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Delay in referral from primary care in women with ovarian cancer does
not adversely affect 18 month survival. Stage of disease at surgery is
the most important adverse factor, and an effective screening programme
is most likely to improve survival. In a retrospective study of 135 women, Kirwand and colleagues (p 148) found that 78% of women
presented to their general practitioner within four weeks of the onset
of symptoms and 73% were referred to hospital within four weeks of
presentation. Seventy per cent were seen in hospital within two weeks
of referral.