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Rectal bleeding. Patient delay in presentation.

O F Dent1, K J Goulston, C C Tennant

  • 1Australian National University, Canberra, A.C.T., Australia.

Diseases of the Colon and Rectum
|October 1, 1990
PubMed
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Patient delay in presenting rectal bleeding contributes to delayed colorectal cancer diagnosis. Key factors influencing this delay include a lack of worry, not checking stools, and taking other actions before seeking medical help.

Area of Science:

  • Oncology
  • Gastroenterology
  • Health Psychology

Background:

  • Patient delay in seeking medical attention for rectal bleeding is a known contributor to delayed diagnosis of colorectal cancer.
  • Understanding the factors influencing this delay is crucial for improving early detection rates.

Purpose of the Study:

  • To identify demographic, psychological, or behavioral factors associated with patient delay in presenting rectal bleeding.
  • To inform strategies for reducing diagnostic delays in colorectal cancer.

Main Methods:

  • A study involving 93 patients presenting with rectal bleeding to their general practitioner.
  • Data collected on patient demographics, psychological traits, beliefs, and behaviors.
  • Analysis of the duration of delay in presentation.

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Main Results:

  • The median delay in presentation was 7 days, with 29% of patients delaying over 14 days.
  • Delay was not significantly associated with demographic factors, social support, or fear of cancer.
  • Significant delays were observed in patients who were not worried by the bleeding (47%), did not monitor their stools (37%), or took other actions before consulting a doctor (43%).

Conclusions:

  • Patient perception of the symptom's severity (worry), health monitoring behaviors, and pre-consultation actions are significant factors in delayed presentation of rectal bleeding.
  • Targeted interventions addressing these patient-centric factors may help reduce diagnostic delays for colorectal cancer.