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Table 5 Factors contributing to diagnostic delay

From: Patient- and system-related barriers for the earlier diagnosis of colorectal cancer

Factors that may have contributed to the development of delay
(N = 69 cases)
Number of factors identified
Patient factors (N = 32 cases) 56
   Frequent appointment no-shows 9
   Patient declined evaluation 16
   Comorbidity 18
   Frequent appointment cancellations 4
   Poor information from patient history 0
   Noncompliance 0
   Major psychiatric diagnosis 8
   Homelessness 1
System factors (N = 61 cases) 212
   Delay in CS scheduling due to backlog in VA 4
   CS or FS missed the lesion(s) 10
   Barium enema missed the lesion(s) 1
   Incorrect interpretation of findings 1
   Error in clinical judgment 1
   Communication breakdown 1
   Inexperience of clinician 0
Abnormal findings likely lost to follow up (N = 57 cases) 101
   Review/obtain outside records 8
   Wt loss 7
   Anemia 41
   Positive family history 2
   FOBT request 4
   Positive FOBT 22
   Abnormal colon polyp biopsy 3
   Abnormal imaging 2
   Hematochezia 3
Abnormal findings lost to follow up with no patient factors identified 33