Iron deficiency anaemia and delayed diagnosis of colorectal cancer: a retrospective cohort study
作者： S. Damery , R. Ryan , S. Wilson , T. Ismail , R. Hobbs
DOI: 10.1111/J.1463-1318.2010.02488.X
关键词:
摘要: Aim: The extent to which different referral pathways following a primary care diagnosis of iron deficiency anaemia (IDA) are associated with delay in colorectal cancer (CRC) was determined. Method: Eligible patients aged 40 or more years, IDA diagnosed care, and subsequent CRC, were studied retrospectively. Referral identified using the specialty first recorded GP diagnosis. Differences time CRC assessed by specialty. proportion cases referred before after re-issue NICE urgent guidelines for suspected lower gastrointestinal (GI) also assessed. Results: Of 628 882 eligible patients, 3.1% (n = 19 349) during study period; 3.0% 578) subsequently CRC. Two hundred fifty-nine (44.8%) had no unrelated GI tract. Only 35% 201) relevant Median ranged from 2.5 months (referral surgical specialty) 31.9 (haematology). Time longer medical compared (P 0.024). There significant difference re-issued 2005. Conclusion: Significant differences exist between specialties IDA. Despite recommendations, still not managed within recommended
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