ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2008
Imaging patients with suspected brain tumour: guidance for primary care.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it, 58 citations in OpenAlex.
- Interventions to reduce the time to diagnosis of brain tumours.The Cochrane database of systematic reviews · 2020Pooled it
- A multi-centre performance evaluation of a commercially developed liquid biopsy for the earlier detection of brain tumours.ESMO open · 2026Observational
- Chronic Migraine: Diagnosis, Characteristics, Lifestyle Modification, Trigger Reduction and Treatment.Journal of pharmacy & bioallied sciences · 2024Article
- Clinical, Imaging and Neurogenetic Features of Patients with Gliomatosis Cerebri Referred to a Tertiary Neuro-Oncology Centre.Journal of personalized medicine · 2023Article
- The association between headache presentation, normal examination and neuroimaging findings: a retrospective analysis of patients presenting to a tertiary referral centre.African health sciences · 2022Article
- Verbal fluency as a quick and simple tool to help in deciding when to refer patients with a possible brain tumour.BMC neurology · 2022Article
- Early diagnosis of brain tumours using a novel spectroscopic liquid biopsy.Brain communications · 2021Article
- Factors Associated with Incidental Neuroimaging Abnormalities in New Primary Headache Patients.Journal of clinical neurology (Seoul, Korea) · 2020Article
- Direct access CT for suspicion of brain tumour: an analysis of referral pathways in a population-based patient group.BMC family practice · 2019Article
- Missed opportunities for diagnosing brain tumours in primary care: a qualitative study of patient experiences.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019Article
- Review
- Primary care management of headaches and how direct-access MRI fits: a qualitative study of UK general practitioners' views.BMJ open · 2017Article
- Evaluation of CT and MRI Findings among Patients Presented with Chief Complaint of Headache in Central India.Journal of clinical and diagnostic research : JCDR · 2016Article
- The diagnosis and treatment of chronic migraine.Therapeutic advances in chronic disease · 2015Review
- It IS a tumor -- current review of headache and brain tumor.Current pain and headache reports · 2014Review
- The Urgency of Neuroimaging Among UK Neuro-Ophthalmologists: Consensus and Disagreement.Neuro-ophthalmology (Aeolus Press) · 2013Article
- Neuroimaging and other investigations in patients presenting with headache.Annals of Indian Academy of Neurology · 2012Article
- Why do GPs with a special interest in headache investigate headache presentations with neuroradiology and what do they find?The journal of headache and pain · 2011Article
- Should GPs have direct access to neuroradiological investigation when adults present with headache?The British journal of general practice : the journal of the Royal College of General Practitioners · 2011Article
- Imaging results in a consecutive series of 530 new patients in the Birmingham Headache Service.Journal of neurology · 2010Article
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Authors and funding
13 authors at 9 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The number of referrals by primary care practitioners to secondary care neurology services, particularly for headache, may be difficult to justify. Access to imaging by primary care practitioners could avoid referral without compromising patient outcomes, but the decision to refer is based on a number of complex factors. Due to the paucity of rigorous evidence in this area, available data are combined with expert opinion to offer support for GPs. The study suggests management for three levels of risk of tumour: red flags>1%; orange flags 0.1-1%; and yellow flags<0.1% but above the background population rate of 0.01%. Clinical presentations are stratified into these three groups. Important secondary causes of headache where imaging is normal should not be overlooked, and normal investigation does not eliminate the need for follow-up or appropriate management of headache.
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Registered trials
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 OpenQuestion graph.