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Routes to Diagnosis for Suspected Sarcoma: The Impact of Symptoms and Clinical Findings on the Diagnostic Process
Joint Authors
Keller, Johnny Ø.
Buvarp Dyrop, Heidi
Vedsted, Peter
Rædkjær, Mathias
Safwat, Akmal A.
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-12, 12 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-12-26
Country of Publication
Egypt
No. of Pages
12
Main Subjects
Abstract EN
Background and Objectives.
Sarcoma patients often experience delay before diagnosis.
We examined the association between presenting symptoms/signs and time intervals for suspected sarcoma patients.
Methods.
545 consecutive patients suspected for sarcoma referred over a one-year period were included.
Median time intervals in routes to diagnosis were collected from medical records and questionnaires.
Results.
102 patients (18.7%) had a sarcoma; 68 (12.5%) had other malignancies.
Median interval for the patient (time from first symptom to first doctor visit), primary care, local hospital, sarcoma center, diagnostic, and total interval for sarcoma patients were 77, 17, 29, 17, 65, and 176 days, respectively.
Sarcoma patients visited more hospital departments and had longer median primary care (+10 days) and diagnostic intervals (+19 days) than patients with benign conditions.
Median primary care (−19 days) and sarcoma center (−4 days) intervals were shorter for patients with a lump versus no lump.
Median patient (+40 days), primary care (+12 days), diagnostic (+17 days), and total intervals (+78 days) were longer for patients presenting with pain versus no pain.
GP suspicion of malignancy shortened local hospital (−20 days) and total intervals (−104 days).
Conclusions.
The main part of delay could be attributed to the patient and local hospitals.
Length of time intervals was associated with presenting symptoms/signs and GP suspicion.
American Psychological Association (APA)
Buvarp Dyrop, Heidi& Vedsted, Peter& Rædkjær, Mathias& Safwat, Akmal A.& Keller, Johnny Ø.. 2016. Routes to Diagnosis for Suspected Sarcoma: The Impact of Symptoms and Clinical Findings on the Diagnostic Process. Complexity،Vol. 2016, no. 2016, pp.1-12.
https://search.emarefa.net/detail/BIM-1115798
Modern Language Association (MLA)
Buvarp Dyrop, Heidi…[et al.]. Routes to Diagnosis for Suspected Sarcoma: The Impact of Symptoms and Clinical Findings on the Diagnostic Process. Complexity No. 2016 (2016), pp.1-12.
https://search.emarefa.net/detail/BIM-1115798
American Medical Association (AMA)
Buvarp Dyrop, Heidi& Vedsted, Peter& Rædkjær, Mathias& Safwat, Akmal A.& Keller, Johnny Ø.. Routes to Diagnosis for Suspected Sarcoma: The Impact of Symptoms and Clinical Findings on the Diagnostic Process. Complexity. 2016. Vol. 2016, no. 2016, pp.1-12.
https://search.emarefa.net/detail/BIM-1115798
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1115798