Findings from the surveys revealed that many patients experienced diagnostic delays and misdiagnoses, with nearly 1 in 6 patients stating that they were not diagnosed with GD for 7 years or more after first consulting a doctor.
The relapsing natural history of UCC and the frequency of suggestive symptoms mean that many patients undergo diagnostic or repeated surveillance endoscopic inspection of their bladder.
The persistence of Health anxiety, which in this study was indicated by the high Health anxiety follow-up scores on the Whiteley-7 scale, seems to be in accordance with other studies reporting that many patients still fulfilled diagnostic criteria for Hypochondriasis during the follow-up period [15], [17].
Despite screening positive, many patients refused a diagnostic assessment.
Dyspepsia is a common disorder in the community, with many patients referred for diagnostic gastroscopy by their General Practitioner (GP).
As signs and symptoms can be non-specific, many patients require additional diagnostic testing; the consequences of missing an event can be fatal (for example, pulmonary embolism).
In particular, this might be the reason many patients who wished diagnostic procedures requested an appointment in a tertiary care outpatient clinic.
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Fourth, even on day 6 the rate of targeted therapy was only 74.2% in the BAL arm, underlining the fact that, in many patients managed using this diagnostic technique, early de-escalation was not performed although clearly indicated.
Thus, as a result of the real and perceived limitations of diagnostic CT for TNM staging, many patients undergo a battery of diagnostic tests, each of which adds inconvenience, delay, cost and potential morbidity to the staging process.
