FACTORS ASSOCIATED WITH SPEED OF DIAGNOSIS, REFERRAL, AND TREATMENT IN COLORECTAL-CANCER
FACTORS ASSOCIATED WITH SPEED OF DIAGNOSIS, REFERRAL, AND TREATMENT IN COLORECTAL-CANCER
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DOI：
10.1136/jech.38.2.122
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发表时间：
1984-01-01
影响因子：
6.3
通讯作者：
SMITH, A
中科院分区：
文献类型：
--
作者：
MACARTHUR, C;SMITH, A
延迟症状的表现和转诊患者的手术意见仍然是一个重要的问题，在结直肠癌。影响患者早期咨询的因素包括来自近亲或其他同事的建议以及腹痛或呕吐或两者兼而有之，作为早期症状之一。更多的局部直肠症状和体重减轻通常与长时间延迟有关。“经典”症状图片在疾病的早期阶段并不常见。很少有可识别的因素与延迟转诊手术意见有关。检查病人（直肠或其他）的医生会更快地转诊。在所研究的地区，在咨询转诊后迟迟不进行确定性治疗似乎不是一个主要问题。有一些证据表明，延迟与疾病的阶段在介绍。
Delay in the presentation of symptoms and in referral of patients for surgical opinion remains an important problem in colorectal cancer. Factors influencing patients to consult early include advice from close family or other associates and abdominal pain or vomiting, or both, as one of the early symptoms. More localised rectal symptoms and loss of weight are often associated with long delay. The "classic" symptom pictures are not often seen in the early stages of the disease. Few identifiable factors were associated with delay in referral for surgical opinion. Doctors who examine their patients (rectally or otherwise) refer them sooner. In the districts studied delay in instituting definitive treatment after consultant referral does not seem to be a major problem. There is some evidence that delay is associated with stage of the disease at presentation.