Patients with cancer in the UK often have multiple consultations with their family doctor before diagnosis, which is partly due to different symptoms each cancer type presents. Tumours with one main symptom and a simple investigative pathway are easier to diagnose, but structural investigational barriers also contribute to delayed diagnosis.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 12 print issues and online access
$209.00 per year
only $17.42 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
References
Richards, M. A. The size of the prize for earlier diagnosis of cancer in England. Br. J. Cancer 101 (Suppl. 2), S125–S129 (2009).
Vedsted, P. & Olesen, F. Are the serious problems in cancer survival partly rooted in gatekeeper principles? An ecologic study. Br. J. Gen. Pract. 61, e508–e512 (2011).
Lyratzopoulos, G., Neal, R. D., Barbiere, J. M., Rubin, G. P. & Abel, G. A. Variation in number of general practitioner consultations before hospital referral for cancer: findings from the 2010 National Cancer Patient Experience Survey in England. Lancet Oncol. http://dx.doi.org/doi:10.1016/S1470-2045(12)70041-4.
Potter, S. et al. Referral patterns, cancer diagnoses, and waiting times after introduction of two week wait rule for breast cancer: prospective cohort study. BMJ 335, 288–291 (2007).
Hamilton, W. & Peters, T. J. (Eds) Cancer Diagnosis in Primary Care (Churchill Livingstone, Oxford, 2007).
Hamilton, W. The CAPER studies: five case-control studies aimed at identifying and quantifying the risk of cancer in symptomatic primary care patients. Br. J. Cancer 3, S80–S86 (2009).
Hamilton, W., Round, A., Sharp, D. & Peters, T. J. Clinical features of colorectal cancer before diagnosis: a population-based case-control study. Br. J. Cancer 93, 399–405 (2005).
Stapley, S., Peters, T. J., Sharp, D. & Hamilton, W. The mortality of colorectal cancer in relation to the initial symptom at presentation to primary care and to the duration of symptoms: a cohort study using medical records. Br. J. Cancer 95, 1321–1325 (2006).
Author information
Authors and Affiliations
Ethics declarations
Competing interests
W. Hamilton declares that he holds research grants on cancer diagnostics from the UK Department of Health, where he is also an unpaid member of some committees tasked with provision of cancer diagnostic services in England. He is also the unpaid clinical leader on the current revision of the National Institute for Health and Clinical Excellence (NICE) guidelines on cancer diagnosis.
Rights and permissions
About this article
Cite this article
Hamilton, W. Cancer diagnosis in UK primary care. Nat Rev Clin Oncol 9, 251–252 (2012). https://doi.org/10.1038/nrclinonc.2012.63
Published:
Issue Date:
DOI: https://doi.org/10.1038/nrclinonc.2012.63