ArticlePloS one2018
Emergency presentation of colorectal patients in Spain.
Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 18 citations in OpenAlex.
- Comorbidities, Socioeconomic Status, and Colorectal Cancer Diagnostic Route.JAMA network open · 2025Article
- Improving colorectal cancer in Alberta, Canada: a qualitative study of patients and close contacts' perceptions on diagnosis following an emergency department presentation.BMC health services research · 2024Article
- Disparities in Colorectal Cancer Presentation at a National Cancer Institute-Designated Cancer Center and a Safety-Net Hospital during the COVID-19 Pandemic.Medical research archives · 2024Article
- Methods for improving colorectal cancer annotation efficiency for artificial intelligence-observer training.World journal of radiology · 2023Article
- Diagnosis of cancer in the Emergency Department: A scoping review.Cancer medicine · 2023Article
- The Oddity Detection in Diverse Scenes (ODDS) database: Validated real-world scenes for studying anomaly detection.Behavior research methods · 2023Article
- Relationship between time from symptom's onset to diagnosis and prognosis in patients with symptomatic colorectal cancer.BMC cancer · 2022Article
- Impact of a colorectal cancer screening program implantation on delays and prognosis of non-screening detected colorectal cancer.World journal of gastroenterology · 2021Article
- Article
Corrections and comments
- Erratum issued
Authors and funding
12 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundColorectal cancer (CRC) is the leading cause of cancer deaths in Europe. Survival is poorer in patients admitted to hospitals through the emergency department than in electively admitted patients. Knowledge of factors associated with a cancer diagnosis through presentation at an emergency department may reduce the likelihood of an emergency diagnosis. This study evaluated factors influencing the diagnosis of CRC in the emergency department. METHODS AND
findingsThis is a cross-sectional study in 5 Spanish regions; subjects were incident cases of CRC diagnosed in 9 public hospitals, between 2006 and 2008. Data were obtained from patient interviews and primary care and hospital clinical records. We found that approximately 40% of CRC patients first contacted a hospital for CRC through an emergency service. Women were more likely than men to be emergency presenters. The type of symptom associated with emergency presentation differed between patients with colon cancer and those with rectal cancer, in that the frequency of "alarm symptoms" was significantly lower in colon than in rectal cancer patients who initially presented to emergency services. Soon after symptom onset, some patients went to a hospital emergency service, whereas others contacted their GP. Lack of contact with a GP for CRC-related symptoms was consistently related to emergency presentation. Among patients who contacted a GP, a higher number of consultations for CRC symptoms and any referral to outpatient consultations reduced the likelihood of emergency presentation. All diagnostic time intervals were shorter in emergency presenters than in elective patients.
conclusionsEmergency presenters are not a uniform category and can be divided into categories according to their symptoms, help seeking behavior trajectory and interaction with their GPs. Time constraints for testing and delays in obtaining outpatient appointments led patients to visit a hospital service either on their own or after referral by their GP.
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