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Missed Opportunities for the Diagnosis of Colorectal Cancer
المؤلفون المشاركون
Rogers, Heather L.
Harris-Haywood, Sonja
Siminoff, Laura A.
المصدر
العدد
المجلد 2015، العدد 2015 (31 ديسمبر/كانون الأول 2015)، ص ص. 1-9، 9ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2015-10-04
دولة النشر
مصر
عدد الصفحات
9
التخصصات الرئيسية
الملخص EN
Objective.
To examine patient and medical characteristics which predict a missed diagnostic opportunity (MDO) for colorectal cancer (CRC).
Methods.
The sample consisted of 252 patients diagnosed with Stages 1–4 CRC who were diagnosed in the prior six months, had experienced symptoms prior to diagnosis, and were not diagnosed through routine screening.
Systematic review of all medical records prior to patients’ diagnosis was conducted.
An MDO was defined as a clinical encounter where, even in the presence of presumptive CRC symptoms, the CRC diagnostic process is not started.
Results.
92 patients (36.5%) experienced an MDO.
Almost 80% of alternate diagnoses were other GI-GU diseases, including hemorrhoids and diverticulitis.
Stomach pain, anemia, and constipation were the most common symptoms experienced by the MDO group.
These symptoms, and weight loss and vomiting, were more likely to be noted in the charts of the MDO patients (P<0.04).
Independent risk factors for MDO included age (<50) [OR = 2.29 (1.14–4.60), P=0.02] and female sex [OR = 2.19 (1.16–4.16), P=0.03].
Each additional physician seen, more than doubled the MDO risk [OR = 2.05 (1.53–2.74), P<0.001].
Conclusions.
Females, younger patients, and those consulting more physicians were all more likely to experience an MDO.
Continued increased training of physicians to enhance knowledge of who is vulnerable to CRC is needed in addition to an increased focus to adherence to screening recommendations.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Siminoff, Laura A.& Rogers, Heather L.& Harris-Haywood, Sonja. 2015. Missed Opportunities for the Diagnosis of Colorectal Cancer. BioMed Research International،Vol. 2015, no. 2015, pp.1-9.
https://search.emarefa.net/detail/BIM-1054888
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Siminoff, Laura A.…[et al.]. Missed Opportunities for the Diagnosis of Colorectal Cancer. BioMed Research International No. 2015 (2015), pp.1-9.
https://search.emarefa.net/detail/BIM-1054888
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Siminoff, Laura A.& Rogers, Heather L.& Harris-Haywood, Sonja. Missed Opportunities for the Diagnosis of Colorectal Cancer. BioMed Research International. 2015. Vol. 2015, no. 2015, pp.1-9.
https://search.emarefa.net/detail/BIM-1054888
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1054888
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر
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