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Logo of jepicomhInstructions for authorsCurrent TOCJournal of Epidemiology and Community Health
J Epidemiol Community Health. Jun 1984; 38(2): 122–126.
PMCID: PMC1052333

Factors associated with speed of diagnosis, referral, and treatment in colorectal cancer.

Abstract

Delay in the presentation of symptoms and in referral of patients for surgical opinion remains an important problem in colorectal cancer. Factors influencing patients to consult early include advice from close family or other associates and abdominal pain or vomiting, or both, as one of the early symptoms. More localised rectal symptoms and loss of weight are often associated with long delay. The "classic" symptom pictures are not often seen in the early stages of the disease. Few identifiable factors were associated with delay in referral for surgical opinion. Doctors who examine their patients (rectally or otherwise) refer them sooner. In the districts studied delay in instituting definitive treatment after consultant referral does not seem to be a major problem. There is some evidence that delay is associated with stage of the disease at presentation.

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Selected References

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  • Rowejones DC, Aylett SO. Delay in treatment in carcinoma of colon and rectum. Lancet. 1965 Nov 13;2(7420):973–976. [PubMed]
  • Leffall LD., Jr Early diagnosis of colorectal cancer. CA Cancer J Clin. 1974 May-Jun;24(3):152–159. [PubMed]
  • Heald RJ. Causes of delay in the diagnosis of cancer of the rectum and colon. Practitioner. 1977 Sep;219(1311):339–342. [PubMed]
  • Holliday HW, Hardcastle JD. Delay in diagnosis and treatment of symptomatic colorectal cancer. Lancet. 1979 Feb 10;1(8111):309–311. [PubMed]
  • Macadam DB. A study in general practice of the symptoms and delay patterns in the diagnosis of gastrointestinal cancer. J R Coll Gen Pract. 1979 Dec;29(209):723–729. [PMC free article] [PubMed]
  • MacArthur C, Smith A. Delay in breast cancer and the nature of presenting symptoms. Lancet. 1981 Mar 14;1(8220 Pt 1):601–603. [PubMed]
  • Keddie N, Hargreaves A. Symptoms of carcinoma of the colon and rectum. Lancet. 1968 Oct 5;2(7571):749–750. [PubMed]
  • MacArthur C, Smith A. Delay in the diagnosis of colorectal cancer. J R Coll Gen Pract. 1983 Mar;33(248):159–161. [PMC free article] [PubMed]

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