Do colorectal cancer patients diagnosed as an emergency differ from non-emergency patients in their consultation patterns and symptoms? A longitudinal data-linkage study in England
| Autor: | Renzi, C, Lyratzopoulos, G, Card, T, Chu, TPC, Macleod, U, Rachet, B |
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| Přispěvatelé: | Lyratzopoulos, Georgios [0000-0002-2873-7421], Apollo - University of Cambridge Repository |
| Rok vydání: | 2017 |
| Předmět: |
Male
Delayed Diagnosis Primary Health Care Epidemiology Anemia colorectal cancer Adenocarcinoma Middle Aged Abdominal Pain emergency diagnosis primary care England Organ Specificity symptomatic presentations Humans Female Registries Emergencies Symptom Assessment Colorectal Neoplasms Gastrointestinal Hemorrhage Referral and Consultation data-linkage study Early Detection of Cancer Aged |
| Zdroj: | British Journal of Cancer |
| ISSN: | 0007-0920 1532-1827 |
| DOI: | 10.17863/cam.13368 |
| Popis: | Background: More than 20% of colorectal cancers are diagnosed following an emergency presentation. We aimed to examine pre-diagnostic primary care consultations and related symptoms comparing patients diagnosed as emergencies with those diagnosed through nonemergency routes. Methods: Cohort study of colorectal cancers diagnosed in England 2005-06 using cancer registration data individually linked to primary care data (CPRD/GPRD), allowing a detailed analysis of clinical information referring to the 5-year pre-diagnostic period. Results: Emergency diagnosis occurred in 35% and 15% of the 1029 colon and 577 rectal cancers. ‘Background’ primary care consultations (2-5 years before diagnosis) were similar for either group. In the year before diagnosis, more than 95% of emergency and non-emergency presenters had consulted their doctor, but emergency presenters had less frequently relevant symptoms (colon cancer: 48% versus 71% (p |
| Databáze: | OpenAIRE |
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