Table 5

Performance of hospital doctors and relationship with delay
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

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

Esteva et al.

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

Open Data