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.