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Appraisal Delay and Disparities in Timely Cancer Diagnosis

Phase 1
21 Years
Open (Enrolling)
Colorectal Cancer

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Trial Information

Appraisal Delay and Disparities in Timely Cancer Diagnosis


- Identify and examine the factors that influence appraisal and diagnostic delay by
focusing on recognition, perception, communication, and response to pre-diagnosis
cancer symptoms in African American and Caucasian patients with newly diagnosed
colorectal cancer.

OUTLINE: This is a multicenter study. Patients are stratified according to race
(African-American vs Caucasian) and gender (male vs female).

Patients undergo a 45-60 minute interview to obtain information on variations in symptom
perception, assessment, and patient-physician communication process. Patients are assessed
by sociodemographic characteristics (i.e, education, gender, age, insurance status,
employment status, income, race/ethnicity, and religiosity), information of close confidants
(i.e., relationship, family history of cancer, and caregiver/decision-making status), and
physician characteristics. Patients are also assessed by the Trust in the Health Care
System, DMPQ, RCS, Brief COPE scale, Lukwago Religiosity scale, and RAND Social Support
Survey questionnaires.

Patient charts are reviewed to obtain medical data.

Inclusion Criteria


- Colorectal cancer

- Newly diagnosed disease (within the past 6 months)

- Any stage disease

- Must be African American or Caucasian

- Patients must have described symptoms to physicians (whether in response to a
question or concern about symptoms) and acted as their own decision makers

- No disease discovered by previous routine screening or by other unintentional
detection procedure (i.e., without symptom appraisal process or communicating
specific symptoms to physicians)


- Cognitively able to participate in an interview

- No history of colon cancer or cancer of any other major organ system

- Not living in nursing or assisted living facilities


- Not specified

Type of Study:


Study Design:

Observational Model: Case Control, Time Perspective: Retrospective

Outcome Measure:

Factors that influence appraisal and diagnostic delay

Outcome Time Frame:

45-60 minute interview

Safety Issue:


Principal Investigator

Sonja Harris-Haywood, MD

Investigator Role:

Principal Investigator

Investigator Affiliation:

Case Medical Center, University Hospitals Seidman Cancer Center, Case Comprehensive Cancer Center


United States: Institutional Review Board

Study ID:




Start Date:

November 2008

Completion Date:

Related Keywords:

  • Colorectal Cancer
  • stage I colon cancer
  • stage II colon cancer
  • stage III colon cancer
  • stage IV colon cancer
  • stage I rectal cancer
  • stage II rectal cancer
  • stage III rectal cancer
  • stage IV rectal cancer
  • Colorectal Neoplasms



Lake/University Ireland Cancer CenterMentor, Ohio  44060
Case Medical Center, University Hospitals Seidman Cancer Center, Case Comprehensive Cancer CenterCleveland, Ohio  44106-5065
UH-Green RoadSouth Euclid, Ohio  44121
Southwest General Health CenterMiddleburgh Heights, Ohio  44130