ArticleScandinavian journal of primary health care2015
Symptoms, signs, and tests: The general practitioner's comprehensive approach towards a cancer diagnosis.
Article in Scandinavian journal of primary health care, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Article
- What would primary care practitioners do differently after a delayed cancer diagnosis? Learning lessons from their experiences.Scandinavian journal of primary health care · 2024Article
- Chitosan Nanoparticles for Targeted Cancer Therapy: A Review of Stimuli-Responsive, Passive, and Active Targeting Strategies.International journal of nanomedicine · 2024Review
- Validation of a diagnostic prediction tool for colorectal cancer: a case-control replication study.Family practice · 2023Article
- Symptoms and signs of urogenital cancer in primary care.BMC primary care · 2023Article
- Pluralistic task shifting for a more timely cancer diagnosis. A grounded theory study from a primary care perspective.Scandinavian journal of primary health care · 2021Article
- Abdominal cancer symptoms: Evaluation of the impact of a regional public awareness campaign.European journal of cancer care · 2021Article
- Recent advances in gold nanoparticle-based lateral flow immunoassay for the detection of bacterial infection.Archives of microbiology · 2021Review
- Symptoms and signs of colorectal cancer, with differences between proximal and distal colon cancer: a prospective cohort study of diagnostic accuracy in primary care.BMC family practice · 2021Article
- Knowledge of and support for cancer patient pathways among general practitioners and other physicians - a study from Sweden.Scandinavian journal of primary health care · 2021Article
- Patient-Caregiver Treatment Preference Discordance and Its Association With Caregiving Burden and Esteem.Innovation in aging · 2021Article
- Challenges in early diagnosis of cancer: the fast track.Scandinavian journal of primary health care · 2020Article
- Abdominal symptoms and cancer in the abdomen: prospective cohort study in European primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018Article
- Article
- The Role of Physicians' First Impressions in the Diagnosis of Possible Cancers without Alarm Symptoms.Medical decision making : an international journal of the Society for Medical Decision Making · 2017Article
- Determinants of general practitioner's cancer-related gut feelings-a prospective cohort study.BMJ open · 2016Article
- Increased consultation frequency in primary care, a risk marker for cancer: a case-control study.Scandinavian journal of primary health care · 2016Article
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Abstract
objectiveTo study the relative importance of different tools a GP can use during the diagnostic process towards cancer detection.
designRetrospective cohort study with prospective registration of cancer in general practice. SETTING AND SUBJECTS: One hundred and fifty-seven Norwegian general practitioners (GPs) reported 261 cancer patients.
methodDuring 10 consecutive days, GPs registered all patient consultations and recorded any presence of seven focal symptoms and three general symptoms, commonly considered as warning signs of cancer (WSC). Follow-up was done six to 11 months later. For each patient with new or recurrent cancer, the GP completed a questionnaire with medical-record-based information concerning the diagnostic procedure.
resultsIn 78% of cancer cases, symptoms, signs, or tests helped diagnose cancer. In 90 cases, there were 131 consultation-recorded WSC that seemed related to the cancer. Further symptoms were reported for another 74 cases. Different clinical signs were noted in 41 patients, 16 of whom had no previous recording of symptoms. Supplementary tests added information in 59 cases; in 25 of these there were no recordings of symptoms or signs. Sensitivity of any cancer-relevant symptom or clinical finding ranged from 100% for patients with uterine body cancer to 57% for patients with renal cancer.
conclusionWSC had a major role as initiator of a cancer diagnostic procedure. Low-risk-but-not-no-risk symptoms also played an important role, and in 7% of patients they were the only symptoms. Clinical findings and/or supplementary procedures were sometimes decisive for rapid referral.
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