ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2014
Delays in diagnosis of young females with symptomatic cervical cancer in England: an interview-based study.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 6 of them syntheses that pooled it.
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Who cites it
44 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Determinants of late-stage cervical cancer presentation in Ethiopia: a systematic review and meta-analysis.BMC cancer · 2023Pooled it
- Prevalence and determinants of late-stage presentation among cervical cancer patients, a systematic review and meta-analysis.PloS one · 2022Pooled it
- The association between rs1800872 polymorphism in interleukin-10 and risk of cervical cancer: A meta-analysis.Medicine · 2021Pooled it
- The use, quality and effectiveness of pelvic examination in primary care for the detection of gynaecological cancer: a systematic review.Family practice · 2019Pooled it
- Patient and primary care delays in the diagnostic pathway of gynaecological cancers: a systematic review of influencing factors.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019Pooled it
- Patient involvement in diagnosing cancer in primary care: a systematic review of current interventions.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018Pooled it
- The Role of Mesothelin in Gynecological Tumors and Its Significance in Targeted Therapies-A Review.Cancers · 2026Review
- Predictors of delay in the cervical cancer care cascade in Kampala, Uganda.BMC women's health · 2026Article
- Symptom attributions by cervical cancer patients attending specialized care at the Uganda cancer institute: a cross-sectional study.Cancer causes & control : CCC · 2025Article
- Determinants of delay in presentation to completion of treatment in cervical cancer.Scientific reports · 2025Observational
- A prospective longitudinal study of the changes in multidimensional fatigue and its associated factors in patients undergoing brachytherapy for cervical cancer.Scientific reports · 2025Article
- Article
- Unveiling delays: understanding the diagnostic pathways of women with advanced cervical cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- Delays in the diagnosis and treatment of cervical cancer in the department of Meta, 2017–2023: a cross-sectional studyRevista colombiana de obstetricia y ginecologia · 2025Article
- Rural-Urban Disparity in Premature Cancer Mortality in Young People Aged 15-44 Years in China, 2004-2021.International journal of public health · 2025Article
- Peroxiredoxin 2 as a potential prognostic biomarker associated with angiogenesis in cervical squamous cell cancer.Oncology letters · 2024Article
- Healthcare Provider-Related Factors in the Diagnostic Delay of Cervical Cancer: A Cross-Sectional Study.Cureus · 2024Article
- U.S. Women with Invasive Cervical Cancer: Characteristics and Potential Barriers to Prevention.Journal of women's health (2002) · 2024Article
- Community cancer screening at primary care level in Northern India: determinants and policy implications for cancer prevention.Family medicine and community health · 2023Article
- Pre-diagnosis Symptoms, Attributed Causes, and Healthcare Seeking Assets of Younger Colorectal Cancer Survivors.Journal of cancer education : the official journal of the American Association for Cancer Education · 2023Article
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Funding
Abstract
backgroundDiagnosis may be delayed in young females with cervical cancer because of a failure to recognise symptoms.
aimTo examine the extent and determinants of delays in diagnosis of young females with symptomatic cervical cancer. DESIGN AND
settingA national descriptive study of time from symptoms to diagnosis of cervical cancer and risk factors for delay in diagnosis at all hospitals diagnosing cervical cancer in England.
methodOne-hundred and twenty-eight patients <30 years with a recent diagnosis of cervical cancer were interviewed. Patient delay was defined as ≥3 months from symptom onset to first presentation and provider delay as ≥ 3 months from first presentation to diagnosis.
resultsForty (31%) patients had presented symptomatically: 11 (28%) delayed presentation. Patient delay was more common in patients <25 than patients aged 25-29 (40% versus 15%, P = 0.16). Vaginal discharge was more common among patients who delayed presentation than those who did not; many reported not recognising this as a possible cancer symptom. Provider delay was reported by 24/40 (60%); in some no report was found in primary care records of a visual inspection of the cervix and some did not re-attend after the first presentation for several months. Gynaecological symptoms were common (84%) among patients who presented via screening.
conclusionsYoung females with cervical cancer frequently delay presentation, and not recognising symptoms as serious may increase the risk of delay. Delay in diagnosis after first presentation is also common. There is some evidence that UK guidelines for managing young females with abnormal bleeding are not being followed.
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