Systematic review of factors influencing patient and practitioner delay in diagnosis of upper gastrointestinal cancer
2006

Factors Influencing Delay in Diagnosing Upper Gastrointestinal Cancer

Sample size: 25 publication Evidence: moderate

Author Information

Author(s): Macdonald S, Macleod U, Campbell N C, Weller D, Mitchell E

Primary Institution: University of Glasgow

Hypothesis

What factors influence patient and practitioner delay in the diagnosis of upper gastrointestinal cancer?

Conclusion

The review found that patient delay is generally longer than practitioner delay, with symptom seriousness recognition being crucial for timely diagnosis.

Supporting Evidence

  • Twenty-five studies were included in the review.
  • Patient delay was found to be longer than practitioner delay.
  • Recognition of symptom seriousness was identified as a key factor in reducing delay.

Takeaway

This study looked at why people take a long time to see a doctor when they have symptoms of stomach cancer. It found that understanding how serious the symptoms are helps people go to the doctor faster.

Methodology

A systematic review of literature from 1970 to 2003, including extensive searches and quality assessments of studies.

Potential Biases

Many studies relied on self-reported data, which can introduce bias.

Limitations

The majority of studies were small and varied in design, limiting the ability to perform a meta-analysis.

Participant Demographics

Most studies involved adult patients, with a focus on those presenting with upper gastrointestinal symptoms.

Digital Object Identifier (DOI)

10.1038/sj.bjc.6603089

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