Symptom interval in pediatric patients with solid tumors: Adolescents are at greater risk of late diagnosis

Laura Veneroni, Luigi Mariani, Salvatore Lo Vullo, Francesca Favini, Serena Catania, Marco Vajna de Pava, Maura Massimino, Andrea Ferrari

Research output: Contribution to journalArticlepeer-review

Abstract

Background: The awareness that adolescents can have cancer is probably insufficient, not only among teenagers and their families, but also among physicians, and adolescent patients are reportedly often referred to qualified cancer institutes after a considerable delay. Procedure: A prospective series of 425 patients (28% of them adolescents) with solid tumors was analyzed to investigate the correlation between symptom interval and age, and the different contributions to symptom interval in terms of the time from symptom onset to the first contact with a doctor (patient delay), referral to the oncologist (referral delay), and final diagnosis (oncologist delay). Results: The median symptom interval was 47 days for 0 to 14-year-old patients and 137 for those ≥15 years (P

Original languageEnglish
Pages (from-to)605-610
Number of pages6
JournalPediatric Blood and Cancer
Volume60
Issue number4
DOIs
Publication statusPublished - Apr 2013

Keywords

  • Adolescents
  • Cancer
  • Diagnostic delay
  • Pediatric oncology
  • Symptom interval

ASJC Scopus subject areas

  • Oncology
  • Pediatrics, Perinatology, and Child Health
  • Hematology

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