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Updated: Jul 22, 2026

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
06:59

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Published on: November 9, 2016

Delayed treatment for rectal cancer.

Stephen L Ristvedt1, Elisa H Birnbaum, David W Dietz

  • 1Department of Psychiatry, Washington University School of Medicine, St. Louis, Missouri 63110, USA. ristveds@wustl.edu

Diseases of the Colon and Rectum
|June 28, 2005
PubMed
Summary

Delayed diagnosis of rectal cancer is common, with longer delays correlating to more advanced disease stages. Patient and physician factors contribute to this delay, impacting treatment outcomes.

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Area of Science:

  • Oncology
  • Medical Diagnostics
  • Public Health

Background:

  • The relationship between delayed diagnosis and rectal cancer stage is not fully understood.
  • Understanding diagnostic delays is crucial for improving patient outcomes.

Purpose of the Study:

  • To document the extent of diagnostic delay in rectal cancer.
  • To investigate the medical consequences of delayed rectal cancer diagnosis.

Main Methods:

  • A cohort of 120 recently diagnosed rectal cancer patients provided symptom history and perceived causes.
  • Patients estimated symptom onset to physician consultation time and consultation to diagnosis time.
  • Rectal cancer stage data were collected from patient medical records.

Main Results:

  • Rectal bleeding was the most common initial symptom for 106 patients.
  • Over 75% of symptomatic patients initially dismissed their symptoms as non-cancerous.
  • Median delay increased with stage: Stage I (10.0 weeks) to Stage IV (26.0 weeks).

Conclusions:

  • Delayed diagnosis of rectal cancer is a significant issue.
  • Both patient-related factors and physician-related factors contribute to diagnostic delays.
  • Delays can lead to advanced disease, impacting trust and potentially leading to legal action.