Table 4

Relationship of GP performance with delay
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

CRC: Colorectal Cancer.

Esteva et al.

Esteva et al. BMC Cancer 2013 13:87   doi:10.1186/1471-2407-13-87

Open Data