Reasons for diagnostic delay in gynecological malignancies

Publication: Research - peer-reviewJournal article – Annual report year: 2011

Standard

Reasons for diagnostic delay in gynecological malignancies. / Vandborg, Mai Partridge; Christensen, René dePont Christensen; Kragstrup, Jakob; Edwards, Kasper; Vedsted, Peter; Hansen, Dorte Gilså; Mogensen, Ole.

In: International Journal of Gynecological Cancer, Vol. 21, No. 6, 2011, p. 967-974.

Publication: Research - peer-reviewJournal article – Annual report year: 2011

Harvard

Vandborg, MP, Christensen, RDC, Kragstrup, J, Edwards, K, Vedsted, P, Hansen, DG & Mogensen, O 2011, 'Reasons for diagnostic delay in gynecological malignancies' International Journal of Gynecological Cancer, vol 21, no. 6, pp. 967-974., 10.1097/IGC.0b013e31821d2770

APA

Vandborg, M. P., Christensen, R. D. C., Kragstrup, J., Edwards, K., Vedsted, P., Hansen, D. G., & Mogensen, O. (2011). Reasons for diagnostic delay in gynecological malignancies. International Journal of Gynecological Cancer, 21(6), 967-974. 10.1097/IGC.0b013e31821d2770

CBE

Vandborg MP, Christensen RDC, Kragstrup J, Edwards K, Vedsted P, Hansen DG, Mogensen O. 2011. Reasons for diagnostic delay in gynecological malignancies. International Journal of Gynecological Cancer. 21(6):967-974. Available from: 10.1097/IGC.0b013e31821d2770

MLA

Vancouver

Vandborg MP, Christensen RDC, Kragstrup J, Edwards K, Vedsted P, Hansen DG et al. Reasons for diagnostic delay in gynecological malignancies. International Journal of Gynecological Cancer. 2011;21(6):967-974. Available from: 10.1097/IGC.0b013e31821d2770

Author

Vandborg, Mai Partridge; Christensen, René dePont Christensen; Kragstrup, Jakob; Edwards, Kasper; Vedsted, Peter; Hansen, Dorte Gilså; Mogensen, Ole / Reasons for diagnostic delay in gynecological malignancies.

In: International Journal of Gynecological Cancer, Vol. 21, No. 6, 2011, p. 967-974.

Publication: Research - peer-reviewJournal article – Annual report year: 2011

Bibtex

@article{c5047548f521434ba6664fbf49c09877,
title = "Reasons for diagnostic delay in gynecological malignancies",
publisher = "Lippincott Williams & Wilkins",
author = "Vandborg, {Mai Partridge} and Christensen, {René dePont Christensen} and Jakob Kragstrup and Kasper Edwards and Peter Vedsted and Hansen, {Dorte Gilså} and Ole Mogensen",
year = "2011",
doi = "10.1097/IGC.0b013e31821d2770",
volume = "21",
number = "6",
pages = "967--974",
journal = "International Journal of Gynecological Cancer",
issn = "1048-891X",

}

RIS

TY - JOUR

T1 - Reasons for diagnostic delay in gynecological malignancies

A1 - Vandborg,Mai Partridge

A1 - Christensen,René dePont Christensen

A1 - Kragstrup,Jakob

A1 - Edwards,Kasper

A1 - Vedsted,Peter

A1 - Hansen,Dorte Gilså

A1 - Mogensen,Ole

AU - Vandborg,Mai Partridge

AU - Christensen,René dePont Christensen

AU - Kragstrup,Jakob

AU - Edwards,Kasper

AU - Vedsted,Peter

AU - Hansen,Dorte Gilså

AU - Mogensen,Ole

PB - Lippincott Williams & Wilkins

PY - 2011

Y1 - 2011

N2 - Aim The primary aim of this study was to identify and describe different delay types in women with gynecologic cancer, and to analyze the relationship between diagnostic delay and a number of characteristics for patients, cancers and the health care system. Setting A cohort study of women newly diagnosed with gynecological cancer at the Department of Gynecology and Obstetrics at Odense University Hospital (OUH) Denmark, during a 15-month period from October 1st 2006 to December 31st 2007. Method Data were obtained from four different questionnaires, the Electronic Patient Journal (EPJ) and The Danish Gynecological Cancer Database (DGCD). 161 women were included; ovarian cancer: 63, endometrial cancer: 50, cervical cancer: 34 and vulvar cancer: 14. Outcome measures were different delay types counted in days and the influence of four clinical important variables: Presence of alarm symptoms, age (≤ or > 60 years), performance of gynecological examination by the GP and notification of cancer suspicion on first referral from GP’s on the diagnostic delay (short delay ≤90 days and long delay >90 days). Results Across cancer type a median total delay of 101 days was observed. The 10% of women with the longest delay experienced a total delay of 436 days or more. Vulva cancer had the longest delays while women with ovarian cancer had shortest delay. Over one third (39%) of the women consulted their GP for reasons other than the alarm symptoms predefined by us. Gynecologic examination by the GP was less likely to be performed if the woman did not present with vaginal bleeding as an alarm symptom. The length of the delay was shortened by performance of a gynecological examination by the GP and a primary referral from the GP raising a cancer suspicion with the receiver. Conclusion Reducing diagnostic delays should be achievable, particularly for those most delayed, named as “the heavy tail”. Interventions aimed at reducing delays especially among the heavy tail need to be developed and creation of new valid instruments for measuring delay are essential to do so.

AB - Aim The primary aim of this study was to identify and describe different delay types in women with gynecologic cancer, and to analyze the relationship between diagnostic delay and a number of characteristics for patients, cancers and the health care system. Setting A cohort study of women newly diagnosed with gynecological cancer at the Department of Gynecology and Obstetrics at Odense University Hospital (OUH) Denmark, during a 15-month period from October 1st 2006 to December 31st 2007. Method Data were obtained from four different questionnaires, the Electronic Patient Journal (EPJ) and The Danish Gynecological Cancer Database (DGCD). 161 women were included; ovarian cancer: 63, endometrial cancer: 50, cervical cancer: 34 and vulvar cancer: 14. Outcome measures were different delay types counted in days and the influence of four clinical important variables: Presence of alarm symptoms, age (≤ or > 60 years), performance of gynecological examination by the GP and notification of cancer suspicion on first referral from GP’s on the diagnostic delay (short delay ≤90 days and long delay >90 days). Results Across cancer type a median total delay of 101 days was observed. The 10% of women with the longest delay experienced a total delay of 436 days or more. Vulva cancer had the longest delays while women with ovarian cancer had shortest delay. Over one third (39%) of the women consulted their GP for reasons other than the alarm symptoms predefined by us. Gynecologic examination by the GP was less likely to be performed if the woman did not present with vaginal bleeding as an alarm symptom. The length of the delay was shortened by performance of a gynecological examination by the GP and a primary referral from the GP raising a cancer suspicion with the receiver. Conclusion Reducing diagnostic delays should be achievable, particularly for those most delayed, named as “the heavy tail”. Interventions aimed at reducing delays especially among the heavy tail need to be developed and creation of new valid instruments for measuring delay are essential to do so.

U2 - 10.1097/IGC.0b013e31821d2770

DO - 10.1097/IGC.0b013e31821d2770

JO - International Journal of Gynecological Cancer

JF - International Journal of Gynecological Cancer

SN - 1048-891X

IS - 6

VL - 21

SP - 967

EP - 974

ER -