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Var femte rektalcan...
Var femte rektalcancer missas efter rektoskopi i primärvården
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- Wadman, Marianne (author)
- Umeå universitet,Avdelningen för medicin
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- Werner, Mårten (author)
- Umeå universitet,Avdelningen för medicin,Norrlands universitetssjukhus
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- Lundgren, David (author)
- Umeå universitet,Avdelningen för medicin,Norrlands universitetssjukhus
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- Rutegård, Martin (author)
- Umeå universitet,Kirurgi,Norrlands universitetssjukhus
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- Karling, Pontus (author)
- Umeå universitet,Avdelningen för medicin,Norrlands universitetssjukhus
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(creator_code:org_t)
- Sveriges läkarförbund, 2020
- 2020
- Swedish.
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In: Läkartidningen. - : Sveriges läkarförbund. - 0023-7205 .- 1652-7518. ; 117
- Related links:
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https://lakartidning...
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https://urn.kb.se/re...
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Abstract
Subject headings
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- We performed a retrospective observational study to investigate the diagnostic accuracy of rigid sigmoidoscopy (RS) in patients with rectal cancer (n=279). Fifty-six percent of the patients had performed an RS within three months before diagnosis and mostly by a primary care provider (93%). In 21% of the patients the physician determined that the examination was normal, in 50% a rectal tumor was suspected and in 29% of cases an unspecific pathology (e.g. luminal blood, mucosal abnormalities) was reported. A normal finding on RS was associated with a longer time between the first appointment and subsequent diagnosis (multivariate hazard ratio (HR) 0.50; 95th percentile CI 0.35-0.71) whereas a history of rectal bleeding (multivariate HR 1.49; 95th percentile CI 1.01-2.20) and adherence to new national guidelines (multivariate HR 1.46; 95th percentile CI 1.08-1.99) was associated with a shorter time to diagnosis. We conclude that RS only had modest diagnostic accuracy in the diagnosis of rectal cancer, at least in this mainly primary care-based setting.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
Publication and Content Type
- ref (subject category)
- art (subject category)
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