Delays in Referral of Soft Tissue Sarcomas
2008

Delays in Referral of Soft Tissue Sarcomas

Sample size: 162 publication Evidence: moderate

Author Information

Author(s): G. D. Johnson, G. Smith, A. Dramis, R. J. Grimer

Primary Institution: Royal Orthopaedic Hospital, Birmingham, UK

Hypothesis

This study aims to identify the length of delays in referral to specialist centers for soft tissue sarcomas and where these delays occur.

Conclusion

There is considerable medical professional delay in the management of soft tissue sarcoma, indicating poor knowledge of referral guidelines.

Supporting Evidence

  • The median time for a patient to be referred to the specialist center was 40.4 weeks.
  • Only 14.6% of patients were referred within 3 months of the onset of symptoms.
  • 88% of patients had at least one feature suggestive of sarcoma at first presentation.

Takeaway

Doctors are taking too long to send patients with soft tissue sarcomas to specialists, which can make the patients' conditions worse.

Methodology

Patients with confirmed soft tissue sarcoma were recruited and interviewed to gather data on delays in referral and treatment.

Potential Biases

The population studied is biased as it only includes patients diagnosed with sarcoma in a tertiary referral center.

Limitations

The study relies on patient recall for significant dates, which may introduce bias, and only includes patients diagnosed at a tertiary referral center.

Participant Demographics

{"mean_age":53,"sex_distribution":{"male":49.3,"female":50.7},"mean_BMI":26.6,"tumor_size":{"median":8,"mean":8.91,"range":"0–26"}}

Statistical Information

P-Value

0.022

Statistical Significance

p<0.0001

Digital Object Identifier (DOI)

10.1155/2008/378574

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