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Var femte rektalcancer missas efter rektoskopi i primärvården

Wadman, Marianne (author)
Umeå universitet,Avdelningen för medicin
Werner, Mårten (author)
Umeå universitet,Avdelningen för medicin,Norrlands universitetssjukhus
Lundgren, David (author)
Umeå universitet,Avdelningen för medicin,Norrlands universitetssjukhus
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Rutegård, Martin (author)
Umeå universitet,Kirurgi,Norrlands universitetssjukhus
Karling, Pontus (author)
Umeå universitet,Avdelningen för medicin,Norrlands universitetssjukhus
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 (creator_code:org_t)
Sveriges läkarförbund, 2020
2020
Swedish.
In: Läkartidningen. - : Sveriges läkarförbund. - 0023-7205 .- 1652-7518. ; 117
  • Journal article (peer-reviewed)
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)

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By the author/editor
Wadman, Marianne
Werner, Mårten
Lundgren, David
Rutegård, Martin
Karling, Pontus
About the subject
MEDICAL AND HEALTH SCIENCES
MEDICAL AND HEAL ...
and Clinical Medicin ...
and Surgery
Articles in the publication
Läkartidningen
By the university
Umeå University

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