Disclosure belangen NHG spreker (Potentiële) belangenverstrengeling None Voor bijeenkomst mogelijk relevante relaties met bedrijven None Sponsoring of onderzoeksgeld Honorarium of andere (financiële) vergoeding Aandeelhouder Andere relatie, namelijk … KWF ZonMw The Dickens studies Duration of the diagnostic cancer care pathway in the Netherlands Nicole van Erp Methods • • Retrospective cohort study Symptomatic cancer patients 2007-2011 Melanoma Lung Breast Anonymized primary care data (JGPN database Utrecht) Free text & coded The Netherlands Cancer Registry Colon/rectum Prostate Methods Results median (IQR) Breast n = 295 1 (1-1) Melanoma n = 107 1 (1-1) Colon/rectum n = 309 8 (1-59) Lung n = 197 13 (2-36) Prostate n = 237 14 (3-153) Conclusion • Time to referral by the GP seems acceptable for most cancer patients • 10-25% of patients show substantially long duration to referral • These slowest patients deserve further profiling