Evidence map›Paper›PMID 40507342›Full record

ReviewCancers2025

Diagnostic Delay in Soft Tissue Sarcomas: A Review.

Juan Ángel Fernández, Beatriz Gómez, Daniel Díaz-Gómez, Irene López, Pablo Lozano, Paula Muñoz, Francisco Cristóbal Muñoz-Casares, Vicente Olivares-Ripoll, Hugo Vasques, José Manuel Asencio-Pascual

Abstract readReview
In one paragraph

Review in Cancers, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. How Much Do Healthcare Practitioners Know About Sarcoma?Current oncology (Toronto, Ont.) · 2026
    Article
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Juan Ángel FernándezDepartment of General Surgery, Hospital Universitario Los Arcos del Mar Menor, 30739 Murcia, Spain.ORCID 0000-0003-3080-8521
Beatriz GómezDepartment of General Surgery, Hospital Universitario Los Arcos del Mar Menor, 30739 Murcia, Spain.ORCID 0000-0002-1645-8580
Daniel Díaz-GómezServicio de Cirugía General y del Aparato Digestivo, CSUR de Sarcomas y Tumores Músculo-Esqueléticos, Hospital Universitario Virgen del Rocío, 41013 Sevilla, Spain.
Irene LópezSurgery Department, MD Anderson Cancer Center Madrid, 28033 Madrid, Spain.
Pablo LozanoDepartment of Surgical Oncology, Hospital General Universitario Gregorio Marañon, Universidad Complutense de Madrid, 28040 Madrid, Spain.ORCID 0000-0002-5413-8449
Paula MuñozDepartment of General Surgery and Surgical Oncology, Hospital Quironsalud Torrevieja, 03184 Torrevieja, Spain.ORCID 0000-0002-6334-3014
Francisco Cristóbal Muñoz-CasaresPeritoneal Carcinomatosis and Retroperitoneal Sarcomas Unit, San Juan de Dios Hospital, 14012 Córdoba, Spain.ORCID 0000-0003-4637-4692
Vicente Olivares-RipollDepartment of General Surgery, Hospital Clínico Universitario La Arrixaca, 30009 Murcia, Spain.ORCID 0000-0003-0078-5920
Hugo VasquesDepartment of Surgery, Instituto Português de Oncologia de Lisboa, 1099-023 Lisbon, Portugal.
José Manuel Asencio-PascualHepatobiliary Surgery and Liver Transplant Unit, Gregorio Marañón University Hospital, 28007 Madrid, Spain.ORCID 0000-0002-7533-5513

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesTo review the problem of diagnostic delay in soft tissue sarcomas with the aim of identifying its causes and consequences, understanding how to clinically suspect and refer them, and evaluating the main limitations of the referral guidelines already in use.

methodsA systematic review of the available literature was performed, focusing on the theoretical framework, the elements and time intervals to be considered, causes and consequences, "red flag" symptoms/signs, the main referral guidelines in use, their results, and the methods used to avoid excessive referrals.

resultsDiagnostic delay in soft tissue sarcomas is a frequent event that is poorly characterized and has important consequences, including prognostic, medico-legal and psycho-social effects. The common denominator is the lack of knowledge and awareness. Several referral guidelines have been described, and most of them are based on clinical data. Their results have been disappointing. Thus, it is necessary to implement new methods to improve their results and avoid the overload of pre-referral imaging systems, sarcoma diagnostic triage meetings, and telemedicine systems.

conclusionsSarcoma units and health system leaders need to study this issue to determine the extent of the problem and its causes. Without this information, it is almost impossible to properly address the problem and take corrective actions. Early referral of suspected soft tissue sarcoma lesions, although desirable, is a complex issue due to the non-specificity of the symptoms. Existing clinical referral guidelines need to be modified to improve detection and conversion rates.

Indexed as

2WWconversion ratedelaydetection ratediagnosisfast-trackguidelinelitigationnon-planned resectionspathwayprognosisred flagreferralsoft tissue sarcoma

Identifiers

PMID40507342
PMCPMC12153902

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.