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Reduction in the diagnostic interval after the introduction of cancer patient pathways for colorectal cancer in northern Sweden

OBJECTIVE: To compare the diagnostic interval for patients with colorectal cancer before and after the introduction of cancer patient pathways in northern Sweden. DESIGN: A retrospective study comparing two cohorts (2012 and 2018) of patients diagnosed with colorectal cancer before and after the int...

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Autores principales: Fjällström, P., Hörnsten, C., Lilja, M., Hultstrand, C., Coe, A. B., Hajdarevic, S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taylor & Francis 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10478615/
https://www.ncbi.nlm.nih.gov/pubmed/37450480
http://dx.doi.org/10.1080/02813432.2023.2234003
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author Fjällström, P.
Hörnsten, C.
Lilja, M.
Hultstrand, C.
Coe, A. B.
Hajdarevic, S.
author_facet Fjällström, P.
Hörnsten, C.
Lilja, M.
Hultstrand, C.
Coe, A. B.
Hajdarevic, S.
author_sort Fjällström, P.
collection PubMed
description OBJECTIVE: To compare the diagnostic interval for patients with colorectal cancer before and after the introduction of cancer patient pathways in northern Sweden. DESIGN: A retrospective study comparing two cohorts (2012 and 2018) of patients diagnosed with colorectal cancer before and after the introduction of cancer patient pathways in 2016. SETTING: Three counties in northern Sweden with large sparsely populated areas and some cities (637143 residents ∼5.1 residents/km(2)). SUBJECTS: Patients were included from the Swedish Cancer Register. Electronic health records reviews were performed and linked to socioeconomic data from Statistics Sweden. MAIN OUTCOME MEASURES: Differences in the diagnostic intervals, the patient intervals and the characteristics associated with the longest diagnostic intervals and investigations starting at the emergency department. RESULTS: The two cohorts included 411 patients in 2012 and 445 patients in 2018. The median diagnostic interval was reduced from 47 days (IQI 18–99) to 29 days (IQI 9–74) (p < 0.001) after the introduction of cancer patient pathways in general. Though for the cases of cancer in the right-side (ascended) colon, the reduction of the diagnostic interval was not observed and it remained associated with investigations starting at the emergency department. CONCLUSION: Our results indicate that cancer patient pathways contributed to an improvement in the diagnostic interval for patients with colorectal cancer in general, yet not for patients with cancer in the right-side colon. IMPLICATION: In general, cancer patient pathways seem to reduce the diagnostic interval for colorectal cancer but it is not a sufficient solution for all colorectal cancer localisations.
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spelling pubmed-104786152023-09-06 Reduction in the diagnostic interval after the introduction of cancer patient pathways for colorectal cancer in northern Sweden Fjällström, P. Hörnsten, C. Lilja, M. Hultstrand, C. Coe, A. B. Hajdarevic, S. Scand J Prim Health Care Research Articles OBJECTIVE: To compare the diagnostic interval for patients with colorectal cancer before and after the introduction of cancer patient pathways in northern Sweden. DESIGN: A retrospective study comparing two cohorts (2012 and 2018) of patients diagnosed with colorectal cancer before and after the introduction of cancer patient pathways in 2016. SETTING: Three counties in northern Sweden with large sparsely populated areas and some cities (637143 residents ∼5.1 residents/km(2)). SUBJECTS: Patients were included from the Swedish Cancer Register. Electronic health records reviews were performed and linked to socioeconomic data from Statistics Sweden. MAIN OUTCOME MEASURES: Differences in the diagnostic intervals, the patient intervals and the characteristics associated with the longest diagnostic intervals and investigations starting at the emergency department. RESULTS: The two cohorts included 411 patients in 2012 and 445 patients in 2018. The median diagnostic interval was reduced from 47 days (IQI 18–99) to 29 days (IQI 9–74) (p < 0.001) after the introduction of cancer patient pathways in general. Though for the cases of cancer in the right-side (ascended) colon, the reduction of the diagnostic interval was not observed and it remained associated with investigations starting at the emergency department. CONCLUSION: Our results indicate that cancer patient pathways contributed to an improvement in the diagnostic interval for patients with colorectal cancer in general, yet not for patients with cancer in the right-side colon. IMPLICATION: In general, cancer patient pathways seem to reduce the diagnostic interval for colorectal cancer but it is not a sufficient solution for all colorectal cancer localisations. Taylor & Francis 2023-07-14 /pmc/articles/PMC10478615/ /pubmed/37450480 http://dx.doi.org/10.1080/02813432.2023.2234003 Text en © 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The terms on which this article has been published allow the posting of the Accepted Manuscript in a repository by the author(s) or with their consent.
spellingShingle Research Articles
Fjällström, P.
Hörnsten, C.
Lilja, M.
Hultstrand, C.
Coe, A. B.
Hajdarevic, S.
Reduction in the diagnostic interval after the introduction of cancer patient pathways for colorectal cancer in northern Sweden
title Reduction in the diagnostic interval after the introduction of cancer patient pathways for colorectal cancer in northern Sweden
title_full Reduction in the diagnostic interval after the introduction of cancer patient pathways for colorectal cancer in northern Sweden
title_fullStr Reduction in the diagnostic interval after the introduction of cancer patient pathways for colorectal cancer in northern Sweden
title_full_unstemmed Reduction in the diagnostic interval after the introduction of cancer patient pathways for colorectal cancer in northern Sweden
title_short Reduction in the diagnostic interval after the introduction of cancer patient pathways for colorectal cancer in northern Sweden
title_sort reduction in the diagnostic interval after the introduction of cancer patient pathways for colorectal cancer in northern sweden
topic Research Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10478615/
https://www.ncbi.nlm.nih.gov/pubmed/37450480
http://dx.doi.org/10.1080/02813432.2023.2234003
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