From: Patient- and system-related barriers for the earlier diagnosis of colorectal cancer
Patient Factors |
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   Frequent appointment no-shows |
   Frequent appointment cancellations |
   Declined evaluation |
   Medical comorbidity |
   Poor-quality information from patient history |
   Reference to patient noncompliance |
   Significant psychiatric diagnosis |
   Homelessness |
System factors |
   Scheduling delay for colonoscopy |
   Incorrect Interpretation of results |
   Judgment error by clinician |
   Communication failure of clinician |
   Inexperience of clinician |
Abnormal findings likely lost to follow up |
   Outside records not obtained |
   Weight (wt) loss not evaluated |
   Anemia not evaluated |
   FOBT request |
   Positive FOBT |
   Abnormal flexible sigmoidoscopy, colonoscopy or polyp biopsy results |
   Abnormal barium enema or CAT scan results |
   Lesion missed by colonoscopy or flexible sigmoidoscopy |
   Lesion missed by barium enema |