Evidence map›Paper›PMID 26615546›Full record

ArticleJournal of gastrointestinal cancer2016

Delay in Presentation, Diagnosis and Treatment for Colorectal Cancer Patients in Jordan.

Munir Ahmad Abu-Helalah, Hussam Ahmad Alshraideh, Moh'd Da'na, Mo'tasem Al-Hanaqtah, Anas Abuseif, Kamal Arqoob, Abdelrahman Ajaj

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Article in Journal of gastrointestinal cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Munir Ahmad Abu-HelalahDepartment of Public Health, Faculty of Medicine, Mutah University, Mutah 61710, Karak, Jordan. mabuhelalah@yahoo.co.uk.
Hussam Ahmad AlshraidehDepartment of Industrial Engineering, Faculty of Engineering, Jordan University of Science and Technology, Irbid, Jordan.
Moh'd Da'naMinistry of Health, Karak Teaching Hospital, Karak, Jordan.
Mo'tasem Al-HanaqtahOncology Center, Royal Medical Services, Amman, Jordan.
Anas AbuseifMinistry of Health, AlBashir Teaching Hospital, Ammam, Jordan.
Kamal ArqoobDirectorate of Non-Communicable Diseases, Ministry of Health Jordan, Ammam, Jordan.
Abdelrahman AjajDepartment of Radiation Oncology, AlBashir Hospital, Ministry of Health, Amman, Jordan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeColorectal cancer (CRC) ranked first among cancers reported in males and second among cancers reported in females in Jordan in 2010. There has been no specific CRC-control programme in Jordan. Additionally, there has been no published study from Jordan or its neighbours on patient delays in presentation, diagnosis or treatment. Therefore, we conducted this study to assess these important quality indicators aiming to improve prognosis for CRC and to provide baseline data for future health promotion programmes for CRC in Jordan.

methodsThis project was a cross-sectional study on CRC patients at Al Bashir Hospital, Ministry of Health, and at the Military Oncology Centre of the Jordanian Royal Medical Services.

resultsThe total number of participants was 189. The proportion of patients with presentation delay, diagnosis delay or treatment delay was 33.9, 68.1 and 32.6%, respectively. The main reasons reported for delay in presentation were lack of knowledge that symptoms were suggestive of cancer (58.5%), misdiagnosis by physicians or pharmacists (38.4%) or the patient did not want to visit a doctor (3.1%). Predictors of delay and mean time for presentation, diagnosis and treatment were identified.

conclusionsOur results revealed that CRC patients in Jordan experience delays in presentation, Powered by Editorial Manager® and ProduXion Manager® from Aries Systems Corporation diagnosis, and, to a lesser degree, in treatment. This could justify the advanced stages at diagnosis and poor outcomes for CRC patients. Our findings provide baseline information for future CRC-control programmes in Jordan. We recommend that CRC prevention programmes in Jordan focus on early detection of CRC and target both patients and physicians.

Indexed as

Colorectal NeoplasmsCross-Sectional StudiesDelayed DiagnosisEarly Detection of CancerFemaleFollow-Up StudiesHumansJordanMaleMiddle AgedPrognosisSurveys and QuestionnairesTime-to-TreatmentCancerColonDiagnosis delayJordanPresentation delayRectumTreatment delay

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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.