ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2014
Quality deviations in cancer diagnosis: prevalence and time to diagnosis in general practice.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
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Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 35 citations in OpenAlex.
- Patient and primary care delays in the diagnostic pathway of gynaecological cancers: a systematic review of influencing factors.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019Pooled it
- Patient involvement in diagnosing cancer in primary care: a systematic review of current interventions.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018Pooled it
- A geographical cluster randomised stepped wedge study of continuing medical education and cancer diagnosis in general practice.Implementation science : IS · 2014Trial
- Surveying patients to assess timeliness of cancer diagnosis.Diagnosis (Berlin, Germany) · 2026Article
- The durability of previous examinations for cancer: Danish nationwide cohort study.Scandinavian journal of primary health care · 2024Article
- What would primary care practitioners do differently after a delayed cancer diagnosis? Learning lessons from their experiences.Scandinavian journal of primary health care · 2024Article
- A taxonomy of early diagnosis research to guide study design and funding prioritisation.British journal of cancer · 2023Review
- CuAAC "Click"-Derived Luminescent 2-(2-(4-(4-(Pyridin-2-yl)-1ACS omega · 2023Article
- Women's experiences along the ovarian cancer diagnostic pathway in Catalonia: A qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2023Article
- Impact of Patient Gender and Race and Physician Communication on Colorectal Cancer Diagnostic Visits in Primary Care.Journal of women's health (2002) · 2019Article
- Luminescent bis(benzo[RSC advances · 2019Article
- Responsibility for follow-up during the diagnostic process in primary care: a secondary analysis of International Cancer Benchmarking Partnership data.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018Article
- Associations between diagnostic activity and measures of patient experience in primary care: a cross-sectional ecological study of English general practices.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018Article
- Impact of a continuing medical education meeting on the use and timing of urgent cancer referrals among general practitioners - a before-after study.BMC family practice · 2017Article
- 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
- Versatile Nanosystem-Based Cancer Theranostics: Design Inspiration and Predetermined Routing.Theranostics · 2016Review
- A differentiated approach to referrals from general practice to support early cancer diagnosis - the Danish three-legged strategy.British journal of cancer · 2015Article
- Understanding missed opportunities for more timely diagnosis of cancer in symptomatic patients after presentation.British journal of cancer · 2015Review
- Impact of investigations in general practice on timeliness of referral for patients subsequently diagnosed with cancer: analysis of national primary care audit data.British journal of cancer · 2015Article
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHigh quality in every phase of cancer diagnosis is important to optimise the prognosis for the patient. General practice plays an important role in this phase.
aimThe aim was to describe the prevalence and the types of quality deviations (QDs) that arise during the diagnostic pathway in general practice as assessed by GPs and to analyse the association between these QDs, the cancer type, and the GP's interpretation of presenting symptoms as well as the influence on the diagnostic interval. DESIGN AND
settingA Danish retrospective cohort study based on questionnaire data from 1466 GPs on 5711 incident patients with cancer identified in the Danish National Patient Registry (response rate = 71.4%). The GP was involved in diagnosing in 4036 cases.
methodPredefined QDs were prompted with the possibility for free text. QD prevalence was estimated as was the association between QDs and diagnosis, the GP's symptom interpretation, and time to diagnosis.
resultsQDs were present for 30.4% (95% confidence interval [CI] = 29.0 to 31.9) of cancer patients. The most prevalent QD was 'retrospectively, one or more of my clinical decisions were less optimal'. QDs were most prevalent among patients with vague symptoms (24.1% for alarm symptoms versus 39.5% for vague symptoms [P<0.001]). QD presence implied a 41-day (95% CI = 38.4 to 43.6) longer median diagnostic interval.
conclusionGPs noted at least one QD, which often involved clinical decisions, for one-third of all cancer patients. QDs were more likely among patients with vague symptoms and increased the diagnostic interval considerably.
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