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BEHANDLING-God og treffsikker diagnostikk, behandling og rehabilitering

Early diagnosis of abdominal cancer in general practice - a cohort study

Tildelt: kr 5,1 mill.

I prosjektets første fase ble det presentert av prosjektleder og stipendiat i radio og på UiTs informasjonssider. Prosjektleder har omtalt prosjektet på kurs i kreftdiagnostikk for allmennpraktiserende leger i Oslo i 2013, og på et møte i regi av Helsedirektoratet i 2011 som ledet opp mot den senere innførte Kreftpakkeforløp-ordningen. Framdrift og foreløpige data fra prosjektet er presentert på flere medisinske kongresser, i Cleveland (US) 2012, Cambridge (UK) 2013, Århus 2015, Winnipeg (Canada) 2014, Göteborg 2015, Boston (US) 2016.

Cancer is a leading cause of death. General practitioners (GPs) must confront the professional challenge that among many patients with possible cancer symptoms, only a handful actually has cancer. Early diagnosis is generally considered decisive for a goo d prognosis. The relationship between abdominal symptoms and cancer needs to be clarified and will be studied in the present cohort study. Our research takes place in general practice surgeries and is based on real patients, with six months prospective re cording of new cases of cancer and data related to these patients. Our research will try to benefit from collaboration in the CA-PRI network (The Cancer and Primary Care Research International Network) (http://www.ca-pri.com/ ), that aims to promote int ernational research collaboration about cancer in primary care. Objective We want to investigate the importance and impact of symptoms, findings, supplementary investigation and the GP's degree of suspicion of cancer when abdominal symptoms are presente d in primary care. Previous studies on early diagnosis of cancer have shown some symptoms to be valid but unspecific in relation to different forms of cancer. Through better empirical clinical-epidemiological data we hope to suggest improved diagnostic st rategies for the GP towards the recognition of different forms of abdominal cancer like colorectal cancer, ovarian cancer, bladder cancer and others. Power calculations suggest sufficient power to obtain relevant data. Method and material We want to do a cohort study including approximately 110-120 000 consecutively consulting patients in general practice. Through international collaboration around 600 GPs will be recruited to register all patients consulting during ten workdays within a period of one month. All forms and guidelines will be printed in Norway and distributed from The University of Tromsø to the international collaborators. Data will be treated electronically with manual surveillance in Troms


BEHANDLING-God og treffsikker diagnostikk, behandling og rehabilitering