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Clinical Evaluation of a New Cancer Diagnosis Center at Kristianstad General Hospital, Sweden

18 Years
Open (Enrolling)

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Trial Information

Clinical Evaluation of a New Cancer Diagnosis Center at Kristianstad General Hospital, Sweden

Diagnostiskt Centrum (DC), Sweden's first specialized cancer diagnosis center, was
established at Kristianstad General Hospital in 2012 as a model for reducing the time taken
to diagnose cancer in primary care patients with diffuse, non-organ specific symptoms. If it
is successful, the DC model could be rolled out to other areas of Sweden. This study by the
Center for Primary Health Care Research in Malmö, Sweden and Regionalt cancercentrum syd
will investigate whether the DC process reduces the time from (1) the point when the patient
first contacts his/her primary care center with symptoms to (2) the point when he/she is
informed about his/her diagnosis (of cancer or another disease). This will be achieved by
comparison with matched control patients with suspected cancer who will be referred to
Helsingborg General Hospital for further investigation according to existing diagnostic
procedures. Various outcome measures will be investigated, and patients' experiences of the
DC process will be assessed using a tailored questionnaire. In addition, the DC model will
be subjected to health economics analysis.

Inclusion Criteria

Individuals in two cities in southern Sweden (Helsingborg and Kristianstad) who contact
their primary care center because of diffuse, non-organ-specific symptoms

Inclusion criteria: suspicion of cancer following preliminary investigation in primary

Exclusion criteria: (1) age < 18 years; and (2) inability to fill in the patient

Type of Study:


Study Design:

Allocation: Non-Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Diagnostic

Outcome Measure:

Time from first contact with primary care to information on diagnosis

Outcome Description:

The time from the point at which the patient first makes contact with his/her primary care center to the point when he/she is given his/her diagnosis. This comprises two elements: (1) investigation in primary care and (2) investigation at Diagnostiskt Centrum/Helsingborg General Hospital. These two elements will be investigated as secondary outcome measures.

Outcome Time Frame:

After completion of investigation at Diagnostiskt Centrum/Helsingborg General Hospital (anticipated to be up to 37 days)

Safety Issue:


Principal Investigator

Jan Sundquist, MD, PhD

Investigator Role:

Principal Investigator

Investigator Affiliation:

Center for Primary Health Care Research, Malmö, Sweden


Sweden: Swedish Data Inspection Board

Study ID:




Start Date:

October 2012

Completion Date:

October 2017

Related Keywords:

  • Cancer
  • Cancer diagnosis center
  • Time to diagnosis
  • Survival
  • Health economics
  • Biomarkers