The initial cancer pathway for children - one-fourth wait more than 3 months.
OBJECTIVE
To determine the time intervals from symptom to treatment for childhood cancer patients.


METHODS
Danish national population-based study. Children (<15 years) with an incident cancer diagnosed from January 2007 to December 2010 were sampled. A total of 376 (68%) parents and 315 (87%) general practitioners (GPs) completed questionnaires on the diagnostic pathway. The time interval was categorized into, patient-, GP-, system-, diagnostic- and total intervals, and as short or long intervals. Factors associated with long time intervals were assessed in a logistic regression model using prevalence ratios (PRs).


RESULTS
Girls were almost twice as likely as boys to experience long patient intervals (adjusted PR: 1.8, 95% confidence interval (CI): 1.1-2.8). The oldest children were more likely than the youngest to experience long total intervals (adjusted PR: 1.9, 95% CI: 1.1-3.3). Cancer type was associated with all time intervals, except GP intervals. Children with bone- and CNS tumours had the longest total intervals (median: 88 days, interquartile interval (IQI): 57-132) vs. (median: 76, IQI: 28-191). Parental education showed a possible association with patient- and GP intervals.


CONCLUSIONS
Time intervals varied by gender, age and cancer type. Parental education may possibly affect the patient- and GP intervals.
The Research Unit for General Practice, Aarhus University, Denmark. jette.ahrensberg@alm.au.dk
Jette Møller
JM
Ahrensberg
Henrik
H
Schrøder
Rikke Pilegaard
RP
Hansen
Frede
F
Olesen
Peter
P
Vedsted
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D015331:Cohort Studies; D019091:Critical Pathways / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D009369:Neoplasms / Q000628:therapy*; D012189:Retrospective Studies; D013997:Time Factors