Evidence map›Paper›PMID 26504599›Full record

ArticleInternational journal of family medicine2015

Does the Primary Care Experience Influence the Cancer Diagnostic Process?

Sylvie Provost, Raynald Pineault, Pierre Tousignant, Danièle Roberge, Dominique Tremblay, Mylaine Breton, Lynda Benhadj, Mamadou Diop, Michel Fournier, Astrid Brousselle

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in International journal of family medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

10 authors.

Sylvie ProvostDirection de Santé Publique, Centre Intégré Universitaire de Santé et Services Sociaux du Centre-Sud-de-l'Île-de-Montréal, 1301 rue Sherbrooke Est, Montréal, QC, Canada H2L 1M3 ; Centre de Recherche du Centre Hospitalier de l'Université de Montréal, Hôtel-Dieu, Pavillon Masson, 3480 rue Saint-Urbain, Montréal, QC, Canada H4W 1Y1 ; Institut de Recherche en Santé Publique de l'Université de Montréal, 7101 avenue du Parc, Montréal, QC, Canada H3N 1X9.
Raynald PineaultDirection de Santé Publique, Centre Intégré Universitaire de Santé et Services Sociaux du Centre-Sud-de-l'Île-de-Montréal, 1301 rue Sherbrooke Est, Montréal, QC, Canada H2L 1M3 ; Centre de Recherche du Centre Hospitalier de l'Université de Montréal, Hôtel-Dieu, Pavillon Masson, 3480 rue Saint-Urbain, Montréal, QC, Canada H4W 1Y1 ; Institut de Recherche en Santé Publique de l'Université de Montréal, 7101 avenue du Parc, Montréal, QC, Canada H3N 1X9 ; Institut National de Santé Publique du Québec, 945 avenue Wolfe, Québec, QC, Canada G1V 5B3.
Pierre TousignantDirection de Santé Publique, Centre Intégré Universitaire de Santé et Services Sociaux du Centre-Sud-de-l'Île-de-Montréal, 1301 rue Sherbrooke Est, Montréal, QC, Canada H2L 1M3 ; Centre de Recherche du Centre Hospitalier de l'Université de Montréal, Hôtel-Dieu, Pavillon Masson, 3480 rue Saint-Urbain, Montréal, QC, Canada H4W 1Y1 ; Institut de Recherche en Santé Publique de l'Université de Montréal, 7101 avenue du Parc, Montréal, QC, Canada H3N 1X9 ; Department of Epidemiology, Biostatistics and Occupational Health, McGill University, 1020 avenue des Pins Ouest, Montréal, QC, Canada H3A 1A2.
Danièle RobergeCentre de Recherche de l'Hôpital Charles-LeMoyne, Université de Sherbrooke, Campus de Longueuil, 150 place Charles-LeMoyne, Longueuil, QC, Canada J4K 0A8 ; Département des Sciences de la Santé Communautaire, Faculté de Médecine et des Sciences de la Santé, Université de Sherbrooke, Pavillon Gérald-Lasalle, 3001 12 avenue, Sherbrooke, QC, Canada J1H 5H3.
Dominique TremblayCentre de Recherche de l'Hôpital Charles-LeMoyne, Université de Sherbrooke, Campus de Longueuil, 150 place Charles-LeMoyne, Longueuil, QC, Canada J4K 0A8 ; École des Sciences Infirmières, Faculté de Médecine et des Sciences de la Santé, Université de Sherbrooke, Pavillon Gérald-Lasalle, 3001 12 avenue, Sherbrooke, QC, Canada J1H 5H3.
Mylaine BretonCentre de Recherche de l'Hôpital Charles-LeMoyne, Université de Sherbrooke, Campus de Longueuil, 150 place Charles-LeMoyne, Longueuil, QC, Canada J4K 0A8 ; Département des Sciences de la Santé Communautaire, Faculté de Médecine et des Sciences de la Santé, Université de Sherbrooke, Pavillon Gérald-Lasalle, 3001 12 avenue, Sherbrooke, QC, Canada J1H 5H3.
Lynda BenhadjCentre de Recherche de l'Hôpital Charles-LeMoyne, Université de Sherbrooke, Campus de Longueuil, 150 place Charles-LeMoyne, Longueuil, QC, Canada J4K 0A8 ; Département des Sciences de la Santé Communautaire, Faculté de Médecine et des Sciences de la Santé, Université de Sherbrooke, Pavillon Gérald-Lasalle, 3001 12 avenue, Sherbrooke, QC, Canada J1H 5H3.
Mamadou DiopDirection de Santé Publique, Centre Intégré Universitaire de Santé et Services Sociaux du Centre-Sud-de-l'Île-de-Montréal, 1301 rue Sherbrooke Est, Montréal, QC, Canada H2L 1M3 ; Centre de Recherche du Centre Hospitalier de l'Université de Montréal, Hôtel-Dieu, Pavillon Masson, 3480 rue Saint-Urbain, Montréal, QC, Canada H4W 1Y1.
Michel FournierDirection de Santé Publique, Centre Intégré Universitaire de Santé et Services Sociaux du Centre-Sud-de-l'Île-de-Montréal, 1301 rue Sherbrooke Est, Montréal, QC, Canada H2L 1M3.
Astrid BrousselleCentre de Recherche de l'Hôpital Charles-LeMoyne, Université de Sherbrooke, Campus de Longueuil, 150 place Charles-LeMoyne, Longueuil, QC, Canada J4K 0A8 ; Département des Sciences de la Santé Communautaire, Faculté de Médecine et des Sciences de la Santé, Université de Sherbrooke, Pavillon Gérald-Lasalle, 3001 12 avenue, Sherbrooke, QC, Canada J1H 5H3.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective. To analyze the impact of patients' experience of care at their usual source of primary care on their choice of point of entry into cancer investigation process, time to diagnosis, and presence of metastatic cancer at time of diagnosis. Method. A questionnaire was administered to 438 patients with cancer (breast, lung, and colorectal) between 2011 and 2013 in four oncology clinics of Quebec (Canada). Multiple regression analyses (logistic and Cox models) were conducted. Results. Among patients with symptoms leading to investigation of cancer (n = 307), 47% used their usual source of primary care as the point of entry for investigation. Greater comprehensiveness of care was associated with the decision to use this source as point of entry (OR = 1.25; CI 90% = 1.06-1.46), as well as with shorter times between first symptoms and investigation (HR = 1.11; p = 0.05), while greater accessibility was associated with shorter times between investigation and diagnosis (HR = 1.13; p < 0.01).  Conclusion. Experience of care at the usual source of primary care has a slight influence on the choice of point of entry for cancer investigation and on time to diagnosis. This influence appears to be more related to patients' perceptions of the accessibility and comprehensiveness of their usual source of primary care.

Identifiers

PMID26504599
PMCPMC4609476

What OpenQuestion holds

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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.