Evidence map›Paper›PMID 26482767›Full record

ArticleBMJ open2015

Insights into the experiences of patients with cancer in London: framework analysis of free-text data from the National Cancer Patient Experience Survey 2012/2013 from the two London Integrated Cancer Systems.

Theresa Wiseman, Grace Lucas, Amrit Sangha, Anuska Randolph, Sarah Stapleton, Natalie Pattison, Geraldine O'Gara, Katherine Harris, Kathy Pritchard-Jones, Shelley Dolan

Abstract read
In one paragraph

Article in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
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

19 citing papers in PubMed.

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  5. Symptom-led staging for semantic and non-fluent/agrammatic variants of primary progressive aphasia.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
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  15. The Challenge of Cancer Pain Assessment.The Ulster medical journal · 2019
    Article
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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

10 authors.

Theresa WisemanThe Royal Marsden NHS Foundation Trust, London, UK.
Grace LucasThe Royal Marsden NHS Foundation Trust, London, UK.
Amrit SanghaThe Royal Marsden NHS Foundation Trust, London, UK.
Anuska RandolphThe Royal Marsden NHS Foundation Trust, London, UK.
Sarah StapletonThe Royal Marsden NHS Foundation Trust, London, UK.
Natalie PattisonThe Royal Marsden NHS Foundation Trust, London, UK.
Geraldine O'GaraThe Royal Marsden NHS Foundation Trust, London, UK.
Katherine HarrisQueen Mary University of London, London, UK.
Kathy Pritchard-JonesUCL Partners Academic Health Science Network, London, UK.
Shelley DolanThe Royal Marsden NHS Foundation Trust, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo shed light on experiences of patients with cancer in London National Health Service (NHS) trusts that may not be fully captured in national survey data, to inform improvement action plans by these trusts.

designFramework analysis of free-text data from 2012/2013 National Cancer Patient Experience Survey (NCPES) from the 2 London Integrated Cancer Systems. SETTING AND

participantsPatients with a cancer diagnosis treated by the NHS across 27 trusts in London.

main outcome measuresFree-text data received from patients categorised into what patients found good about their cancer care and what could be improved.

methodsUsing Framework analysis, a thematic framework was created for 15,403 comments from over 6500 patients. Themes were identified across the London data set, by tumour group and by trust.

resultsTwo-thirds of free-text comments from patients in London were positive and one-third of those related to the good quality of care those patients received. However, the majority of comments for improvement related to quality of care, with a focus on poor care, poor communication and waiting times in outpatient departments. Additionally, 577 patients (9% of those who returned free-text data in London) commented on issues pertaining to the questionnaire itself. Some patients who experienced care from multiple trusts were unclear on how to complete the questionnaire for the single trust whose care they were asked to comment on, others said the questions did not fit their experiences.

conclusionsNCPES free-text analysis can shed light on the experiences of patients that closed questions might not reveal. It further indicates that there are issues with the survey itself, in terms of ambiguities in the questionnaire and difficulties in identifying patients within specific trusts. Both of these issues have the potential to contribute to knowledge and understanding of the uses and limitations of free-text data in improving cancer services.

Indexed as

Health Care SurveysPatient SatisfactionText MessagingHumansLondonNeoplasmsQualitative ResearchONCOLOGYQUALITATIVE RESEARCH

Identifiers

PMID26482767
PMCPMC4611184

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LicenceCC BY-NC
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Registered trials

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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.