Patient delay in colorectal cancer patients: associations with rectal bleeding and thoughts about cancer.

Rectal bleeding is considered to be an alarm symptom of colorectal cancer. However, the symptom is seldom reported to the general practitioner and it is often assumed that patients assign the rectal bleeding to benign conditions. The aims of this questionnaire study were to examine whether rectal bl...

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Autores principales:	Anette F Pedersen, Rikke P Hansen, Peter Vedsted
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2013
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/5ab6a8bf74b54eb3a4433a7210615b7f
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spelling	oai:doaj.org-article:5ab6a8bf74b54eb3a4433a7210615b7f2021-11-18T09:03:36ZPatient delay in colorectal cancer patients: associations with rectal bleeding and thoughts about cancer.1932-620310.1371/journal.pone.0069700https://doaj.org/article/5ab6a8bf74b54eb3a4433a7210615b7f2013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23894527/?tool=EBIhttps://doaj.org/toc/1932-6203Rectal bleeding is considered to be an alarm symptom of colorectal cancer. However, the symptom is seldom reported to the general practitioner and it is often assumed that patients assign the rectal bleeding to benign conditions. The aims of this questionnaire study were to examine whether rectal bleeding was associated with longer patient delays in colorectal cancer patients and whether rectal bleeding was associated with cancer worries. All incident colorectal cancer patients during a 1-year period in the County of Aarhus, Denmark, received a questionnaire. 136 colorectal cancer patients returned the questionnaire (response rate: 42%). Patient delay was assessed as the interval from first symptom to help-seeking and was reported by the patient. Patients with rectal bleeding (N = 81) reported longer patient intervals than patients without rectal bleeding when adjusting for confounders including other symptoms such as pain and changes in bowel habits (HR = 0.43; p = 0.004). Thoughts about cancer were not associated with the patient interval (HR = 1.05; p = 0.887), but more patients with rectal bleeding reported to have been wondering if their symptom(s) could be due to cancer than patients without rectal bleeding (chi(2) = 15.29; p<0.001). Conclusively, rectal bleeding was associated with long patient delays in colorectal cancer patients although more patients with rectal bleeding reported to have been wondering if their symptom(s) could be due to cancer than patients without rectal bleeding. This suggests that assignment of symptoms to benign conditions is not the only explanation of long patient delays in this patient group and that barriers for timely help-seeking should be examined.Anette F PedersenRikke P HansenPeter VedstedPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 7, p e69700 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Anette F Pedersen Rikke P Hansen Peter Vedsted Patient delay in colorectal cancer patients: associations with rectal bleeding and thoughts about cancer.
description	Rectal bleeding is considered to be an alarm symptom of colorectal cancer. However, the symptom is seldom reported to the general practitioner and it is often assumed that patients assign the rectal bleeding to benign conditions. The aims of this questionnaire study were to examine whether rectal bleeding was associated with longer patient delays in colorectal cancer patients and whether rectal bleeding was associated with cancer worries. All incident colorectal cancer patients during a 1-year period in the County of Aarhus, Denmark, received a questionnaire. 136 colorectal cancer patients returned the questionnaire (response rate: 42%). Patient delay was assessed as the interval from first symptom to help-seeking and was reported by the patient. Patients with rectal bleeding (N = 81) reported longer patient intervals than patients without rectal bleeding when adjusting for confounders including other symptoms such as pain and changes in bowel habits (HR = 0.43; p = 0.004). Thoughts about cancer were not associated with the patient interval (HR = 1.05; p = 0.887), but more patients with rectal bleeding reported to have been wondering if their symptom(s) could be due to cancer than patients without rectal bleeding (chi(2) = 15.29; p<0.001). Conclusively, rectal bleeding was associated with long patient delays in colorectal cancer patients although more patients with rectal bleeding reported to have been wondering if their symptom(s) could be due to cancer than patients without rectal bleeding. This suggests that assignment of symptoms to benign conditions is not the only explanation of long patient delays in this patient group and that barriers for timely help-seeking should be examined.
format	article
author	Anette F Pedersen Rikke P Hansen Peter Vedsted
author_facet	Anette F Pedersen Rikke P Hansen Peter Vedsted
author_sort	Anette F Pedersen
title	Patient delay in colorectal cancer patients: associations with rectal bleeding and thoughts about cancer.
title_short	Patient delay in colorectal cancer patients: associations with rectal bleeding and thoughts about cancer.
title_full	Patient delay in colorectal cancer patients: associations with rectal bleeding and thoughts about cancer.
title_fullStr	Patient delay in colorectal cancer patients: associations with rectal bleeding and thoughts about cancer.
title_full_unstemmed	Patient delay in colorectal cancer patients: associations with rectal bleeding and thoughts about cancer.
title_sort	patient delay in colorectal cancer patients: associations with rectal bleeding and thoughts about cancer.
publisher	Public Library of Science (PLoS)
publishDate	2013
url	https://doaj.org/article/5ab6a8bf74b54eb3a4433a7210615b7f
work_keys_str_mv	AT anettefpedersen patientdelayincolorectalcancerpatientsassociationswithrectalbleedingandthoughtsaboutcancer AT rikkephansen patientdelayincolorectalcancerpatientsassociationswithrectalbleedingandthoughtsaboutcancer AT petervedsted patientdelayincolorectalcancerpatientsassociationswithrectalbleedingandthoughtsaboutcancer
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Patient delay in colorectal cancer patients: associations with rectal bleeding and thoughts about cancer.

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