Reduction in the diagnostic interval after the introduction of cancer patient pathways for colorectal cancer in northern Sweden
Objective: To compare the diagnostic interval for patients with colorectal cancer before and after the introduction of cancer patient pathways in northern Sweden. Design: A retrospective study comparing two cohorts (2012 and 2018) of patients diagnosed with colorectal cancer before and after the int...
Published in: | Scandinavian Journal of Primary Health Care |
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Umeå universitet, Institutionen för omvårdnad
2023
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ftumeauniv:oai:DiVA.org:umu-212509 2023-10-09T21:54:30+02:00 Reduction in the diagnostic interval after the introduction of cancer patient pathways for colorectal cancer in northern Sweden Fjällström, Petter Hörnsten, Carl Lilja, Mikael Hultstrand, Cecilia Coe, Anna-Britt Hajdarevic, Senada 2023 application/pdf http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-212509 https://doi.org/10.1080/02813432.2023.2234003 eng eng Umeå universitet, Institutionen för omvårdnad Umeå universitet, Psykiatri Umeå universitet, Institutionen för folkhälsa och klinisk medicin Umeå universitet, Sociologiska institutionen Umeå universitet, Allmänmedicin Scandinavian Journal of Primary Health Care, 0281-3432, 2023, 41:3, s. 287-296 orcid:0000-0003-3503-7164 orcid:0000-0002-5203-9877 orcid:0000-0003-4212-8080 orcid:0000-0003-1975-9060 orcid:0000-0003-0661-8269 http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-212509 doi:10.1080/02813432.2023.2234003 PMID 37450480 ISI:001025227600001 Scopus 2-s2.0-85165303497 info:eu-repo/semantics/openAccess cancer patient pathways Colorectal cancer diagnostic interval primary healthcare socioeconomic factors symptoms time to diagnosis Cancer and Oncology Cancer och onkologi Nursing Omvårdnad Article in journal info:eu-repo/semantics/article text 2023 ftumeauniv https://doi.org/10.1080/02813432.2023.2234003 2023-09-22T14:01:07Z Objective: To compare the diagnostic interval for patients with colorectal cancer before and after the introduction of cancer patient pathways in northern Sweden. Design: A retrospective study comparing two cohorts (2012 and 2018) of patients diagnosed with colorectal cancer before and after the introduction of cancer patient pathways in 2016. Setting: Three counties in northern Sweden with large sparsely populated areas and some cities (637143 residents ∼5.1 residents/km2). Subjects: Patients were included from the Swedish Cancer Register. Electronic health records reviews were performed and linked to socioeconomic data from Statistics Sweden. Main outcome measures: Differences in the diagnostic intervals, the patient intervals and the characteristics associated with the longest diagnostic intervals and investigations starting at the emergency department. Results: The two cohorts included 411 patients in 2012 and 445 patients in 2018. The median diagnostic interval was reduced from 47 days (IQI 18–99) to 29 days (IQI 9–74) (p < 0.001) after the introduction of cancer patient pathways in general. Though for the cases of cancer in the right-side (ascended) colon, the reduction of the diagnostic interval was not observed and it remained associated with investigations starting at the emergency department. Conclusion: Our results indicate that cancer patient pathways contributed to an improvement in the diagnostic interval for patients with colorectal cancer in general, yet not for patients with cancer in the right-side colon. Implication: In general, cancer patient pathways seem to reduce the diagnostic interval for colorectal cancer but it is not a sufficient solution for all colorectal cancer localisations. Article in Journal/Newspaper Northern Sweden Umeå University: Publications (DiVA) Scandinavian Journal of Primary Health Care 1 10 |
institution |
Open Polar |
collection |
Umeå University: Publications (DiVA) |
op_collection_id |
ftumeauniv |
language |
English |
topic |
cancer patient pathways Colorectal cancer diagnostic interval primary healthcare socioeconomic factors symptoms time to diagnosis Cancer and Oncology Cancer och onkologi Nursing Omvårdnad |
spellingShingle |
