ArticleEuropean journal of cancer care2016
Pre-referral general practitioner consultations and subsequent experience of cancer care: evidence from the English Cancer Patient Experience Survey.
Article in European journal of cancer care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 4 of them syntheses that pooled it.
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Who cites it
37 citing papers in PubMed, 4 syntheses or guidelines pooled it, 69 citations in OpenAlex.
- A Bibliometric Analysis and Visualization of Decision Support Systems for Healthcare Referral Strategies.International journal of environmental research and public health · 2022Pooled it
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- Quality of the diagnostic process in patients presenting with symptoms suggestive of bladder or kidney cancer: a systematic review.BMJ open · 2019Pooled it
- Patient and carer perceived barriers to early presentation and diagnosis of lung cancer: a systematic review.BMC cancer · 2019Pooled it
- Understanding and advancing alignment of the national standards for cancer survivorship care for adolescents and young adults: challenges and opportunities.Journal of cancer survivorship : research and practice · 2026Review
- Surveying patients to assess timeliness of cancer diagnosis.Diagnosis (Berlin, Germany) · 2026Article
- Assessing the impact of timely diagnosis on psychological outcomes and quality of life for cancer patients: A scoping review.PloS one · 2026Article
- Symptom-related care and diagnoses before ovarian cancer detection: Patterns and differences by cancer stage.Gynecologic oncology · 2026Article
- Developing a Patient Experience Questionnaire for the Man Van Mobile Clinical Unit.Health expectations : an international journal of public participation in health care and health policy · 2025Article
- Clinical activity in general practice before sarcoma diagnosis: an Australian cohort study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024Article
- Cancer incidence and competing mortality risk following 15 presenting symptoms in primary care: a population-based cohort study using electronic healthcare records.BMJ oncology · 2024Article
- Patients' Experiences of a Sarcoma Diagnosis: A Process Mapping Exercise of Diagnostic Pathways.Cancers · 2023Article
- Lung cancer in never smokers (LCINS): development of a UK national research strategy.BJC reports · 2023Review
- Factors influencing symptom appraisal and help-seeking of older adults with possible cancer: a mixed-methods systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2022Article
- Factors influencing cancer patients' experiences of care in the USA, United Kingdom, and Canada: A systematic review.EClinicalMedicine · 2022Review
- Does changing healthcare use signal opportunities for earlier detection of cancer? A review of studies using information from electronic patient records.Cancer epidemiology · 2022Review
- Article
- Conceptual Framework to Guide Early Diagnosis Programs for Symptomatic Cancer as Part of Global Cancer Control.JCO global oncology · 2021Article
- Comorbidity and the diagnosis of symptomatic-but-as-yet-undiagnosed cancer.The British journal of general practice : the journal of the Royal College of General Practitioners · 2020Article
- Association of Self-reported Presenting Symptoms With Timeliness of Help-Seeking Among Adolescents and Young Adults With Cancer in the BRIGHTLIGHT Study.JAMA network open · 2020Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
Prolonged diagnostic intervals may negatively affect the patient experience of subsequent cancer care, but evidence about this assertion is sparse. We analysed data from 73 462 respondents to two English Cancer Patient Experience Surveys to examine whether patients with three or more (3+) pre-referral consultations were more likely to report negative experiences of subsequent care compared with patients with one or two consultations in respect of 12 a priori selected survey questions. For each of 12 experience items, logistic regression models were used, adjusting for prior consultation category, cancer site, socio-demographic case-mix and response tendency (to capture potential variation in critical response tendencies between individuals). There was strong evidence (P < 0.01 for all) that patients with 3+ pre-referral consultations reported worse care experience for 10/12 questions, with adjusted odds ratios compared with patients with 1-2 consultations ranging from 1.10 (95% confidence intervals 1.03-1.17) to 1.68 (1.60-1.77), or between +1.8% and +10.6% greater percentage reporting a negative experience. Associations were stronger for processes involving primary as opposed to hospital care; and for evaluation than report items. Considering 1, 2, 3-4 and '5+' pre-referral consultations separately a 'dose-response' relationship was apparent. We conclude that there is a negative association between multiple pre-diagnostic consultations with a general practitioner and the experience of subsequent cancer care.
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