ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2018
Possible missed opportunities for diagnosing colorectal cancer in Dutch primary care: a multimethods approach.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Prediagnostic prescription patterns in pancreatic cancer: a retrospective primary care cohort study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026Article
- Impact of Self-Reported Long-Term Mental Health Morbidity on Help-Seeking and Diagnostic Testing for Bowel-Related Cancer Symptoms: A Vignette Study.Cancer medicine · 2024Article
- Trends in primary care blood tests prior to lung and colorectal cancer diagnosis-A retrospective cohort study using linked Australian data.Cancer medicine · 2024Article
- Determining factors of presentation and diagnosis delays in patients with colorectal cancer and the impact on stage: a cross sectional study in Yogyakarta, Indonesia.Ecancermedicalscience · 2024Article
- Use of health services one year before primary colorectal cancer.BMC health services research · 2023Article
- Mental Health Morbidities and Time to Cancer Diagnosis Among Adults With Colon Cancer in England.JAMA network open · 2022Article
- Impact of a colorectal cancer screening program implantation on delays and prognosis of non-screening detected colorectal cancer.World journal of gastroenterology · 2021Article
- A steep increase in healthcare seeking behaviour in the last months before colorectal cancer diagnosis.BMC family practice · 2021Article
- Factors associated with waiting time to breast cancer diagnosis among symptomatic breast cancer patients: a population-based study from Ontario, Canada.Breast cancer research and treatment · 2021Article
- Comorbid chronic diseases and cancer diagnosis: disease-specific effects and underlying mechanisms.Nature reviews. Clinical oncology · 2019Review
- Potential for Reducing Time to Referral for Colorectal Cancer Patients in Primary Care.Annals of family medicine · 2019Article
- Contrasting effects of comorbidities on emergency colon cancer diagnosis: a longitudinal data-linkage study in England.BMC health services research · 2019Article
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6 authors.
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Abstract
backgroundEarly detection of colorectal cancer (CRC) is important to achieve better survival. Discriminating symptoms suggestive of CRC from benign conditions is a challenge for GPs because most known 'alarm symptoms' have low predictive values.
aimTo further understand the diagnostic process of CRC in general practice in terms of healthcare use and by analysing factors related to diagnostic intervals. DESIGN AND
settingA multimethod approach comprising a historical, prospective registry study and qualitative content analysis.
methodHealthcare use in the year before referral for colonoscopy was compared between patients diagnosed with CRC and an age-, sex,- and GP-matched control population. Qualitative content analysis was performed on free texts in electronic patient records from a purposive sample of patients with CRC.
resultsPatients with CRC (
conclusionFewer missed diagnostic opportunities might occur if GPs are aware of pitfalls in diagnosing CRC: the assumption that symptoms are caused by comorbid conditions or medication, or relating complaints to pre-existing medical conditions. GPs also need to be aware that repeated digestive complaints warrant rethinking an earlier diagnosis.
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