Trial reportThe British journal of general practice : the journal of the Royal College of General Practitioners2013
Reducing the time before consulting with symptoms of lung cancer: a randomised controlled trial in primary care.
Trial report in The British journal of general practice : the journal of the Royal College of General Practitioners, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.
- Pooled it
- Effect of a Skin Self-monitoring Smartphone Application on Time to Physician Consultation Among Patients With Possible Melanoma: A Phase 2 Randomized Clinical Trial.JAMA network open · 2020Trial
- Trial
- The effect of direct access to CT scan in early lung cancer detection: an unblinded, cluster-randomised trial.BMC cancer · 2015Trial
- Trial
- Evaluating the Time Interval Between Symptoms Onset, Diagnosis, and Therapeutic Intervention in Lung Cancer: A Cross-Sectional Study in Southern Iran.Cancer reports (Hoboken, N.J.) · 2024Article
- Underlying reasons for post-mortem diagnosed lung cancer cases - A robust retrospective comparative study from Hungary (HULC study).Frontiers in oncology · 2022Article
- Evaluating the delay prior to primary care presentation in patients with lung cancer: a cohort study.BJGP open · 2021Article
- Article
- Article
- Lung cancer symptom appraisal among people with chronic obstructive pulmonary disease: A qualitative interview study.Psycho-oncology · 2019Article
- Article
- Does gender matter? An analysis of men's and women's accounts of responding to symptoms of lung cancer.Social science & medicine (1982) · 2017Article
- Improving early diagnosis of symptomatic cancer.Nature reviews. Clinical oncology · 2016Review
- Promoting Help-Seeking in Response to Symptoms amongst Primary Care Patients at High Risk of Lung Cancer: A Mixed Method Study.PloS one · 2016Article
- Symptoms and other factors associated with time to diagnosis and stage of lung cancer: a prospective cohort study.British journal of cancer · 2015Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
13 authors at 1 institution in 1 country.
Funding
Abstract
backgroundMost individuals with lung cancer have symptoms for several months before presenting to their GP. Earlier consulting may improve survival.
aimTo evaluate whether a theory-based primary care intervention increased timely consulting of individuals with symptoms of lung cancer. DESIGN AND
settingOpen randomised controlled trial comparing intervention with usual care in two general practices in north-east Scotland.
methodSmokers and ex-smokers aged ≥55 years were randomised to receive a behavioural intervention or usual care. The intervention comprised a single nurse consultation at participants' general practice and a self-help manual. The main outcomes were consultations within target times for individuals with new chest symptoms (≤3 days haemoptysis, ≤3 weeks other symptoms) in the year after the intervention commenced, and intentions about consulting with chest symptoms at 1 and 6 months.
resultsTwo hundred and twelve participants were randomised and 206 completed the trial. The consultation rate for new chest symptoms in the intervention group was 1.19 (95% confidence interval [CI] = 0.92 to 1.53; P = 0.18) times higher than in the usual-care group and the proportion of consultations within the target time was 1.11 (95% CI = 0.41 to 3.03; P = 0.83) times higher. One month after the intervention commenced, the intervention group reported intending to consult with chest symptoms 31 days (95% CI = 7 to 54; P = 0.012) earlier than the usual care group, and at 6 months this was 25 days (95% CI = 1.5 to 48; P = 0.037) earlier.
conclusionBehavioural intervention in primary care shortened the time individuals at high risk of lung disease intended to take before consulting with new chest symptoms (the secondary outcome of the study), but increases in consultation rates and the proportions of consultations within target times were not statistically significant.
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