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Missed Opportunities for the Diagnosis of Colorectal Cancer
Joint Authors
Rogers, Heather L.
Harris-Haywood, Sonja
Siminoff, Laura A.
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-10-04
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract 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.
American Psychological Association (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
Modern Language Association (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
American Medical Association (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
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1054888