Variation in number of general practitioner consultations before hospital referral for cancer: findings from the 2010 National Cancer Patient Experience Survey in England

Lyratzopoulos, Georgios; Neal, Richard D; Barbiere, Josephine; Rubin, Gregory; Abel, Gary

doi:10.1016/s1470-2045(12)70041-4

Cited by 334 publications

(386 citation statements)

References 22 publications

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“…Some patients have reported seeking referral to a specialist three or more times before diagnosis. 52 One study showed that the number of procedures undertaken before initiation of treatment, specifically surgery, was associated with a greater waiting time. Women who were referred directly after their initial procedure had a median wait time of 24 days, compared to 32 and 48 days in those who underwent one and two procedures, respectively.…”

Section: Time Between the Receipt Of Diagnostic Biopsy Results And Inmentioning

confidence: 99%

Effect of care-delivery delay on the survival of Mexican women with breast cancer

et al. 2016

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Efecto de la demora en la atención sobre la supervivencia de mujeres mexicanas con cáncer de mama. Salud Publica Mex 2016;58:237-250. ResumenObjetivo. Estimar el efecto del tiempo de atención sobre la supervivencia de mujeres con cáncer de mama. Material y métodos. Se realizó el análisis retrospectivo de 854 mujeres atendidas en 11 hospitales entre 2007 y 2009. Se emplearon estimadores de Kaplan-Meier y un modelo de riesgos proporcionales de Cox. Resultados. 10.5% se diagnosticó en etapa I, mientras que 82.1% demoró más de 67 días entre la percepción de un síntoma y el inicio del tratamiento. La mediana del tiempo desde la entrega de los resultados de la mastografía hasta la biopsia fue de 31 días (RIQ 14-56); en comparación con quienes se encontraron en el cuartil 1 (Q1), la supervivencia fue menor en aquellas que se encontraron en los Q3 y Q4 (HR=1.68, IC95% 0.94-3.00; HR=1.76, IC95% 1.04-2.98, respectivamente). Conclusiones. Se sugiere reducir el tiempo desde la entrega de los resultados de la mastografía a la biopsia diagnóstica para incrementar la supervivencia.Palabras clave: cáncer de mama; demora en la atención; supervivencia; México The median time from receipt of results of the mammography to biopsy was 31 days (IQR 14-56). Compared with those who were in quartile I (Q1), survival was lower among those in Q3 and Q4 (HR=1.68, 95%CI 0.94-3.00; HR=1.76, 95% CI 1.04-2.98, respectively). Conclusions. To increase survival, it is suggested that the time between receipt of the mammography results and diagnostic biopsy be reduced.

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Section: Time Between the Receipt Of Diagnostic Biopsy Results And Inmentioning

confidence: 99%

Effect of care-delivery delay on the survival of Mexican women with breast cancer

et al. 2016

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“…To test this we compared the diagnosis of Cancer of Unknown Primary (CUP) with a comparator tumour, carcinoma of the rectum, where associations with access are not strong [13]. Indeed, few patients with rectal cancer require multiple consultations before a diagnosis is reached [19], most likely because it has a signature symptom of rectal bleeding. Undiagnosed rectal cancer is therefore unlikely to contribute greatly to the total of CUP patients.…”

Section: Introductionmentioning

confidence: 99%

Cancer of Unknown Primary: a Cancer Registry Study of Factors Affecting Access to Diagnosis

et al. 2017

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The registry classified 7,428 patients as C80, 8,849 as C77-79, and 10,804 as C20. Compared to C20, the number of cases of C80 showed a statistically significant increasing trend with 3 increasing travel time to primary care. Risk also increased strongly with age, and deprivation.Results for C77-C79 were similar to those for C80, except that the travel time to primary care showed no effect. Considering all CUP alone, histological diagnosis significantly declined with travel time to the nearest hospital. There was no association with sex and the likelihood of histological diagnosis, but a marked decline with age, a downward trend with deprivation, and an increase when the nearest hospital was a cancer centre. These findings facilitate the understanding of factors associated with the group of patients that includes those with the least effective access to cancer services.

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“…It is the cancer site with the highest percentage of patients consulting their GP three or more times before referral. 8 Diagnosis with advanced disease is frequent: 88% of non-emergency patients have complications at diagnosis. 9 Myeloma has myriad symptoms, which are often at multiple sites and non-specific, with musculoskeletal pain, fatigue, and fractures often reported.…”

Section: Introductionmentioning

confidence: 99%

Quantifying the risk of multiple myeloma from symptoms reported in primary care patients: a large case–control study using electronic records

et al. 2015

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Variation in number of general practitioner consultations before hospital referral for cancer: findings from the 2010 National Cancer Patient Experience Survey in England

Abstract: None.

Cited by 334 publications

References 22 publications

Effect of care-delivery delay on the survival of Mexican women with breast cancer

Effect of care-delivery delay on the survival of Mexican women with breast cancer

Cancer of Unknown Primary: a Cancer Registry Study of Factors Affecting Access to Diagnosis

Quantifying the risk of multiple myeloma from symptoms reported in primary care patients: a large case–control study using electronic records

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