Reduction in the diagnostic interval after the introduction of cancer patient pathways for colorectal cancer in northern Sweden.

OBJECTIVE: To compare the diagnostic interval for patients with colorectal cancer before and after the introduction of cancer patient pathways in northern Sweden. DESIGN: A retrospective study comparing two cohorts (2012 and 2018) of patients diagnosed with colorectal cancer before and after the introduction of cancer patient pathways in 2016. SETTING: Three counties in northern Sweden with large sparsely populated areas and some cities (637143 residents ∼5.1 residents/km2). SUBJECTS: Patients were included from the Swedish Cancer Register. Electronic health records reviews were performed and linked to socioeconomic data from Statistics Sweden. MAIN OUTCOME MEASURES: Differences in the diagnostic intervals, the patient intervals and the characteristics associated with the longest diagnostic intervals and investigations starting at the emergency department. RESULTS: The two cohorts included 411 patients in 2012 and 445 patients in 2018. The median diagnostic interval was reduced from 47 days (IQI 18-99) to 29 days (IQI 9-74) (p < 0.001) after the introduction of cancer patient pathways in general. Though for the cases of cancer in the right-side (ascended) colon, the reduction of the diagnostic interval was not observed and it remained associated with investigations starting at the emergency department. CONCLUSION: Our results indicate that cancer patient pathways contributed to an improvement in the diagnostic interval for patients with colorectal cancer in general, yet not for patients with cancer in the right-side colon. IMPLICATION: In general, cancer patient pathways seem to reduce the diagnostic interval for colorectal cancer but it is not a sufficient solution for all colorectal cancer localisations.

Diagnostic interval for colorectal cancer reduced in general, particularly for patients seeking primary healthcare, after the introduction of cancer patient pathways.Patients with cancer in right-side colon still have long diagnostic intervals and mainly start their investigation through the emergency department.

Drying of linseed oil paints: the effects of substrate on the emission of aldehydes.

The effect of substrate on the emission of aldehydes from linseed oil paint was investigated. Plates of glass, fiberboard, gypsum board, lime mortar and wood lath were painted, and then placed into emission chambers. Samples were collected every eighth hour over 10 days with 2,4-dinitrophenylhydrazin samplers. Analysis was performed with liquid chromatography/UV-detection and mass spectrometry. Paint applied on gypsum board gave the highest total amount of emitted carbonyls, and that on wood lath gave the least. Painted glass had the highest contribution of unsaturated species, and lime mortar, the lowest. Lime mortar also had the highest momentary levels of a single species, 443 nmol/h/m2 of propanal, while fiberboard peaked at only 123 nmol/h/m2 of propanal. In turn, the emission from the painted fiberboard had the slowest decline, and thus at the end of the experiment the highest levels. All substrates gave an emission that peaked within 16 h.