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. 2024 Jun 10;19(6):e0301672. doi: 10.1371/journal.pone.0301672

Table 8. Cases in which primary care delay formed the majority of total delay.

Cases
Crohn’s Disease
P18 P18’s delay (two years in general triage, deprivation decile 2) can be partially attributed to atypical presentation, in the form of negative test results.
P19 Non-specific presentations and relative disease prevalence (13 months in general triage, deprivation decile 6) misdiagnosed with IBS.
Ulcerative colitis
P14 47-year-old person with UC, ten or more years in general triage, deprivation Decile 6) is an older patient who perceived their GP as out-of-touch and having trivialised their symptoms. Their experience could also be considered an example of misdiagnosis due to a non-specific presentation. “It was our local village GP, I think he’d come from the dark ages. . . some elderly man. . . I think he got his medical training in the 1940s and hadn’t really kept himself particularly up to date with modern medicine. . . I kept being diagnosed with, like, you know, ‘stomach aches’” (P14)
P16 Both non-specific presentations and relative disease prevalence may have influenced the misdiagnosis of P16 (five years in general triage—over 50% of total diagnostic delay, deprivation decile 2),
P17 Non-specific presentations and relative disease prevalence (five years in general triage, deprivation decile 1) misdiagnosis with IBS,
IBD unclassified
P15 Two years in general triage, deprivation Decile 5) where multiple alternative hypotheses (thyroid issues, haemorrhoids, diverticulitis) were pursued before IBD was picked up during routine bowel cancer screening.