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Table 4 Relationship of GP performance with delay

From: Factors related with symptom duration until diagnosis and treatment of symptomatic colorectal cancer

 

N (%)

Symptom diagnosis interval

Symptom treatment interval

median (p25-p75)

median (p25-p75)

(days)

(days)

Abdominal exploration

   

Yes

244 (30.7)

125.0 (67.0-223.0)

155.5 (93.2-259.2)

No

550 (69.3)

149.0 (70.0-280.0)

181.0 (93.7-315.2)

P

 

0.15

0.09

Rectal examination

   

Yes

180 (32.8)

129.0 (72.0-250.0)

166.0 (98.2-279.0)

No

369 (67.2)

142.0 (69.5-261.0)

168.0 (91.7-291.0)

P

 

0.69

0.89

Faecal occult blood

   

Yes

112 (20.3)

176.0 (89.5-292.0)

202.5 (118.7-324.5)

No

440 (79.7)

128.0 (62.0-248.0)

159.5 (89.7-278.2)

P

 

0.01

0.01

Blood test

   

Yes

314 (56.9)

165.0 (88.7-300.7)

188.0 (114.0-323.0)

No

238 (43.1)

103.5 (44.7-223.2)

132.0 (77.5-251.5)

P

 

<0.001

<0.001

Iron deficiency investigation

   

Yes

117 (21.4)

176.0 (100.0-328.0)

213.0 (116.5-364.0)

No

431 (78.6)

127.0 (63.0-251.5)

160.0 (89.5-272.5)

P

 

<0.01

<0.01

Abdominal XR

   

Yes

22 (4.0)

180.5 (76.0-257.0)

187.0 (69.0-269.0)

No

528 (96.0)

132.5 (68.5-258.0)

166.0 (94.0-290.0)

P

 

0.36

0.90

Abdominal Echography

   

Yes

52 (9.5)

145.5 (73.0-256.0)

165.5 (86.2-261.7)

No

498 (90.5)

136.0 (69.0-258.0)

167.5 (94.0-289.5)

P

 

0.74

0.74

Barium enema

   

Yes

38 (6.9)

132.0 (60.0-272.2)

163.0 (96.0-306.0)

No

512 (64.4)

137.5 (70.0-257.7)

167.0 (93.0-287.0)

P

 

0.71

0.97

Colonoscopy

   

Yes

109 (19.8)

165.0 (82.5-291.0)

195.0 (132.5-322.0)

No

441 (80.2)

129.5 (64.0-251.0)

157.0 (89.5-282.0)

P

 

0.02

<0.01

First referral to hospital

   

Gastroenterology

218 (58.6)

149.5 (77.2-291.2)

185.0 (114.0-317.0)

Surgery

36 (9.7)

153.5 (58.0-291.0)

181.0 (115.2-299.0)

Internal Medicine

13 (3.5)

150.0 (81.0-247.5)

162.5 (106.0-228.2)

Emergency service

89 (23.9)

125.0 (50.0-238.7)

158.0 (82.7-249.0)

Others

16 (4.3)

220.5 (117.5-351.7)

232.0 (138.0-327.0)

P

 

0.27

0.36

Type of referral

   

Ordinary

126 (37.5)

181.0 (84.0-303.0)

195.0 (117.2-304.2)

Preferential

99 ( 29.5)

163.0 (85.0-294.0)

193.0 (117.2-317.7)

Urgent

111 (33.0)

111.5 (56.5-208.2)

152.0 (90.0-237.0)

P

 

<0.01

<0.01

Diagnosis suspicion

   

Yes

184 (54.6)

129.0 (62.0-265.0)

166.0 (92.0-297.0)

No

153 (45.4)

172.5 (86.7-292.0)

195.0 (119.0-317.0)

P

 

0.06

0.03

CRC suspicion in referral letter

   

Yes

71 (22.4)

112.0 (63.7-215.7)

153.0 (106.0-247.0)

No

246 (77.6)

166.0 (78.0-304.0)

191.0 (109.0-318.0)

P

 

0.04

0.03

Number of visits due to CRC symptoms

   

0

142 (25.9)

08.0 (48.2-205.75)

143.0 (83.0-241.7)

1-2

211 (38.5)

124.5 (59.7-223.0)

153.0 (87.7-256.2)

3-5

138 (25.2)

163.0 (81.0-296.2)

183.0 (104.0-308.5)

>=6

57 (10.4)

264.0 (27.7-393.7)

279.5 (165.0-405.7)

P

 

<0.001

<0.001

Visits in last 12 months before diagnosis

   

0

7 (1.3)

212.0 (20.0-662.0)

244.0 (57.0-185.0)

1-5

148 (27.0)

126.5 (70.5-229.5)

169.0 (94.0-259.5)

6-12

194 (35.3)

120.0 (60.0-222.0)

153.0 (84.0-255.0)

13-24

139 (25.3)

160.0 (80.0-214.0)

182.5 (108.2.0-358.5)

>=25

61 (11.1)

154.5 (75.2-244.0)

171.0 (92.0-296.0)

P

 

0.06

0.05

  1. CRC: Colorectal Cancer.