cancer patient pathways Colorectal cancer diagnostic interval primary healthcare socioeconomic factors symptoms time to diagnosis Cancer and Oncology Cancer och onkologi Nursing Omvårdnad Fjällström, Petter Hörnsten, Carl Lilja, Mikael Hultstrand, Cecilia Coe, Anna-Britt Hajdarevic, Senada Reduction in the diagnostic interval after the introduction of cancer patient pathways for colorectal cancer in northern Sweden |
topic_facet |
cancer patient pathways Colorectal cancer diagnostic interval primary healthcare socioeconomic factors symptoms time to diagnosis Cancer and Oncology Cancer och onkologi Nursing Omvårdnad |
description |
Objective: To compare the diagnostic interval for patients with colorectal cancer before and after the introduction of cancer patient pathways in northern Sweden. Design: A retrospective study comparing two cohorts (2012 and 2018) of patients diagnosed with colorectal cancer before and after the introduction of cancer patient pathways in 2016. Setting: Three counties in northern Sweden with large sparsely populated areas and some cities (637143 residents ∼5.1 residents/km2). Subjects: Patients were included from the Swedish Cancer Register. Electronic health records reviews were performed and linked to socioeconomic data from Statistics Sweden. Main outcome measures: Differences in the diagnostic intervals, the patient intervals and the characteristics associated with the longest diagnostic intervals and investigations starting at the emergency department. Results: The two cohorts included 411 patients in 2012 and 445 patients in 2018. The median diagnostic interval was reduced from 47 days (IQI 18–99) to 29 days (IQI 9–74) (p < 0.001) after the introduction of cancer patient pathways in general. Though for the cases of cancer in the right-side (ascended) colon, the reduction of the diagnostic interval was not observed and it remained associated with investigations starting at the emergency department. Conclusion: Our results indicate that cancer patient pathways contributed to an improvement in the diagnostic interval for patients with colorectal cancer in general, yet not for patients with cancer in the right-side colon. Implication: In general, cancer patient pathways seem to reduce the diagnostic interval for colorectal cancer but it is not a sufficient solution for all colorectal cancer localisations. |
format |
Article in Journal/Newspaper |
author |
Fjällström, Petter Hörnsten, Carl Lilja, Mikael Hultstrand, Cecilia Coe, Anna-Britt Hajdarevic, Senada |
author_facet |
Fjällström, Petter Hörnsten, Carl Lilja, Mikael Hultstrand, Cecilia Coe, Anna-Britt Hajdarevic, Senada |
author_sort |
Fjällström, Petter |
title |
Reduction in the diagnostic interval after the introduction of cancer patient pathways for colorectal cancer in northern Sweden |
title_short |
Reduction in the diagnostic interval after the introduction of cancer patient pathways for colorectal cancer in northern Sweden |
title_full |
Reduction in the diagnostic interval after the introduction of cancer patient pathways for colorectal cancer in northern Sweden |
title_fullStr |
Reduction in the diagnostic interval after the introduction of cancer patient pathways for colorectal cancer in northern Sweden |
title_full_unstemmed |
Reduction in the diagnostic interval after the introduction of cancer patient pathways for colorectal cancer in northern Sweden |
title_sort |
reduction in the diagnostic interval after the introduction of cancer patient pathways for colorectal cancer in northern sweden |
publisher |
Umeå universitet, Institutionen för omvårdnad |
publishDate |
2023 |
url |
http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-212509 https://doi.org/10.1080/02813432.2023.2234003 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_relation |
Scandinavian Journal of Primary Health Care, 0281-3432, 2023, 41:3, s. 287-296 orcid:0000-0003-3503-7164 orcid:0000-0002-5203-9877 orcid:0000-0003-4212-8080 orcid:0000-0003-1975-9060 orcid:0000-0003-0661-8269 http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-212509 doi:10.1080/02813432.2023.2234003 PMID 37450480 ISI:001025227600001 Scopus 2-s2.0-85165303497 |
op_rights |
info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/10.1080/02813432.2023.2234003 |
container_title |
Scandinavian Journal of Primary Health Care |
container_start_page |
1 |
op_container_end_page |
10 |
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1779318076550938624 |