Colorectal Cancer Pathway Map provides a flow chart of an evidence-based high level overview of the care colorectal cancer patients should receive in Ontario.
Many patients, both with and without colorectal cancer, will present with signs or symptoms that may raise the suspicion of cancer (for example an abnormal FIT). The following guideline may help you determine when to refer a patient for further investigation.
Diagnostic Assessment Programs (DAPs)
Diagnostic Assessment Programs (DAPs), also known as Diagnostic Assessment Units (DAUs) and Rapid Diagnostic Units (RDUs), focus on providing a rapid assessment and diagnosis for patients with suspicious symptoms or abnormalities. Patients receive a comprehensive assessment, examination and care plan. Please refer to the following document for recommended entry and transfer of care criteria for Colorectal Diagnostic Assessment Programs (DAPs) in Ontario.
Several different hospitals in Toronto provide diagnostic, treatment and follow-up services for abnormal gastrointestinal findings. Check the list below for details on the services available at each hospital. There are also gastrointestinal services available in the community. Where available, referral forms are provided on the respective websites.
Patients who have an abnormal FIT result should be referred to a facility that has the expertise and resources to perform colonoscopies in people with an abnormal FIT result. In the Toronto Central region, these facilities include:
- Sinai Health System (Mount Sinai Hospital)
- Sunnybrook Health Sciences Centre (Odette Cancer Centre)
- Michael Garron Hospital (Toronto East Health Network)
- Unity Health (St. Joseph's Health Centre and St. Michael's Hospital)
- University Health Network (Toronto Western Hospital and Princess Margaret Cancer Centre)
Cancer patients may require specific follow-up care after they have finished treatment. Follow the links below for details of the follow-up care needed by colorectal cancer survivors.