Temporality and timework: Danish endometrial cancer patients’ experiences of an accelerated cancer patient pathway

Author:

Sidenius Anne1ORCID,Hansen Helle Ploug2,Mogensen Ole3,Rudnicki Martin4,Tjørnhøj-Thomsen Tine5

Affiliation:

1. Research Unit of General Practice, Department of Public Health, Faculty of Health Sciences, University of Southern Denmark, Odense C, Denmark; Department of Gynaecology and Obstetrics, University Hospital of Zealand, Roskilde, Denmark

2. Research Unit of General Practice, Department of Public Health, Faculty of Health Sciences, University of Southern Denmark, Odense C, Denmark

3. Research Unit of Gynaecology and Obstetrics (RUGO), Department of Clinical Research, Faculty of Health Sciences, University of Southern Denmark, Odense C, Denmark; Department of Women’s and Children’s Health, Division of Obstetrics and Gynecology, Karolinska Universitetssjukhuset, Stockholm, Sweden

4. Department of Gynaecology and Obstetrics, University Hospital Odense, Odense C, Denmark

5. National Institute of Public Health, Faculty of Health Sciences, University of Southern Denmark, Copenhagen, Denmark

Abstract

Early diagnosis and rapid treatment are deemed essential in relation to cancer. In 2007, Denmark implemented accelerated cancer patient pathways with predetermined time frames to reduce waiting time. In this article, based on fieldwork with observations at two hospitals and ethnographic interviews, we examine temporal experiences of the cancer patient pathway for endometrial cancer of the uterus at stage I. Results show that while the cancer patient pathway helps suspend thoughts of death it also brings a sense of timely confusion and concerns about whether disease has spread. This ambivalence is linked to a political discourse of cancer in general as acute and a clinical, biomedical framing of endometrial cancer in particular as “good” due to its slow growth. We demonstrate how women customize their temporal experiences to accelerate or decelerate time and argue that waiting is not necessarily a passive state. We emphasize the need for professionals to be aware that the cancer patient pathway time and subjective patient time are not always synchronized.

Funder

Region Zealand of Denmark

Syddansk Universitet

The Southern Region of Denmark

Publisher

SAGE Publications

Subject

Sociology and Political Science

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