title: An ovarian cancer diagnosis-seeking process: unraveling the diagnostic delay problem.
abstract: OBJECTIVE
  To propose a conceptualization that identifies when diagnostic delays occur and suggests a delay-reduction strategy for the diagnosis of ovarian cancer.
  
  
  METHODS
  Findings and extrapolations from published national and international research studies, research reviews, books, Internet sources, and a family-functioning research project.
  
  
  RESULTS
  Three phases of diagnosis seeking were identified. Self-care was characterized by self-diagnosis, self-interpretation of symptoms, and self-management. Primary provider care was characterized by misdiagnosis and ineffective symptom management. Specialist care was characterized by specialized examinations, tests, and definitive diagnoses. Diagnostic delays were associated with extended periods of self-care and the misinterpretation of symptoms in primary care.
  
  
  CONCLUSIONS
  Periods of opportunity for early diagnosis occurred in the early symptom stages, when self- and primary care were dominant.
  
  
  CONCLUSIONS
  Women must be taught to self-monitor for early ovarian cancer symptoms. Primary care providers should be urged to attend frequent state-of-the-science updates that regard early symptoms as manifestations of ovarian cancer.
authors.affiliation: School of Nursing, East Carolina University, Greenville, NC, USA. polishkay@aol.com
authors.forename: Dixie
authors.initials: D
authors.lastname: Koldjeski
authors.forename: Mary K
authors.initials: MK
authors.lastname: Kirkpatrick
authors.forename: Melvin
authors.initials: M
authors.lastname: Swanson
authors.forename: Lou
authors.initials: L
authors.lastname: Everett
authors.forename: Sylvia
authors.initials: S
authors.lastname: Brown
mesh_terms: D000328:Adult; D000368:Aged; D042241:Early Diagnosis; D005260:Female; D006176:Gynecology; D006266:Health Education / Q000379:methods; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008495:Medical Oncology; D008875:Middle Aged; D009859:Oncology Nursing / Q000379:methods; D010051:Ovarian Neoplasms / Q000175:diagnosis* / Q000451:nursing / Q000523:psychology; D010342:Patient Acceptance of Health Care / Q000523:psychology; D011320:Primary Health Care; D012648:Self Care / Q000523:psychology; D013997:Time Factors