title: Diagnostic delay in pediatric malignancies--a population-based study.
abstract: This study describes the discovery and diagnosis of malignant tumors from a primary care perspective in a Swedish county. Between 1984 and 1995, 68 children between the ages 0-16 years were diagnosed with a malignant tumor giving an incidence of 14/100,000. Patient records from both primary care and hospital were analyzed for 64 children. Leukemia was diagnosed in 25 children, and brain tumors in 22 children. In 68% of the children the diagnostic process was initiated in primary care, and in 32% in specialist care. Median parent's delay (time from first symptoms to first consultation), and median doctor's delay (time from first consultation to diagnosis) were 5 and 3 weeks for children with brain tumors, and 1 and 0 weeks for children with leukemia. Median lag time (parent's + doctor's delay) was 9 weeks for patients with brain tumors and 3 weeks for children with leukemia.
authors.affiliation: Department of Community Medicine, University Hospital MAS, Malmö, Sweden. hans.thulesius@telia.com
authors.forename: H
authors.initials: H
authors.lastname: Thulesius
authors.forename: J
authors.initials: J
authors.lastname: Pola
authors.forename: A
authors.initials: A
authors.lastname: Håkansson
mesh_terms: D000293:Adolescent; D001932:Brain Neoplasms / Q000175:diagnosis*; D002648:Child; D002669:Child Welfare; D002675:Child, Preschool; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007938:Leukemia / Q000175:diagnosis*; D008297:Male; D011320:Primary Health Care; D012017:Referral and Consultation; D012189:Retrospective Studies; D013548:Sweden; D013997:Time Factors