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Terminology and details of the diagnostic process for testis cancer

Connolly, Stephen S, Daly, Padraig JA, Floyd Jr., Michael St J, Collins, Ian, Grainger, Ronald and Thornhill, John A 2011, Terminology and details of the diagnostic process for testis cancer, Journal of urology, vol. 185, no. 3, pp. 876-880, doi: 10.1016/j.juro.2010.11.007.

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Title Terminology and details of the diagnostic process for testis cancer
Author(s) Connolly, Stephen S
Daly, Padraig JA
Floyd Jr., Michael St J
Collins, IanORCID iD for Collins, Ian orcid.org/0000-0001-6936-0942
Grainger, Ronald
Thornhill, John A
Journal name Journal of urology
Volume number 185
Issue number 3
Start page 876
End page 880
Total pages 5
Publisher Elsevier
Place of publication Amsterdam, The Netherlands
Publication date 2011-03
ISSN 0022-5347
Keyword(s) testis
neoplasms
germ cell and embryonal
delayed diagnosis
diagnostic errors
Ireland
Summary PURPOSE: We examined the process and causes of diagnostic delay, defined as the interval from symptom onset to diagnosis, for testis (germ cell) cancer and the change with time. Diagnostic delay influences disease burden and may be subdivided into symptomatic interval, defined as symptom onset to first presentation, and diagnostic interval, defined as first presentation to diagnosis. MATERIALS AND METHODS: We performed a single center review of 100 consecutive cases. Diagnostic delay in weeks, and symptomatic and diagnostic intervals in days were calculated, and related factors were recorded. Previous reports by the senior author (JT) in the same health care system allowed the examination of change during 2 decades. RESULTS: Mean+/-SD diagnostic delay was 12.5+/-17.4 weeks (median 6, range 1 to 104), a substantial decrease in the mean of 10 months reported by one of us (JT) in 1987. Mean symptomatic interval was 65.4+/-100.9 days (median 29, range 0 to 720). Mean diagnostic interval was 21.9+/-63.5 days (median 7, range 1 to 540). Symptomatic interval exceeded or was equal to diagnostic interval in 80 men. CONCLUSIONS: This terminology allows detailed examination of the diagnostic process for testis cancer. Aberrant diagnostic delay for testis cancer is decreasing and is now dominated by patient dependent factors. Select cases suggest that physician error remains a factor in a minority.
Language eng
DOI 10.1016/j.juro.2010.11.007
Field of Research 111299 Oncology and Carcinogenesis not elsewhere classified
1103 Clinical Sciences
Socio Economic Objective 920102 Cancer and Related Disorders
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2011, American Urological Association Education and Research, Inc.
Persistent URL http://hdl.handle.net/10536/DRO/DU:30075058

Document type: Journal Article
Collections: Faculty of Health
School of Medicine
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