The stage of a @entity14 represents the most important prognostic factor regarding the probability of survival. The primary objective of this study was to document the management of @entity1 with @entity14 after onset of symptoms. Factors influencing the delay in definitive therapy should thus be determined. Anthropometric, social, and operative data were obtained by standardized questionnaires from 40 @entity1 with @entity694 and 30 @entity1 with @entity5 . The influence of delayed treatment on outcome was analyzed. A significant correlation was found for the time between onset of first symptoms and definitive surgical therapy with @entity5 stage ( @entity694 : r = 0.52, p < 0.05; @entity14 : r = 0.62, p < 0.05). The time delay in @entity189 @entity1 averaged 224 days and in @entity1 with @entity694 149 days. Social influences such as profession, type of education, marital status, and quality of health insurance had a significant influence on treatment delay, as did the clinical experience of the physician first contacted. The leading symptom in @entity1 with @entity5 was @entity548 , and in @entity1 with @entity694 it was @entity490 . The main causes of iatrogenic delay were insufficient clinical investigation and a lack of awareness when typical first symptoms were present. Delayed treatment of @entity14 seems to be a multifactorial problem. Causes for such delay are found not only in the @entity1 and their social environments but also in the type and quality of their medical care systems. Intensified education and earlier prevention are the major aims for @entity1 and their physicians.

Delay in treatment of XXXX : multifactorial problem.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity548 :: ('MESH:D006470', 'Disease') :: ['peranal hemorrhage'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor', 'rectal cancer'] @entity189 :: ('MESH:D002277', 'Disease') :: ['rectal carcinoma'] @entity14 :: ('MESH:D015179', 'Disease') :: ['colorectal carcinoma', 'colorectal cancer'] @entity490 :: ('MESH:D015746', 'Disease') :: ['abdominal pain'] @entity694 :: ('MESH:D003110', 'Disease') :: ['colonic cancer', 'colon cancer', 'colonic carcinoma']
@entity14 :: (MESH:D015179,Disease) :: ['colorectal cancer']
