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Table 1 Number of patients with abdominal symptoms recorded during consultation, and between consultation and diagnosis of colon and rectal cancer

From: Symptoms and signs of colorectal cancer, with differences between proximal and distal colon cancer: a prospective cohort study of diagnostic accuracy in primary care

 

All cancer (N = 511)

Colorectal cancer (N = 94)

Colon (N = 65)

Proximal part of colon (N = 18)

Distal part of colon (N = 26)

Rectum (N = 29)

at consultation

at consultation

at consultation

after consultationa

at consultation

after consultationa

at consultation

after consultationa

at consultation

after consultationa

Patient sex (Male / Female)

231/280

35/59

22/43

 

5/13

 

9/16

 

13/16

 

Patient age (Median / Mean / Range)

71/69/28–96

75/71/39–92

73/71/39–92

     

75/70/49–86

 

New < 180 days / New > 180 days / Recurrent

307/134/ 70

55/25/14

37/20/8

     

18/5/6

 

Abdominal symptoms

Abdominal pain, upper part

45

14

9

13

3

5

3

6

5

 

Abdominal pain, lower part

37

14

9

15

3

5

3

8

5

 

Constipation

22

13

7

6

2

1

2

2

6

2

Diarrhea

16

10

5

4

  

4

2

5

3

Distended abdomen, bloating

27

12

7

   

4

 

5

 

Increased belching, flatulence

17

6

3

 

1

 

1

 

3

 

Acid regurgitation

14

5

1

   

1

 

4

 

Rectal bleeding

18

16

8

13

 

3

6

6

8

8

Unexpected genital bleeding

4

         

Haematuria, macroscopic

7

         

Increased urinary frequency

14

2

1

   

1

 

1

 

Other abdominal problems

34

6

5

2

 2

 

2

 

1

 

Only one abdominal symptom

66

21

13

11

 2

3

7

2

8

5

More than one abdominal symptom

63

23

13

17

 3

5

7

8

10

2

Any abdominal symptom

129 (25%)

44 (47%)

26 (40%)

28

 5

8

14

10

18 (62%)

7

No symptom recorded

382

50

39

11

 13b

5

11b

1

11

4

Non-specific symptoms (given at least one abdominal symptom)

Lack of appetite

26

10

7

3

 1

1

3

1

3

 

Unusual tiredness

25

9

6

3

 1

1

2

1

3

1

Involuntary weight loss

18

6

3

7

 

3

3

2

3

3

Only one general symptom

24

5

4

6

 1

3

1

1

1

2

More than one general symptom

19

9

6

3

 1

1

4

1

3

1

Any general symptom

43 (33%)

14 (32%)

10 (38%)

9

 2

4

5

2

4 (22%)

3

  1. Patient sex and age, and time from consultation to diagnosis for new cases of cancer. Cohort study with 61,802 patients in primary care (2011–12). Distal colon: 25 sigmoideum + 1 descending. Proximal colon: 8 coecum + 1 appendix + 3 right flexure + 5 transversal + 1 proximal location not further specified. 21 cases of colon cancer did not have information about location. a After consultation, i.e. between consultation and diagnosis: Symptoms not already recorded at consultation for these patients. “Only one..”, “More than..” and “Any abdominal symptom” in this column count patients who had no symptom at consultation. b P-value distal/proximal part of colon = 0.07 (Fisher's exact test). “Abdominal pain” and “Acute abdomen” in free text have both been recorded as both upper and lower abdominal pain. “Changed bowel habit" recorded as both constipation and diarrhea