Delay to Diagnosis in Digestive Cancerology by the General Practitioner Related to Covid-19 Pandemic Confinement

University of Bordeaux376 enrolled

Overview

Objective: the pre-hospital management of cancers is little known in General Medicine. The first lockdown related to the COVID-19 pandemic led to the closure of health facilities. Investigators were interested in the diagnosis and care pathway of digestive cancers in post-confinement in General Medicine in Nouvelle-Aquitaine.

Method: patient records discussed in Digestive Oncology CPR of Bordeaux University Hospital for the first time from June 1 to August 31, 2020 and over the same period in 2019 were included. A questionnaire on the dates of the first symptoms, first consultation with the general practitioner, imaging examination and access to the specialist was sent to the general practitioner. The primary outcome was time from onset to date of first MDT.

Study Type

OBSERVATIONAL

Enrollment

376

Conditions

Neoplasms, Colorectal General Practitioner Pandemic, COVID-19 Neoplasm, Liver Neoplasms Pancreatic Diagnosis

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * residing in New Aquitaine and * whose general practitioner practiced in New Aquitaine * malignant tumors of the esophagus, stomach, small intestine, colon, recto-sigmoid junction, rectum, anus and anal canal, liver and intrahepatic bile ducts, extrahepatic bile ducts, gallbladder and pancreas. * to have had at least one consultation or hospitalization in the digestive pole of the Bordeaux University Hospital within 6 months after the MDT. Exclusion Criteria: * Patients under 18 years of age, * who had already had a MDT for this cancer, * whose date of first MDT was outside the inclusion dates, * whose new cancer was a digestive metastasis of a primary of another location, * who did not have French health insurance

Outcomes

Primary Outcomes

time from date of first symptoms of cancer to the date of first MDT

Time frame: DAYS

Secondary Outcomes

time from date of first symptoms to date of first consultation with a general practitioner,

Time frame: DAYS

time from date of first symptoms to first imaging or specific examination,

difficulties in referral to imaging,

Time frame: DAYS

time from date of first symptoms to consultation with a specialist,

difficulties in referral to a specialist,

Time frame: DAYS

stage of pathology by type of cancer,

stage of pathology by type of cancer according to TNM classification (tumor, node, metastatic status)

Time frame: at inclusion

frequency of different types of cancer,

PERCENTAGE of each type of cancers in this study

Time frame: at inclusion

overall survival.

Time frame: MONTHS, time from from date of first symptoms to date of death

Delay to Diagnosis in Digestive Cancerology by the General Practitioner Related to Covid-19 Pandemic Confinement

Overview

Conditions

Eligibility

Locations (1)

Outcomes

Primary Outcomes

Secondary Outcomes