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Factors influencing diagnosis of colorectal cancer: A hospital‐based survey in C hina
Author(s) -
Deng Shang Xin,
An Wei,
Gao Jie,
Yin Jie,
Cai Quan Cai,
Yang Ming,
Hong Shang You,
Fu Xin Xin,
Yu En Da,
Xu Xiao Dong,
Zhu Wei,
Li Zhao Shen
Publication year - 2012
Publication title -
journal of digestive diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.684
H-Index - 51
eISSN - 1751-2980
pISSN - 1751-2972
DOI - 10.1111/j.1751-2980.2012.00626.x
Subject(s) - medicine , colorectal cancer , cancer , stage (stratigraphy) , univariate analysis , logistic regression , family history , gastroenterology , multivariate analysis , biology , paleontology
Objective To investigate the diagnostic status of colorectal cancer ( CRC ) and the influence of early diagnosis and cancer stage in a tertiary care hospital in C hina. Methods Face‐to‐face interviews were conducted in 364 consecutive CRC patients who had never participated in CRC screening. Initial symptoms, diagnosis and treatment delay were determined using a questionnaire. Factors influencing diagnostic status were analyzed using univariate analysis and logistic regression model. Results A total of 307 patients were enrolled, in which 128 were with colon cancer and 179 with rectal cancer. The duration of diagnosis delay was significant longer than that of treatment delay. Unlike rectal cancer, colon cancer was likely to be treated at an advanced stage with a short interval between symptom onset and treatment. Colon cancer patients with a history of biliary tract or gallbladder stones, aged ≥ 50 years and with abdominal mass or intestinal obstruction as the initial symptom were diagnosed and treated much earlier. In rectal cancer, women and non‐smokers were diagnosed and treated quickly. Factors correlated with early cancer stage were found in colon cancer, including bloody stool as the initial symptom ( OR = 2.63, 95% CI 1.08–6.25, P = 0.034) and a history of appendectomy ( OR = 4.00, 95% CI 1.15–14.29, P = 0.029). Conclusions The factors contributing to early cancer detection were identified but their clinical value is limited. Diagnosis by symptoms suggesting CRC needs to be improved and CRC screening should be vigorously promoted.