Dissertation oncology fast track order

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Delay in diagnosis of cancer may worsen prognosis.

The aim of this study is dissertation oncology fast track order explore patient- general practitioner GP - and system-related delay dissertation oncology fast the track order from first cancer symptom to diagnosis and treatment, and to analyse the extent to which delays differ by cancer type. Population-based cohort study conducted in /science-research-essay-vs-essay.html the County of Aarhus, Denmarkinhabitants.

Data were collected dissertation oncology fast track order administrative registries and questionnaires completed by GPs on 2, cancer patients newly diagnosed during a 1-year period.

Median delay in days with interquartile interval IQI was the main outcome measure. Median total delay was 98 days IQI Most of the total delay stemmed from patient median 21 days and system delay median 55 days Median GP more info was 0 days.

Total delay was shortest among patients with ovarian median 60 days and breast cancer median 65 days and longest among patients with prostate median days and bladder cancer median days System delay accounted for dissertation oncology fast track order substantial part of the total delay experienced by cancer patients.

This points to a need for shortening clinical pathways if possible. A long patient delay calls for research into patient awareness of cancer. For all delay components, special focus should be given to the 4 th quartile of patients with the longest track order intervals and we need research into the quality of the diagnostic work-up process.

We found large variations in delay for different types of cancer. Improvements should therefore target both the population at large and the dissertation oncology fast track order needs associated with individual cancer types dissertation oncology fast track order their symptoms.

The time interval from track order symptom to start of treatment i.

Delay in cancer fast track is common and long delay is associated with significant mental strain and possibly a worsened prognosis [ dissertation oncology fast track order - 3 ]. Although the exact effect of delay on clinical outcomes order unclear and varies between cancers, it is generally accepted that total delay should be as short as possible [ 4 - 11 ]. British order attribute that long delay may account forextra deaths in the Dissertation oncology [ 212 ].

Only a few studies have analyzed in detail how delay track order related to patients' health-seeking dissertation oncology fast, general practitioners' GPs' clinical performance and system-related factors such as logistics, waits and administrative procedures.

Moreover, previous studies have covered only one track order few specific cancer dissertation oncology fast track order [ 13 - 18 ]. Cancer represents one of the most severe diseases requiring the concerted effort of the entire care system. It is therefore an excellent candidate for a study of the interplay between the elements forming part of the overall track order pathway. Knowledge of this may enable targeted efforts dissertation oncology fast track order improve this web page organization of care.

The aim of this study was to conduct a population-based order study examining patient- GP- and /les-sujets-de-dissertation-en-droit-constitutionnel.html delay and the extent dissertation oncology fast which delays vary by cancer type. Track order performed a cohort study in the Danish County of Aarhus, which hasinhabitants, approx.

GPs function as gatekeepers to the rest of the health-care system, carrying out initial diagnostic investigations including referral to initial x-ray and endoscopic procedures When indicated, they refer patients to hospitals or outpatient clinics, thus delegating further responsibility to secondary /worst-college-essays-ever-written.html. Danish Fast track order are required to keep detailed electronic records.

We included all newly diagnosed cancer patients during the 1-year period fast track order 1 September to 31 August Patients younger than 18 years and patients with non-melanoma skin cancers were excluded.

Patients were enrolled based on computerised data from the county hospital discharge registry HDRwhich for each hospital admission and outpatient visit records the patient's civil registration number CRNdates track order admission and discharge, surgical procedure s performed and discharge diagnoses dissertation oncology according to dissertation oncology international classification of diseases ICD We included all patients listed in dissertation oncology fast registry during the study period with incident cancer diagnoses, i.

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Patients with previous cancer, but of another type, were regarded as incident cases. The personal identifier used to link records to individuals just click for source Danish registries is the CRN, which is assigned to all Danish citizens [ 21 ]. The GP was asked to confirm track order diagnosis and to give a detailed description dissertation oncology fast the patient's diagnostic pathway using the dates reported in the track order record and the mandatory dissertation oncology fast track this web page letters from hospitals and specialists which report the date of first admission, the date of diagnosis and of first treatment.

Non-responders received a reminder after three weeks. The questionnaire was pilot-tested dissertation oncology fast the scientific staff and lay persons at the Department and Research Unit for General Practice, Aarhus and by 40 GPs from Vejle County, Denmark purposefully selected by gender, age and practice location [ 22 ]. Dissertation oncology fast track order accordance fast track most other research dissertation oncology fast track order used the term delay when calculating the different time intervals from first symptom to treatment start.

Delay was calculated from the dates entered in the questionnaires by the GPs.

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