ArticleFrontline gastroenterology2018
Associations between diagnostic pathways and care experience in colorectal cancer: evidence from patient-reported data.
Article in Frontline gastroenterology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- Patient and Tumor Factors Influencing Diagnostic Trajectories in Gastrointestinal Stromal Tumor Patients and Their Impact on Health-Related Quality of Life: A Dutch Multicenter Study.Annals of surgical oncology · 2026Observational
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- Surveying patients to assess timeliness of cancer diagnosis.Diagnosis (Berlin, Germany) · 2026Article
- Mapping the colorectal cancer patient journey in Egypt: A qualitative study of diagnosis, treatment, and lifestyle perspectives.PloS one · 2025Article
- What can hospital emergency admissions prior to cancer diagnosis tell us about socio-economic inequalities in cancer diagnosis? Evidence from population-based data in England.British journal of cancer · 2024Article
- Diagnosis of cancer in the Emergency Department: A scoping review.Cancer medicine · 2023Article
- Age-related experiences of colorectal cancer diagnosis: a secondary analysis of the English National Cancer Patient Experience Survey.BMJ open gastroenterology · 2023Article
- The patient perspective on the preoperative colorectal cancer care pathway and preparedness for surgery and postoperative recovery-a qualitative interview study.Journal of surgical oncology · 2022Article
- Concordance with urgent referral guidelines in patients presenting with any of six 'alarm' features of possible cancer: a retrospective cohort study using linked primary care records.BMJ quality & safety · 2022Article
- Factors influencing cancer patients' experiences of care in the USA, United Kingdom, and Canada: A systematic review.EClinicalMedicine · 2022Review
- Do presenting symptoms, use of pre-diagnostic endoscopy and risk of emergency cancer diagnosis vary by comorbidity burden and type in patients with colorectal cancer?British journal of cancer · 2022Article
- Does geodemographic segmentation explain differences in route of cancer diagnosis above and beyond person-level sociodemographic variables?Journal of public health (Oxford, England) · 2021Article
- Being assigned a clinical nurse specialist is associated with better experiences of cancer care: English population-based study using the linked National Cancer Patient Experience Survey and Cancer Registration Dataset.European journal of cancer care · 2021Article
- Predictive values for different cancers and inflammatory bowel disease of 6 common abdominal symptoms among more than 1.9 million primary care patients in the UK: A cohort study.PLoS medicine · 2021Article
- Article
- Faecal immunochemical testing (FIT) in symptomatic patients: what are we missing?Frontline gastroenterology · 2020Article
- Comorbid chronic diseases and cancer diagnosis: disease-specific effects and underlying mechanisms.Nature reviews. Clinical oncology · 2019Review
- Cancer diagnoses after emergency GP referral or A&E attendance in England: determinants and time trends in Routes to Diagnosis data, 2006-2015.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019Article
- Contrasting effects of comorbidities on emergency colon cancer diagnosis: a longitudinal data-linkage study in England.BMC health services research · 2019Article
- Multiple symptoms, multiple systems.Frontline gastroenterology · 2018Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
objectiveTo examine how different pathways to diagnosis of colorectal cancer may be associated with the experience of subsequent care.
designPatient survey linked to information on diagnostic route.English patients with colorectal cancer (analysis sample n=6837) who responded to a patient survey soon after their hospital treatment.
main outcome measuresOdds Ratios and adjusted proportions of negative evaluation of key aspects of care for colorectal cancer, including the experience of shared decision-making about treatment, specialist nursing and care coordination, by diagnostic route (ie, screening detection, emergency presentation, urgent and elective general practitioner referral).
resultsFor 14 of 18 questions, there was evidence (p≤0.02) for variation in patient experience by diagnostic route, with 6-31 percentage point differences between routes in adjusted proportions of negative experience. Emergency presenters were more likely to report a negative experience for most questions, including those about adequacy of information about their diagnosis and sufficient explanation before operations. Screen-detected patients were least likely to report negative experiences except for support from primary care. Patients diagnosed through elective primary care referrals were most likely to report worse experience for questions for which overall variation by route was generally small.
conclusionsScreening-detected patients tend to report the best and emergency presenters the worst experience of subsequent care. Improvement efforts can target care integration for screening-detected patients and provision of information about the diagnosis and treatment of emergency presenters.
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