title: A prospective study of peri-diagnostic and surgical wait times for patients with presumptive colorectal, lung, or prostate cancer.
abstract: The objective of this study was to prospectively measure peri-diagnostic and surgical time intervals for patients with suspected colorectal, lung, or prostate cancer. Prospective eligible patients were referred to a regional hospital in Ottawa, Canada between February 2004 and February 2005 for diagnostic assessment of presumptive colorectal, lung, or prostate cancer. Chart abstractions were used to measure nine time intervals; the primary interval was the date of referral for diagnostic assessment to the date the patient was informed of the diagnosis. Health-related quality-of-life (HRQL) was assessed 5 days following the patient being informed of their diagnosis. The median (IQR) time for the primary interval was 71 (30-110), 37 (29-49), and 81 (56-100) days for colorectal, lung, and prostate patients, respectively (Kruskal-Wallis P=0.0001). This interval was significantly less for colorectal patients diagnosed with cancer than for those without cancer (median difference=59.0 days; Wilcoxon P=0.003). No differences in HRQL existed for patients with cancer and those without. Colorectal and prostate patients wait longer between referral for suspected cancer and being informed of their diagnosis than current recommendations. The shorter diagnostic intervals for colorectal patients with cancer suggest clinicians have an effective process for triaging patients referred for diagnostic assessment.
authors.affiliation: Cancer Outcomes Research Program, Cancer Care Nova Scotia and Department of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada. eva.grunfeld@utoronto.ca
authors.forename: E
authors.initials: E
authors.lastname: Grunfeld
authors.forename: J M
authors.initials: JM
authors.lastname: Watters
authors.forename: R
authors.initials: R
authors.lastname: Urquhart
authors.forename: K
authors.initials: K
authors.lastname: O'Rourke
authors.forename: J
authors.initials: J
authors.lastname: Jaffey
authors.forename: D E
authors.initials: DE
authors.lastname: Maziak
authors.forename: C
authors.initials: C
authors.lastname: Morash
authors.forename: D
authors.initials: D
authors.lastname: Patel
authors.forename: W K
authors.initials: WK
authors.lastname: Evans
mesh_terms: D000328:Adult; D000368:Aged; D015179:Colorectal Neoplasms / Q000175:diagnosis / Q000523:psychology / Q000601:surgery*; D005260:Female; D006304:Health Status; D006801:Humans; D008175:Lung Neoplasms / Q000175:diagnosis / Q000523:psychology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D011471:Prostatic Neoplasms / Q000175:diagnosis / Q000523:psychology / Q000601:surgery*; D011788:Quality of Life; D012017:Referral and Consultation; D013997:Time Factors