Letters Rethinking diagnostic delay in cancer

Authors’ reply to Taylor

BMJ 2015; 350 doi: https://doi.org/10.1136/bmj.h433 (Published 28 January 2015) Cite this as: BMJ 2015;350:h433
  1. Georgios Lyratzopoulos, clinical senior research associate1,
  2. Jane Wardle, professor of clinical psychology2,
  3. Greg Rubin, professor of general practice and primary care3
  1. 1Institute of Public Health, University of Cambridge, Cambridge CB2 0SR, UK
  2. 2Health Behaviour Research Centre, University College London, London, UK
  3. 3School of Medicine, Pharmacy and Health, University of Durham, Durham, UK
  1. gl290{at}medschl.cam.ac.uk

We argued that multiple pre-referral consultations have a range of underlying causes, beyond the clinical reasoning skills of individual doctors.1 2 We therefore agree with Taylor that for some patients multiple pre-referral consultations will be generated by guideline concordant expectant management or investigations.3

Repeat consultations are nonetheless associated …

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