Delay in the diagnosis and treatment of cancer: A critical analysis of the literature

Kutner, Bernard; Makover, Henry B.; Oppenheim, A. N.

doi:10.1016/0021-9681(58)90011-0

Cited by 50 publications

(10 citation statements)

References 57 publications

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“…Three early literature reviews (Blackwell 1963;Kutner and Gordon 1961;Kutner, Makover, and Oppenheim 1958) referred to studies that reported that a patients usual pattern of use is key to the pattern of use when symptoms of a significant problem, say cancer, develop. Yet, none of these reviews discussed the doctor-patient relationship.…”

Section: Usual Source As An Independent Variablementioning

confidence: 99%

Patient-Provider Concordance: A Review and Conceptualization

Penchansky

1986

Medical Care Review

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The existence and character of the relationship between a patient and provider are probably key variables determining the performance of the medical care system. Prior analyses of this relationship have addressed it as three largely distinct areas: the patient having a usual source, a personal physician, or a central source; the concept of managing physician, primary physician or gatekeeper; and,-the patientphysician interpersonal or therapeutic relationship.If the relationship between provider and patient is important, then there is a need to answer the questions: Are there factors that influence the existence or strength of the relationship and, if so, what are they? How do the existence and strength of the relationship influence choice of source, use, quality, compliance, efficiency, and satisfaction? Will the addition of a measure (or measures) of the existence and characteristics of the patient-provider relationship improve our ability to explain the functioning of the health 'care system? How can the relationship between patient and system or provider be characterized in ways useful for research and policy analysis? This article has four major objectives: to establish the importance of usual source (personal physician or managing physician) to health at UQ Library on June 18, 2015 mcr.sagepub.com Downloaded from

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Section: Usual Source As An Independent Variablementioning

confidence: 99%

Patient-Provider Concordance: A Review and Conceptualization

Penchansky

1986

Medical Care Review

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“…5 Despite the efforts made by physicians and volunteers to increase the early detection of cancer through campaigns that warn against signs and symptoms and through education programs for health professionals, studies have shown little improvement in the time between symptom onset and medical assistance, and also in the rapid establishment of a diagnosis and initiation of proper treatment. 6 The aim of the present study was to identify the major signs and symptoms of retinoblastoma in our setting, determining the average duration of the symptoms as well as the factors associated with their duration.…”

Section: Introductionmentioning

confidence: 99%

Atraso diagnóstico do retinoblastoma

Rodrigues¹,

Latorre²

2004

J. Pediatr. (Rio J.)

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Objectives: To identify the main symptoms of retinoblastoma and to determine the mean time between symptom onset and diagnosis (lag time). Patients and methods:We carried out a retrospective analysis of the patients diagnosed with retinoblastoma between January 1991 and June 2000, at the Pediatric Department of the Hospital do Câncer, São Paulo, Brazil. Statistical analyses performed were: Students t test, ANOVA, Tukey-HSD test (honest significant differences), Levenes test, multiple regression, ROC curve, logistic regression, Kaplan-Meier, and log rank.Results: 327 medical records (171 males) were reviewed. The mean age was 25 months. Localized disease was identified in 269 patients. The most frequent symptoms were leukocoria (79%), strabismus (10.7%) and tumor mass (3.4%). Mean lag time was 5.8 months. Patients older than 2 years old had longer lag time in comparison to infants (7.2 vs 4.7 months; p = 0.001). Lag time was longer among patients with strabismus (8.8 months) in comparison to patients with tumor mass (2.3 months) and leukocoria (5.6 months); p = 0.014. Patients with metastatic disease had longer lag time (10.6 months; p < 0.001). Lag time was influenced by advanced disease (OR = 3.25/CI = 1.61:6.55), metastatic disease (OR=3.52/ CI = 1.21:10.21) and strabismus (OR = 2.84/IC = 1.36:5.92). Five-year overall survival rates were higher among patients with localized disease (94.6% ) and among patients with lag time less than 6 months (91%), in comparison to patients with longer lag time (78%; p < 0.001).Conclusion: Most frequent symptoms of retinoblastoma were leukocoria, strabismus and tumor mass. Mean lag time was 5.8 months. Strabismus and advanced disease were associated to longer lag time. Patients with advanced disease and lag time longer than 6 months had worse prognosis.J Pediatr (Rio J). 2004;80(6):511-6: Retinoblastoma, delay of diagnosis, signs and symptoms, leukocoria, strabismus.

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“…causation in breast cancer, nor adequately covers the topic of delay behavior. Each of these areas is worthy of special attention, and we defer to others for extensive treatment [ 2 , [5][6][7][8][9][10][11][12][13].…”

Section: Introductionmentioning

confidence: 99%

Psychosocial Adjustment to Breast Cancer: A Review of Selected Literature

Lewis

Bloom

1979

Int J Psychiatry Med

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The following is a review of the clinical and research literature concerning women's emotional adjustment to the detection of breast cancer and its subsequent management. The review is organized into ten themes which focus on three general areas: 1) women's response to the diagnosis of breast cancer; 2) involvement of spouse, family and professional providers; and 3) the patient's milieu--how it impinges on the course of her treatment and rehabilitation. Also noted is the paucity of systematic research dealing with the effectiveness of support interventions, their content and duration, and the appropriate individual to provide such support.

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Delay in the diagnosis and treatment of cancer: A critical analysis of the literature

Cited by 50 publications

References 57 publications

Patient-Provider Concordance: A Review and Conceptualization

Patient-Provider Concordance: A Review and Conceptualization

Atraso diagnóstico do retinoblastoma

Psychosocial Adjustment to Breast Cancer: A Review of Selected Literature

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