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Table 5 Performance of hospital doctors and relationship with delay

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

 

N (%)

Symptom diagnosis

Symptom treatment interval

median (p25-p75)

median (p25-p75)

(days)

(days)

Service of first consultation

   

Gastroenterology

312 (39.5)

168.0 (90.0-317.5)

199 (124.0-352.0)

General Surgery

52 (6.6)

159.0 (83.5-349.0)

223 (128.0-382.5)

Internal Medicine

36 (4.6)

146.5 (70.7-315.5)

145.5 (90.0-334.0)

Emergency service

363 (46.6)

88.0 (33.5-186.5)

108.0 (52.0-207.5)

Other

26 (3.3)

149.0 (84.0-281.0)

176.0 (103.0-294.5)

P

 

<0.001

<0.001

Contact with hospital

   

Patient own referral

178 (24.8)

84.0 (27.5-163.5)

111.0 (40.0-210.5)

GP or out of hours service

452 (63.0)

140.0 (70.0-271.0)

171.0 (97.0-306.0)

Referral other specialists

54 (7.5)

126.0 (75.7-352.5)

144.5 (101.0-364.2)

Other

37 (4.7)

109.0 (66.5-240.7)

127.5 (85.2-264.5)

P

 

<0.001

<0.001

Requested tests

   

Abdominal examination

   

Si

583 (73.6)

111.0 (49.0-238.0)

136.0 (71.0-268.0)

No

209 (26.4)

144.0 (78.2-293.7)

189.0 (111.2-329.5)

P

 

<0.01

<0.001

Rectal Examination

   

Si

423 (53.3)

118.0 (49,0-224,0)

151.0 (75.0-274.0)

No

370 (46.7)

132.0 (68.5-284.5)

162.0 (92.0-315.0)

P

 

0.05

0.09

Faecal Blood Test

   

Si

41 (5.2)

150.0 (72.5-269.5)

193.0 (101.0-362.0)

No

752 (94.8)

127.0 (55.0-253.0)

154.0 (84.0-281.0)

  

0.68

0.28

Blood Test

   

Si

573 (72.5)

116.0(49.0-238.0)

139.0 (72.0-262.0)

No

217 (27.5)

144.5(83.0-290.5)

189.0 (119.5-335.2)

P

 

<0.001

<0.001

Iron Investigation

   

Si

227 (28.7)

137.5 (61.0-286.0)

166.0 (90.0-314.0)

No

563 (71.3)

125.0 (55.5-245.0)

154.0 (83.02-75.5)

P

 

0.23

0.36

Abdominal XR

   

Si

274 (34.6)

98.0 (33.0-195.0)

110.0 (48.5-211.5)

No

519 (65.4)

142.0 (72.0-293.0)

177.0 (108.5-318.5)

P

 

<0.001

<0.001

Abdominal Echography

   

Si

141 (17.8)

113.5 (59.0-241.0)

134.5 (89.2-259.0)

No

652 (82.2)

130.0 (53.0-256.0)

160.5 (83.7-287.5)

P

 

0.51

0.20

Barium Enema

   

Yes

61 (7.7)

145.0 (76.0-276.0)

179.0 (77.0-343.0)

No

731 (92.3)

124.0 (56.5-251.0)

154.0 (84.0-281.25)

P

 

0.63

0.63

Barium transit

   

Yes

11 (1.4)

193.0 (84.5-247.0)

233.0 (47.0-291.0)

No

782 (98.6)

125.5 (57.0-253.0)

154.0 (84.0-282.0)

P

 

0.54

0.56

Gastroscopy

   

Yes

92 (11.6)

117.0 (72.0-280.0)

167.0 (92.0-321.0)

No

699 (88.4)

127.0 (53.0-250.5)

154.0 (83.5-275.5)

P

 

0.41

0.34

Rectoscopy

   

Yes

35 (4.4)

182.0 (66.0-324.0)

204.0 (103.7-388.0)

No

755 (95.6)

125.5 (56.0-251.0)

154.0 (83.5-280.0)

P

 

0.19

0.06

Rectosigmoidoscopy

   

Yes

18 (2.3)

83.0 (43.0-180.0)

116.5 (77.0-221.2)

No

772 (97.7)

128.0 (59.0-255.0)

155.0 (84.0-287.0)

P

 

0.30

0.46

CT Abdominal Scan

   

Yes

345 (43.6)

112.0 (45.5-221.5)

128.0 (69.2-244.7)

No

447 (56.4)

142.0 (64.0-280.0)

180.0 (97.5-316.5)

P

 

0.01

<0.001

Abdominal MRI

   

Yes

40 (5.1)

194.0 (84.0-403.0)

227.0 (112.5-451.0)

No

751 (94.9)

124.5 (56.0-251.0)

153.5 (83.0-276.7)

P

 

0.02

0.01

Diagnosis orientation after first Hospital contact

   

Correct

386 (50.5)

113.5 (55.7-228.5)

146.5 (83.5-263.5)

Appropriate

334 (43.7)

140.0 (58.0-257.5)

158.0 (78.5-297.5)

Inappropriate

44 (5.8)

137.0 (82.0-256.2)

172.0 (111.5-298.2)

P

 

0.39

0.50

  1. XR Radiography, CT computed tomography, MRI Magnetic Resonance Image.