Table 2. Time intervals to diagnosis, surgery, and oncology consultation (n=350).
|
Colorectal
|
Lung
|
Prostate
|
|||||||
|---|---|---|---|---|---|---|---|---|---|
| Time interval (days) | Alla (n=133) | Cancerb (n=9) | No cancerc (n=124) | Alla (n=101) | Cancerb (n=81) | No cancerc (n=20) | Alla (n=116) | Cancerb (n=41) | No cancerc (n=75) |
| 1. Referral to patient informed of diagnosis | |||||||||
| Mean (s.d.) | 81.3 (67.7) | 33.8 (48.9) | 84.8 (67.7) | 45.2 (32.4) | 43.5 (31.7) | 52.2 (35.1) | 82.3 (42.9) | 91.3 (37.4) | 77.5 (45.1) |
| Median (IQR) | 71 (30–110) | 13 (8–35) | 72 (32–111) | 37 (29–49) | 35 (28–49) | 42 (36–49) | 81 (56–100) | 85 (73–100) | 77 (40–100) |
| 2. Referral to confirmed diagnosis d | |||||||||
| Mean (s.d.) | 75.2 (63.6) | 31.0 (45.2) | 78.4 (63.7) | 35.5 (31.5) | 33.6 (31.1) | 43.1 (32.6) | 68.0 (38.3) | 72.6 (35.0) | 65.4 (40.0) |
| Median (IQR) | 66 (29–103) | 13 (8–32) | 71 (30–104) | 28 (21–37) | 28 (19–35) | 33 (26–45) | 65.5 (44–84) | 66 (58–80) | 64 (37–84) |
| 3. Referral to first diagnostic consult e | |||||||||
| Mean (s.d.) | 55.1 (48.4) | 13.4 (11.6) | 58.2 (48.7) | 13.9 (11.4) | 12.6 (9.9) | 19.2 (15.1) | 38.0 (24.6) | 40.4 (28.0) | 36.7 (22.6) |
| Median (IQR) | 43 (17–79) | 9 (7–13) | 48 (20–81) | 12 (6–19) | 11 (6–18) | 14 (10–26) | 35 (25–49) | 35 (29–50) | 34 (24–49) |
| 4. First diagnostic consult to patient informed of diagnosis | |||||||||
| Mean (s.d.) | 26.6 (42.3) | 20.3 (51.9) | 27.0 (41.7) | 31.4 (32.3) | 31.0 (32.6) | 33.1 (31.7) | 44.3 (31.7) | 50.9 (22.1) | 40.8 (35.5) |
| Median (IQR) | 0 (0–40) | 0 (0–11) | 1.5 (0–44) | 25 (14–35) | 25 (13–37) | 24 (19–35) | 45 (28–58) | 47 (37–58) | 39 (0–58) |
| 5. Confirmed diagnosis to surgery/decision for no surgery | n=9 | n=73 | n=41 | ||||||
| Mean (s.d.) | — | 33.9 (23.3) | — | — | 22.7 (18.8) | — | — | 61.6 (45.7) | — |
| Median (IQR) | — | 23 (17–43) | — | — | 16 (10–28) | — | — | 54 (19–96) | — |
| 6. Referral to surgery/decision for no surgery | n=9 | n=77 | n=41 | ||||||
| Mean (s.d.) | — | 64.9 (42.0) | — | — | 54.9 (39.2) | — | — | 134.2 (62.2) | — |
| Median (IQR) | — | 64 (30–76) | — | — | 45 (35–63) | — | — | 128 (80–168) | — |
| 7. Referral to surgery f | n=8 | n=23 | n=20 | ||||||
| Mean (s.d.) | — | 53.1 (24.3) | — | — | 72.9 (51.3) | — | — | 170.2 (59.9) | — |
| Median (IQR) | — | 54.5 (30–76) | — | — | 57 (44–91) | — | — | 162 (120–215) | — |
| 8. Surgery to oncology consult/ decision for no consult | n=3 | n=20 | n=6 | ||||||
| Mean (s.d.) | — | 21.0 (18.2) | — | — | 39.7 (33.9) | — | — | 18.7 (21.8) | — |
| Median (IQR) | — | 11 (10–42) | — | — | 35 (22–47) | — | — | 10.5 (8–12) | — |
| 9. Referral to initiation of first treatment g | n=9 | n=81 | n=41 | ||||||
| Mean (s.d.) | — | 64.0 (41.8) | — | — | 55.5 (38.9) | — | — | 113.6 (52.4) | — |
| Median (IQR) | — | 64 (30–75) | — | — | 45 (35–64) | — | — | 94 (79–135) | — |
a
All patients referred with symptoms suggestive of cancer.
b
Patients for whom cancer was confirmed.
c
Patients for whom cancer was confuted.
d
Date of pathology, radiology, or procedural report confirming cancer diagnosis.
e
Date of first diagnostic consult was defined as the date first seen by a consultant or the date of the first relevant investigation initiated by consultant, whichever came first.
f
Includes only those patients who underwent surgery.
g
First treatment was defined as neoadjuvant chemotherapy, surgery if no preoperative treatment was required, chemotherapy, radiotherapy, or a decision for no treatment.