ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2011
Patients' confidence in their GP before and after being diagnosed with cancer.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.
- Facilitators and barriers to shared primary and specialist cancer care: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021Pooled it
- Trial
- Public Trust in Different Sources of Information: Gaps in Rural Residents and Cancer Patients.Healthcare (Basel, Switzerland) · 2025Article
- Using GHQ-12 to Screen Mental Health Issues in People with Emphysema.Healthcare (Basel, Switzerland) · 2023Article
- The route to diagnosis of sarcoma patients: Results from an interview study in the Netherlands and the United Kingdom.PloS one · 2020Article
- The diagnostic pathway of Parkinson's disease: a cross-sectional survey study of factors influencing patient dissatisfaction.BMC family practice · 2017Article
- Observational
- Patients with cancer and change of general practice: a Danish population-based cohort study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2016Article
- Pre-referral general practitioner consultations and subsequent experience of cancer care: evidence from the English Cancer Patient Experience Survey.European journal of cancer care · 2016Article
- An Association of Cancer Physicians' strategy for improving services and outcomes for cancer patients.Ecancermedicalscience · 2016Article
- A differentiated approach to referrals from general practice to support early cancer diagnosis - the Danish three-legged strategy.British journal of cancer · 2015Article
- Existing data sources for clinical epidemiology: Danish Cancer in Primary Care cohort.Clinical epidemiology · 2014Article
- Features of cancer in teenagers and young adults in primary care: a population-based nested case-control study.British journal of cancer · 2013Article
- Factors related with symptom duration until diagnosis and treatment of symptomatic colorectal cancer.BMC cancer · 2013Article
- Risk of childhood cancer with symptoms in primary care: a population-based case-control study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2013Article
- Features of childhood cancer in primary care: a population-based nested case-control study.British journal of cancer · 2012Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGeneral practice plays an important role in the cancer care pathway. The initial diagnostic phase may be crucial for the relationship between the patient and the GP.
aimThe aim was to describe whether patients' confidence in their GP changed after a cancer diagnosis, and analyse whether the change in confidence was associated with doctor delay. DESIGN AND
settingPopulation-based cohort study with 1892 questionnaires sent to patients and their GPs in general practices in the former Aarhus County, Denmark.
methodInformation on patients' confidence in their GP was obtained from the patient questionnaire. Information on doctor delay was obtained from the GPs and defined as a period of 14 days or more from the date of first symptom presentation to the GP until cancer-specific investigation was initiated.
resultsBefore the cancer diagnosis, 88.4% of the patients had confidence in their GP, which decreased to 80.0% after the diagnosis (P<0.001); 15.8% of the patients who experienced no doctor delay reported a decrease in confidence after the cancer diagnosis, compared with 29.1% of the patients with a doctor delay (P<0.001). Patients presenting with alarm symptoms and experiencing doctor delay were 3.8 times more likely to lose confidence compared with those presenting with alarm symptoms who experienced no doctor delay (P = 0.048).
conclusionThe majority of the patients had high levels of confidence in their GP before, as well as after, the cancer diagnosis. Nevertheless, a substantial amount had low confidence in the GP, especially when experiencing doctor delay in the initial phase of the pathway.
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