ArticleBritish journal of cancer2017
The contribution of body mass index to appraisal delay in colorectal cancer diagnosis: a structural equation modelling study.
Article in British journal of cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.
What it found
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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
3 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.
- The Impact of Bariatric Surgery on the Incidence of Colorectal Cancer in Patients with Obesity-a Systematic Review and Meta-analysis of Registry Data.Obesity surgery · 2023Pooled it
- Safety of in-hospital delay of appendectomy in complicated appendicitis - a propensity score-matched analysis of 1027 patients.Langenbeck's archives of surgery · 2026Article
- Studying Healthcare Affordability during an Economic Recession: The Case of Greece.International journal of environmental research and public health · 2020Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
backgroundAppraisal delay (AD) refers to the time interval between onset of symptoms and the date a patient first seeks healthcare. Because studies have shown that individuals who are overweight or obese may delay or avoid seeking healthcare due to stigma, this study aims to investigate the role that weight plays in AD among symptomatic individuals subsequently diagnosed with colorectal cancer (CRC).
methodsStructural equation modelling tested the relationship between AD, body mass index (BMI), financial barriers, cognitive barriers, and reported symptoms among 179 newly diagnosed CRC patients in two U.S. healthcare systems.
resultsBMI was directly and significantly related to AD (β=0.10; P=0.044) and to cognitive barriers (β=0.24; P=0.005). Cognitive barriers were direct and significant predictors of increased AD (β=0.32; P=0.000). Symptom experience and financial barriers were mediated through cognitive barriers.
conclusionsModel results support the hypothesis that increased BMI is significantly and directly associated with increased AD and key cognitive barriers relevant to care-seeking behaviour.
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Registered trials
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