Delays in the diagnosis of six cancers: Analysis of data from the National Survey of NHS Patients: Cancer

被引：204

作者：

Neal R.D. ^{[1
]}

Allgar V.L. ^{[2
]}

机构：

[1] Centre for Research in Primary Care, University of Leeds, Leeds LS2 9PL

[2] Department of General Practice, Wales College of Medicine, Cardiff University, Wrexham LL13 7YP, Wrexham Technology Park

来源：

British Journal of Cancer | 2005年 / 92卷 / 11期

关键词：

Delay; Diagnosis; Patient; Primary care; Referral; Secondary care;

D O I：

10.1038/sj.bjc.6602587

中图分类号：

学科分类号：

摘要：

The aim of this paper is to describe and compare components of diagnostic delay (patient, primary care, referral, secondary care) for six cancers (breast, colorectal, lung, ovarian, prostate and non-Hodgkin's lymphoma), and to compare delays in patients who saw their GP prior to diagnosis with those who did not. Secondary data analysis of The National Survey of NHS Patients: Cancer was undertaken (65 192 patients). Breast cancer patients experienced the shortest total delays (mean 55.2 days), followed by lung (88.5), ovarian (90.3), non-Hodgkin's lymphoma (102.8), colorectal (125.7) and prostate (148.5). Trends were similar for all components of delay. Compared with patient and primary care delays, referral delays and secondary care delays were much shorter. Patients who saw their GP prior to diagnosis experienced considerably longer total diagnostic delays than those who did not. There were significant differences in all components of delay between the six cancers. Reducing diagnostic delays with the intention of increasing the proportion of early stage cancers may improve cancer survival in the UK, which is poorer than most other European countries. Interventions aimed at reducing patient and primary care delays need to be developed and their effect on diagnostic stage and psychological distress evaluated. © 2005 Cancer Research UK.

引用

页码：1959 / 1970

页数：11

共 38 条

[1]

Aithal G., Tanner A., Adjuvant treatment for colorectal cancer-reducing avoidable delays in establishing the diagnosis is also important, BMJ, 312, (1996)

[2]

Arbman G., Nilsson E., Storgen-Fordell V., Sjodahl R., A short diagnostic delay is more important for rectal than for colonic cancer, Eur J Surgery, 162, pp. 899-904, (1996)

[3]

Arndt V., Sturmer T., Stegmaier C., Ziegler H., Becker A., Brenner H., Provider delay among patients with breast cancer in Germany: A population-based study, J Clin Oncol, 21, pp. 1440-1446, (2003)

[4]

Arndt V., Sturmer T., Stegmaier C., Ziegler H., Dhom G., Brenner H., Patient delay and stage of diagnosis among breast cancer patients in Germany - A population based study, Br J Cancer, 86, pp. 1034-1040, (2002)

[5]

Banks E., Reeves G., Beral V., Bull D., Crossley B., Simmonds M., Hilton E., Bailey S., Barrett N., Briers P., English R., Jackson A., Kutt E., Lavelle J., Rockall L., Wallis M.G., Wilson M., Patnick J., Influence of personal characteristics of individual women on sensitivity and specificity of mammography in the Million Women Study: Cohort study, BMJ, 329, (2004)

[6]

Berrino F., Gatta G., Sant M., Capocaccia R., The EUROCARE study of survival of cancer patients in Europe: Aims, current status, strengths and weaknesses, Eur J Cancer, 37, pp. 673-677, (2001)

[7]

Billing J.S., Wells F.C., Delays in the diagnosis and surgical treatment of lung cancer, Thorax, 51, pp. 903-906, (1996)

[8]

The NHS Cancer Plan, (2000)

[9]

Referral Guidelines for Suspected Cancer, (2000)

[10]

The National Survey of NHS Patients: Cancer Survey, (2002)

← 1 2 3 4 →