2003
DOI: 10.1590/s0100-879x2003001000020
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Treatment delay and radiological errors in patients with bone metastases

Abstract: During routine investigations, we are surprised to find that therapy for bone metastases is sometimes delayed for a considerable period of time. To determine the extent of this delay and its causes, we reviewed the medical records of symptomatic patients seen at our hospital who had been recently diagnosed as having bone metastases for the last four years. The treatment delay was defined as the interval between presentation with symptoms and definitive treatment for bone metastases. The diagnostic delay was de… Show more

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Cited by 5 publications
(3 citation statements)
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References 11 publications
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“…PVD is significantly shorter for Group A and Group B compared with Group D (P =0.0059 and 0.019, respectively). POV, period from onset of symptoms to the first visit; PVD, period from the first visit to diagnosis; (n=X, Y), (n=POV, PVD).from unknown malignancy6 .We also found that FPC was associated with over half of the patients studied at the diagnosis of bone metasta-sis. Regarding skeletal-related events including spinal cord compression, pathological fractures, radiation to bone, and bone surgery, these have been reported to be present at the diagnosis of bone metastasis in 22.4, 22.4, and 10.0% of patients with breast cancer, lung cancer, and prostate cancer, respectively 7 , but these results were not limited only to bone metastasis in patients of unknown malignancy at their first visit.…”
mentioning
confidence: 65%
“…PVD is significantly shorter for Group A and Group B compared with Group D (P =0.0059 and 0.019, respectively). POV, period from onset of symptoms to the first visit; PVD, period from the first visit to diagnosis; (n=X, Y), (n=POV, PVD).from unknown malignancy6 .We also found that FPC was associated with over half of the patients studied at the diagnosis of bone metasta-sis. Regarding skeletal-related events including spinal cord compression, pathological fractures, radiation to bone, and bone surgery, these have been reported to be present at the diagnosis of bone metastasis in 22.4, 22.4, and 10.0% of patients with breast cancer, lung cancer, and prostate cancer, respectively 7 , but these results were not limited only to bone metastasis in patients of unknown malignancy at their first visit.…”
mentioning
confidence: 65%
“…Some series report delays of up to 17 weeks from the initial medical consultation to diagnosis 12,13 . Ichinohe et al 14 found a delay in diagnosis ranging from 3 to 307 days, with diagnostic errors in 56.4% of the patients being reported. Delayed diagnosis and the management of bone tumor lesions are also associated with inadequate plain x-rays, poor radiographic techniques being used, and incomplete initial medical histories 15 .…”
Section: Introductionmentioning
confidence: 99%
“…En algunas series se reportan hasta 17 semanas desde la primera consulta médica hasta el diagnóstico 12,13 . Ichinohe et al 14 encontraron un retraso en el diagnóstico de 3 a 307 días, con errores en el diagnóstico en el 56.4% de los pacientes. El retraso en el diagnóstico y en el tratamiento de las lesiones tumorales óseas también se asocia a radiografías simples inadecuadas, con mala técnica radiográfica, y a una historia clínica inicial incompleta 15 .…”
Section: Introductionunclassified