Delays in Referral of Soft Tissue Sarcomas
Introduction and aims. It is well established that soft tissue sarcomas (STSs) are more effectively treated in a specialist centre. However, delays in time taken for a patient to be referred to a specialist centre may lead to a poorer prognosis. This study aims to identify the length of these delays...
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2008-01-01
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Series: | Sarcoma |
Online Access: | http://dx.doi.org/10.1155/2008/378574 |
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doaj-11cfabb4faad4fa9a6cb2424f5582d982020-11-24T23:57:17ZengHindawi LimitedSarcoma1357-714X1369-16432008-01-01200810.1155/2008/378574378574Delays in Referral of Soft Tissue SarcomasG. D. Johnson0G. Smith1A. Dramis2R. J. Grimer3Department of Medicine, Medical School, University of Birmingham, 33 Holloway, Northfield, Birmingham B31 1TP, UKDepartment of Medicine, Medical School, University of Birmingham, 33 Holloway, Northfield, Birmingham B31 1TP, UKDepartment of Orthopaedic Oncology, Royal Orthopaedic Hospital, Birmingham, Bristol Road South, Northfield, Birmingham B31 2AP, UKDepartment of Orthopaedic Oncology, Royal Orthopaedic Hospital, Birmingham, Bristol Road South, Northfield, Birmingham B31 2AP, UKIntroduction and aims. It is well established that soft tissue sarcomas (STSs) are more effectively treated in a specialist centre. However, delays in time taken for a patient to be referred to a specialist centre may lead to a poorer prognosis. This study aims to identify the length of these delays and where they occur. Patients and methods. Patients with a proven STS were included. They were recruited from both outpatient clinics and from the surgical ward of the Royal Orthopaedic Hospital (Birmingham, UK). A structured interview was used to take a detailed history of the patients' treatment pathway, before arriving at the specialist centre. Dates given were validated using the case notes. Results. The median time for the patient to present to a specialist centre from the onset of symptoms was 40.4 weeks. The median delay until presentation to a medical professional (patient delay) was 1.3 weeks. Median delay in referral to a specialist centre (service delay) was 25.0 weeks. Discussion. Medical professionals rather than patients contribute the greatest source of delay in patients reaching a specialist centre for treatment of STS. Adherence to previously published guidelines could decrease this delay for diagnosis of possible sarcoma. Steps should be taken to refer patients directly to a diagnostic centre if they have symptoms or signs suggestive of STS.http://dx.doi.org/10.1155/2008/378574 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
G. D. Johnson G. Smith A. Dramis R. J. Grimer |
spellingShingle |
G. D. Johnson G. Smith A. Dramis R. J. Grimer Delays in Referral of Soft Tissue Sarcomas Sarcoma |
author_facet |
G. D. Johnson G. Smith A. Dramis R. J. Grimer |
author_sort |
G. D. Johnson |
title |
Delays in Referral of Soft Tissue Sarcomas |
title_short |
Delays in Referral of Soft Tissue Sarcomas |
title_full |
Delays in Referral of Soft Tissue Sarcomas |
title_fullStr |
Delays in Referral of Soft Tissue Sarcomas |
title_full_unstemmed |
Delays in Referral of Soft Tissue Sarcomas |
title_sort |
delays in referral of soft tissue sarcomas |
publisher |
Hindawi Limited |
series |
Sarcoma |
issn |
1357-714X 1369-1643 |
publishDate |
2008-01-01 |
description |
Introduction and aims. It is well established that soft tissue sarcomas (STSs) are more effectively treated in a specialist centre. However, delays in time taken for a patient to be referred to a specialist centre may lead to a poorer prognosis. This study aims to identify the length of these delays and where they occur. Patients and methods. Patients with a proven STS were included. They were recruited from both outpatient clinics and from the surgical ward of the Royal Orthopaedic Hospital (Birmingham, UK). A structured interview was used to take a detailed history of the patients' treatment pathway, before arriving at the specialist centre. Dates given were validated using the case notes. Results. The median time for the patient to present to a specialist centre from the onset of symptoms was 40.4 weeks. The median delay until presentation to a medical professional (patient delay) was 1.3 weeks. Median delay in referral to a specialist centre (service delay) was 25.0 weeks. Discussion. Medical professionals rather than patients contribute the greatest source of delay in patients reaching a specialist centre for treatment of STS. Adherence to previously published guidelines could decrease this delay for diagnosis of possible sarcoma. Steps should be taken to refer patients directly to a diagnostic centre if they have symptoms or signs suggestive of STS. |
url |
http://dx.doi.org/10.1155/2008/378574 |
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