Evidence map›Paper›PMID 25071064›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2014

Critical items for assessing risk of lung and colorectal cancer in primary care: a Delphi study.

Gemma Mansell, Mark Shapley, Danielle van der Windt, Tom Sanders, Paul Little

Open access · hybridAbstract read
In one paragraph

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 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Weight loss as a predictor of cancer in primary care: a systematic review and meta-analysis.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Delphi consensus recommendations for a treatment algorithm in pulmonary sarcoidosis.European respiratory review : an official journal of the European Respiratory Society · 2020
    Review
  6. Management of repository corticotrophin injection therapy for pulmonary sarcoidosis: a Delphi study.European respiratory review : an official journal of the European Respiratory Society · 2020
    Review
  7. Integral nutritional approach to the care of cancer patients: results from a Delphi panel.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2018
    Article
  8. Article
  9. Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Gemma MansellArthritis Research UK Primary Care Centre, Research Institute for Primary Care & Health Sciences, Keele University, Keele.
Mark ShapleyArthritis Research UK Primary Care Centre, Research Institute for Primary Care & Health Sciences, Keele University, Keele.
Danielle van der WindtArthritis Research UK Primary Care Centre, Research Institute for Primary Care & Health Sciences, Keele University, Keele.
Tom SandersArthritis Research UK Primary Care Centre, Research Institute for Primary Care & Health Sciences, Keele University, Keele.
Paul LittlePrimary Medical Care, Aldermoor Health Centre, Southampton.
Keele University · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with lung or colorectal cancer often present late and have a poor prognosis. Identifying diagnostic indicators to optimally assess the risk of these cancers in primary care would support early identification and timely referral for patients at increased risk.

aimTo obtain consensus regarding potential diagnostic indicators that are important for assessing the risk of lung or colorectal cancer in primary care consulters presenting with lung or abdominal symptoms. DESIGN AND

settingA Delphi study was conducted with 28 participants from primary and secondary care and academic settings in the UK and Europe.

methodIndicators were obtained from systematic reviews, recent primary studies and consultation with experts prior to the Delphi study being conducted. Over three rounds, participants rated each diagnostic indicator in terms of its importance, ranked them in order of importance, and rated each item as crucial or not crucial to assess during a GP consultation.

resultsThe final round resulted in 25 items remaining for each type of cancer, including established cancer symptoms such as rectal bleeding for colorectal cancer and haemoptysis for lung cancer, but also less frequently used indicators such as patients' concerns about cancer.

conclusionThis study highlights the items clinicians feel would be most crucial to include in the clinical assessment of primary care patients, a number of which have rarely been noted in the previous literature. Their importance in assessing the risk of lung or colorectal cancer will be tested as part of a large prospective cohort study (CANDID).

Indexed as

AdultClinical ProtocolsColorectal NeoplasmsDelphi TechniqueEarly Detection of CancerFemaleHumansLung NeoplasmsMaleMiddle AgedPredictive Value of TestsPrimary Health CarePrognosisReferral and ConsultationRisk AssessmentUnited KingdomDelphi techniqueneoplasmsprimary health carereferral and consultation

Identifiers

PMID25071064
PMCPMC4111344
OpenAlexW2044675241

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.