Evidence map›Paper›PMID 26794277›Full record

ArticleBritish journal of cancer2016

What prompts help-seeking for cancer 'alarm' symptoms? A primary care based survey.

K L Whitaker, C Friedemann Smith, K Winstanley, J Wardle

Abstract read
In one paragraph

Article in British journal of cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–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

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Targeted encouragement of GP consultations for possible cancer symptoms: a randomised controlled trial.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021
    Trial
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  5. Women's experiences along the ovarian cancer diagnostic pathway in Catalonia: A qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2023
    Article
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  18. Worrying about wasting GP time as a barrier to help-seeking: a community-based, qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2016
    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

4 authors.

K L WhitakerSchool of Health Sciences, University of Surrey, Guildford, Surrey GU2 7XH, UK.
C Friedemann SmithHealth Behaviour Research Centre, Department of Epidemiology and Public Health, University College London, London WC1E 6BT, UK.
K WinstanleyHealth Behaviour Research Centre, Department of Epidemiology and Public Health, University College London, London WC1E 6BT, UK.
J WardleHealth Behaviour Research Centre, Department of Epidemiology and Public Health, University College London, London WC1E 6BT, UK.

Funding

Cancer Research UK 13276Cancer Research UK C33872/A13216Department of Health
6 · The paper itself

Abstract

backgroundEncouraging prompt help-seeking for cancer symptoms can help shorten the patient interval and improve timely diagnosis. We explored factors associated with help-seeking in a primary care sample reporting 'alarm' symptoms.

methodsA questionnaire was mailed to 9771 adults (⩾ 50 years of age and no cancer diagnosis) and 3766 (39%) returned it. Our sample included 1732 adults reporting at least one cancer 'alarm' symptom; with a total of 2726 symptoms. Respondents completed questions relating to help-seeking, demographic and symptom characteristics (e.g., type, knowledge, concern, interference and attribution).

resultsOver a third of people who reported a cancer 'alarm' symptom in the past 3 months had not sought help from a doctor. An unexplained lump (odds ratio (OR) 2.46, 1.42-4.26) and persistent unexplained pain (OR 1.79, 1.19-2.69) were associated with increased likelihood of help-seeking. Symptom concern (OR 3.10, 2.19-4.39) and interference (OR 3.06, 2.15-4.36) were associated with an increased likelihood of seeking help independently of symptom type. People who were not working (OR 1.41, 1.09-1.83), were married/cohabiting rather than single (OR 1.38, 1.10-1.74) and were older (60-69 years) rather than younger (50-59 years; OR 1.33, 1.02-1.75) were more likely to have sought help.

conclusionsOur findings highlighted symptom type and symptom characteristics as key drivers of help-seeking. We also found that there may be specific demographic groups where encouraging help-seeking might be warranted.

Indexed as

Delayed DiagnosisPrimary Health CareAgedAge FactorsEmploymentFemaleHelp-Seeking BehaviorHumansLogistic ModelsMaleMarital StatusMiddle AgedNeoplasmsOdds RatioPatient Acceptance of Health CareSurveys and Questionnaires

Identifiers

PMID26794277
PMCPMC4742581

What OpenQuestion holds

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LicenceCC BY-NC-SA
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.