ArticleFuture oncology (London, England)2025
Missed opportunities for earlier cancer diagnosis within specific pathways to emergency presentation.
Article in Future oncology (London, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
6 authors.
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Abstract
aimsResearch on missed opportunities for cancer diagnosis through emergency presentation is limited. We investigated missed opportunities and associated key intervals in cancer patients at a single high-volume academic hospital in Barcelona.
methodsTwo pathways were defined: emergency referral from primary care (PC) and self-referral as emergencies following PC consultations. We used reliable data gathering methods and a rigorous validation procedure through independent reviews.
resultsMissed opportunities were identified in 43% of PC-referred patients and 79% of those who self-referred. Patients with missed opportunities were more likely than those without to belong to underserved and ethnic communities. Intervals were invariably longer in patients with missed opportunities and self-referred patients. For pancreatic cancer in emergency referral patients with missed opportunities, the interval between diagnostic clue documentation and workup initiation was 28 (95% CI 24-32) days longer than in those without. For all cancers, the diagnostic interval in emergency referral patients with missed opportunities was 79 (95% CI 75-83) days longer than in those without and, among emergency self-referral patients, it was 119 (95% CI 112-128) days longer.
conclusionsThese findings may guide PC physicians in decision-making, decreasing delays, and suggest opportunities to promote timely help-seeking for underrepresented populations.
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