Observational studyPloS one2015
Delay in Diagnosis of Testicular Cancer; A Need for Awareness Programs.
Observational study in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.
- A Bibliometric Analysis and Visualization of Decision Support Systems for Healthcare Referral Strategies.International journal of environmental research and public health · 2022Pooled it
- Testicular cancer incidence and associations with prior epididymo-orchitis or urinary tract infections: a national cohort study in Sweden, 1964-2018.BMJ oncology · 2026Article
- Giant testicular germ-cell tumours-An analysis of relative incidence and clinical features based on a clinical case series and a survey of the literature.BJUI compass · 2026Article
- Impact and Risk Factors of Diagnostic Delay in Patients With Testicular Cancer: A Multicenter Retrospective Study.International journal of urology : official journal of the Japanese Urological Association · 2025Observational
- Urological Examination Compared to Ultrasonography in Testicular Lump Assessment: A Retrospective Cohort Study.Cureus · 2024Article
- Effects of delayed diagnosis on tumor size, stage and grade in bladder cancer.International urology and nephrology · 2024Article
- Article
- Hepatopancreatobiliary malignancies: time to treatment matters.Journal of gastrointestinal oncology · 2023Article
- Reasons behind the Delayed Diagnosis of Testicular Cancer: A Retrospective Analysis.International journal of environmental research and public health · 2023Article
- A rare case of giant teratocarcinoma of the testis with accumulation of fluid.Urology case reports · 2022Article
- Management of urologic cancers during the pandemic and potential impact of treatment deferrals on outcomes.Urologic oncology · 2021Article
- Genitourinary cancer management during a severe pandemic: Utility of rapid communication tools and evidence-based guidelines.BJUI compass · 2020Review
- Clinical Characteristics and Treatment Outcomes of Patients With Advanced Germ Cell Tumor Treated at a Tertiary Cancer Center in Brazil.Journal of global oncology · 2019Article
- The Connection Between Testicular Cancer, Minority Males, and Planned Parenthood.American journal of men's health · 2018Article
- Selection of men for investigation of possible testicular cancer in primary care: a large case-control study using electronic patient records.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018Article
- Survival Rate in Thalassemia Major Patients: Difference between Date of Diagnosis and Date of Birth as an Index Date for Calculating Follow Up.Iranian journal of public health · 2018Article
- Potential factors associated with clinical stage of nasopharyngeal carcinoma at diagnosis: a case-control study.Chinese journal of cancer · 2017Article
- The role of Indonesian patients' health behaviors in delaying the diagnosis of nasopharyngeal carcinoma.BMC public health · 2017Article
- Risk stratification for venous thromboembolism in patients with testicular germ cell tumors.PloS one · 2017Article
- From 'D' to 'I': A critique of the current United States preventive services task force recommendation for testicular cancer screening.Preventive medicine reports · 2016Review
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND
aimTo gain insight into patient and doctor delay in testicular cancer (TC) and factors associated with delay. MATERIALS AND
methodsSixty of the 66 eligible men; median age 26 (range 17-45) years, diagnosed with TC at the University Medical Center Groningen completed a questionnaire on patients' delay: interval from symptom onset to first consultation with a general practitioner (GP) and doctors' delay: interval between GP and specialist visit.
resultsMedian patient reported delay was 30 (range 1-365) days. Patient delay and TC tumor stage were associated (p = .01). Lower educated men and men embarrassed about their scrotal change reported longer patient delay (r = -.25, r = .79 respectively). Age, marital status, TC awareness, warning signals, nor perceived limitations were associated with patient delay. Median patient reported time from GP to specialist (doctors' delay) was 7 (range 0-240) days. Referral time and disease stage were associated (p = .04). Six patients never reported a scrotal change. Of the 54 patients reporting a testicular change, 29 (54%) patients were initially 'misdiagnosed', leading to a median doctors' delay of 14 (1-240) days, which was longer (p< .001) than in the 25 (46%) patients whose GP suspected TC (median doctors' delay 1(0-7 days).
conclusionsHigh variation in patients' and doctors' delay was found. Most important risk variables for longer patient delay were embarrassment and lower education. Most important risk variable in GP's was 'misdiagnosis'. TC awareness programs for men and physicians are required to decrease delay in the diagnosis of TC and improve disease free survival.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.