patients with radiological evidence of metastatic cancer need biopsy confirmation. These patients need to be seen by a colorectal surgeon
- Some patients with liver metastases can undergo curative liver resection
- The majority of stage II and stage III rectal cancer benefit from pre-operative chemotherapy and radiation
- Suspected colorectal cancer due to symptoms or iron deficiency anaemia needs to be referred through local gastroenterology or surgical pathways
- For patients with incurable (metastatic or recurrent) cancer, consideration of the following:
- documentation of discussions with the patient (and their carers where appropriate) regarding the intent of treatment (anti-cancer therapy to improve quality of life and/or longevity without expectation of cure or symptom palliation), the woman’s prognosis and their understanding of their prognosis
- whether Advanced Care Planning (ACP) conversations have been undertaken and their outcome
- specific patient goals and values that may impact on treatment choices, and
- whether the patient has been referred to a palliative or supportive care service.
Referral requirements
A referral may be rejected without the following information.
- General referral information
- Family history
- Previous cancer treatment details
- FBC, ELFTs and CEA results
- Tumour histology report
Additional referral information (useful for processing the referral)
- Any relevant XR results
- MRI of pelvis and endorectal US for rectal cancer for selected patients
- PET scan results for selected patients
- Colonoscopy results (if applicable)
Out of catchment
Metro North Health is responsible for providing public health services to the people who reside within its boundaries. Special consideration is made for patients requiring tertiary care or services that are not provided by their local Hospital and Health Service. If your patient lives outside the Metro North Health area and you wish to refer them to one of our services, inclusion of information regarding their particular medical and social factors will assist with the triaging of your referral.
- Impact on employment
- Impact on education
- Impact on home
- Impact on activities of daily living
- Impact on ability to care for others
- Impact on personal frailty or safety
- Identifies as Aboriginal and/or Torres Strait Islander
- To establish a diagnosis
- For treatment or intervention
- For advice and management
- For specialist to take over management
- Reassurance for GP/second opinion
- For a specified test/investigation the GP can’t order, or the patient can’t afford or access
- Reassurance for the patient/family
- For other reason (e.g. rapidly accelerating disease progression)
- Clinical judgement indicates a referral for specialist review is necessary
- Presenting symptoms (evolution and duration)
- Physical findings
- Details of previous treatment (including systemic and topical medications prescribed) including the course and outcome of the treatment
- Body mass index (BMI)
- Details of any associated medical conditions which may affect the condition or its treatment (e.g. diabetes), noting these must be stable and controlled prior to referral
- Current medications and dosages
- Drug allergies
- Alcohol, tobacco and other drugs use
- Full name (including aliases)
- Date of birth
- Residential and postal address
- Telephone contact number/s – home, mobile and alternative
- Medicare number (where eligible)
- Name of the parent or caregiver (if appropriate)
- Preferred language and interpreter requirements
- Identifies as Aboriginal and/or Torres Strait Islander
- Full name
- Full address
- Contact details – telephone, fax, email
- Provider number
- Date of referral
- Signature
- Willingness to have surgery (where surgery is a likely intervention)
- Choice to be treated as a public or private patient
- Compensable status (e.g. DVA, Work Cover, Motor Vehicle Insurance, etc.)
Send referral
Hotline: 1300 364 938
Medical Objects ID: MQ40290004P
HealthLink EDI: qldmnhhs
Mail:
Metro North Central Patient Intake
Aspley Community Centre
776 Zillmere Road
ASPLEY QLD 4034
Health pathways
Access to Health Pathways is free for clinicians in Metro North Brisbane.
For login details email:
healthpathways@brisbanenorthphn.org.au
Login to Brisbane North Health Pathways:
brisbanenorth.healthpathwayscommunity.org