2012
DOI: 10.1038/bjc.2012.408
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Routes to diagnosis for cancer – determining the patient journey using multiple routine data sets

Abstract: Background:Cancer survival in England is lower than the European average, which has been at least partly attributed to later stage at diagnosis in English patients. There are substantial regional and demographic variations in cancer survival across England. The majority of patients are diagnosed following symptomatic or incidental presentation. This study defines a methodology by which the route the patient follows to the point of diagnosis can be categorised to examine demographic, organisational, service and… Show more

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Cited by 453 publications
(553 citation statements)
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“…4,5 Around 37% of patients with myeloma in the UK are diagnosed as emergency presentations, with a poorer prognosis (51% 12-month survival compared with 81% non-emergencies). 6,7 This is one of the highest proportions among adult cancers.…”
Section: Introductionmentioning
confidence: 99%
“…4,5 Around 37% of patients with myeloma in the UK are diagnosed as emergency presentations, with a poorer prognosis (51% 12-month survival compared with 81% non-emergencies). 6,7 This is one of the highest proportions among adult cancers.…”
Section: Introductionmentioning
confidence: 99%
“…The main alternative route to diagnosis is by emergency presentation, with approximately one-quarter of renal or bladder cancers presenting this way. 2,3 Selection of patients for urological referral depends on the patient's symptoms, plus any abnormal examination findings.…”
Section: Introductionmentioning
confidence: 99%
“…Diagnostic delays are common, with 29% and 36% of patients with oesophageal and gastric cancer respectively having three or more primary care consultations before diagnosis; [1][2][3] furthermore, 22% and 33% of patients are diagnosed with oesophageal and gastric cancer respectively following emergency presentation. 4 An estimated 600 deaths in the UK from oesophagogastric cancer annually are deemed 'avoidable' by comparison with mean European figures. 5 Expedited diagnosis may be beneficial either by identifying the tumour at a less-advanced stage, or by avoiding the emergency presentation, with its extra mortality.…”
Section: Introductionmentioning
confidence: 99%