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For example, do delays in presentation, referral and diagnosis have a major role in early deaths or do they arise simply as a result of more aggressive disease?
This was an issue GPs struggled with because the outcome was often later presentation, referral and diagnosis, and thus higher mortality rates for practices in these areas.
The Q (GP) asked if the GP had been totally or partly involved in the process of establishing the child's cancer diagnosis (yes/no) and requested a detailed description of the patient's first symptom presentation, clinical findings and specific dates, for example, date of first presentation, referral and other milestones in the diagnostic process.
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In addition to formal screening programmes, there may also be socioeconomic differences in self-presentation, referral and treatment patterns for pre-malignant polyps of the large bowel that may prevent subsequent cancerous transformation.
Proportion of patients with three or more pre-referral consultations; number of days from first presentation to referral; proportion of patients who presented with haematuria and proportion of patients investigated in primary care.
This paper reports the results of a review of the factors influencing pre-hospital delay – the time between a patient first noticing a cancer symptom and presenting to primary care or between first presentation and referral to secondary care.
Previous recognised risk factors were often absent on presentation, but referral from a port of entry into the country posed a distinct risk for MDR-TB, highlighting the need for early screening of these cases.
GPs can influence the time from first presentation to referral.
We examined the time intervals between symptoms, presentation, diagnosis, referral and treatment.
Delay in presentation and/or referral has a significant effect on the associated morbidity and mortality.
This is mainly due to late presentation or referral of patients to the nephrologist as it is already known in the study setting.
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