Delay in the presentation of colorectal carcinoma: a review of causation
Delay in the presentation of colorectal carcinoma: a review of causation
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DOI：
10.1007/s003840050127
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发表时间：
1998-02-01
影响因子：
2.8
通讯作者：
Winslet, M
中科院分区：
文献类型：
--
作者：
Carter, S;Winslet, M
这篇综述文章研究了结直肠癌延迟出现的原因。这种延迟可以在三个不同的层面上发生：患者方面的延迟、全科医生在患者转诊之前的延迟以及患者转诊之后在医院发生的延迟。有证据表明，近年来患者延误情况有所减少；一些作者对全科医生的延误存在争议，但有大量证据表明这种情况确实存在。住院延误可能会受到全科医生的影响；有证据表明，近年来这一数字有所增加，并且随着目前住院床位的压力，这一数字可能会进一步增加。
This review paper studies the reasons behind the delay in presentation of colorectal carcinoma. Such delay can occur at three different levels: delay on the part of the patient, delay by the general practitioner prior to patient referral and delay incurred at the hospital after patient referral. There is some evidence that patient delay has decreased in recent years; general practitioner delay is disputed by some authors, but there is considerable evidence that it exists. Hospital delay can be influenced by the general practitioner; there is evidence that it has increased in recent years and is likely to increase further with the current pressure on in-patient beds.