PMID: 9171769May 1, 1997Paper

Delay in treatment for oesophageal cancer

The British Journal of Surgery
J F RothwellT P Hennessy

Abstract

Dysphagia is the cardinal symptom of oesophageal cancer, yet many patients present late. This study examined prospectively the interval between onset of dysphagia and treatment and identified reasons for delay. Patients with histologically confirmed oesophageal carcinoma were questioned about duration of symptoms and about each step of their diagnostic work-up. Delay was estimated from date of onset of symptoms to definitive treatment. Median delay was 15 weeks for 78 patients with dysphagia, and 17 weeks for 22 patients with other symptoms. The most frequent cause of delay was late presentation to the family doctor (44 per cent). For patients treated with surgery alone there was a trend towards more advanced stage of disease with longer delay to treatment, but no correlation with survival (P = 0.25). Lack of awareness of the sinister significance of dysphagia is the most important cause for delay in presentation of patients with oesophageal cancer.

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Citations

Mar 29, 2002·Irish Journal of Medical Science·M S GrannellT N Walsh
Apr 9, 2008·Irish Journal of Medical Science·S C FitzGeraldT N Walsh
Dec 17, 2009·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Brechtje A GrotenhuisJan J B van Lanschot
Apr 17, 2003·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Volker ArndtHermann Brenner
Sep 12, 2006·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Sjoerd M LagardeJ Jan B van Lanschot
Dec 1, 2004·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·A JatoiJ A Mailliard
Jun 17, 2003·Journal of the American Medical Directors Association·Abbasi J AkhtarAllen S Funnyé
Sep 22, 2009·European Journal of Cancer : Official Journal for European Organization for Research and Treatment of Cancer (EORTC) [and] European Association for Cancer Research (EACR)·J J OttA B Miller
Apr 15, 2006·Expert Review of Anticancer Therapy·Gianlorenzo DionigiRenzo Dionigi
Mar 18, 2008·The American Journal of Gastroenterology·Tahera KhorakiwalaThomas N Walsh

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