Modes of presentation and pathways to diagnosis of colorectal cancer in Queensland

Lynch, B. M., Baade, P., Fritschi, L., Leggett, B., Owen, N., Pakenham, K., Newman, B. and Aitken, J. F. (2007) Modes of presentation and pathways to diagnosis of colorectal cancer in Queensland. Medical Journal of Australia, 186 6: 288-291.

Author Lynch, B. M.
Baade, P.
Fritschi, L.
Leggett, B.
Owen, N.
Pakenham, K.
Newman, B.
Aitken, J. F.
Title Modes of presentation and pathways to diagnosis of colorectal cancer in Queensland
Journal name Medical Journal of Australia   Check publisher's open access policy
ISSN 0025-729X
Publication date 2007
Sub-type Article (original research)
Volume 186
Issue 6
Start page 288
End page 291
Total pages 4
Editor Van Der Weyen, M.
Place of publication Australia
Publisher Australasian Medical Publishing Company Pty Ltd
Collection year 2008
Language eng
Subject C1
321299 Public Health and Health Services not elsewhere classified
730299 Public health not elsewhere classified
Abstract Objective: To describe the process of colorectal cancer diagnosis in Queensland, and to determine factors associated with time to diagnosis. Design, setting and participants: Cross-sectional study of 1996 patients with colorectal cancer recruited through the Queensland Cancer Registry. Data were collected by computer-assisted telephone interview between May 2003 and August 2005. Main outcome measures: Time to diagnosis: pre-presentation time (time from first noticing a symptom to first presenting to a doctor); and post-presentation time (time between the first presentation and diagnosis). Results: Most patients (90%) had experienced symptoms before being diagnosed with colorectal cancer; only 2% of patients were diagnosed by faecal occult blood testing. Older participants and those who experienced abdominal pain had the-shortest time from symptom onset to their first doctor consultation, while participants with a change in bowel habit, or rectal bleeding, and those without private health insurance tended to wait longer to see a doctor Participants who experienced abdominal pain were diagnosed more quickly, whereas those who experienced a change in bowel habit, women, and those without private health insurance experienced a longer time to diagnosis. Conclusions: The strong association between not having health insurance and longer post-presentation times is concerning. The other hypothesised predictors of time to diagnosis were not as strongly associated as we anticipated.
Keyword Medicine, General & Internal
Fecal Occult Blood
Q-Index Code C1
Q-Index Status Confirmed Code

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Created: Mon, 18 Feb 2008, 17:02:12 EST