Evidence map›Paper›PMID 27389847›Full record

ArticleArthritis care & research2017

Symptom Recognition and Perceived Urgency of Help-Seeking for Rheumatoid Arthritis and Other Diseases in the General Public: A Mixed Method Approach.

Gwenda Simons, John Belcher, Chris Morton, Kanta Kumar, Marie Falahee, Christian D Mallen, Rebecca J Stack, Karim Raza

Open access · bronzeAbstract read
In one paragraph

Article in Arthritis care & research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 3 pooled it
3.0field-weighted citation impact, top 10% of its field
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

28 citing papers in PubMed, 3 syntheses or guidelines pooled it, 55 citations in OpenAlex.

  1. Pooled it
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  8. Can the General Public Be a Proxy for an "At-Risk" Group in a Patient Preference Study? A Disease Prevention Example in Rheumatoid Arthritis.Medical decision making : an international journal of the Society for Medical Decision Making · 2024
    Article
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  10. Barriers to the Diagnosis of Early Inflammatory Arthritis: A Literature Review.Open access rheumatology : research and reviews · 2023
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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

8 authors at 4 institutions in 1 country.

Gwenda SimonsUniversity of Birmingham, Birmingham, UK.
John BelcherKeele University, Keele, UK.
Chris MortonKeele University, Keele, UK.
Kanta KumarUniversity of Birmingham, Birmingham, and University of Manchester, Manchester, UK.
Marie FalaheeUniversity of Birmingham, Birmingham, UK.
Christian D MallenKeele University, Keele, UK.
Rebecca J StackUniversity of Birmingham, Birmingham, and Nottingham Trent University, Nottingham, UK.
Karim RazaUniversity of Birmingham, and Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, UK.
University of Birmingham · GBKeele University · GBNottingham Trent University · GBQueen Elizabeth Hospital Birmingham · GB

Funding

Department of Health RP_2014-04-026Department of Health WMCLAHRC-2014-1The Dunhill Medical Trust R226/1111
6 · The paper itself

Abstract

objectiveClinical outcomes in rheumatoid arthritis (RA) are improved if the disease is treated early. However, treatment is often significantly delayed as a result of delayed help-seeking by patients who fail to recognize its symptoms or the need for rapid medical attention. Two studies were conducted to investigate the role of symptom recognition in help-seeking for the symptoms of RA, and compared this to symptom recognition and help-seeking in angina and bowel cancer.

methodsA qualitative interview study with 31 individuals and a survey of 1,088 members of the general public (all without RA) were conducted. Both studies used vignettes describing the symptoms of RA, bowel cancer, and angina. Participants made causal attributions and rated the perceived seriousness of the symptoms and the urgency with which they would seek medical help if confronted with these symptoms.

resultsOnly a small proportion of participants in both studies recognized the symptoms of RA, whereas the symptoms of bowel cancer and angina were readily recognized by many participants and considered to be more serious and to require more rapid medical attention (Z = 14.7-34.2, P < 0.001).

conclusionAccurate symptom attribution and the perception that symptoms are indicative of a serious underlying condition are both important drivers for rapid help-seeking. In the case of angina and bowel cancer, recent campaigns have promoted not only recognition of symptoms and their seriousness, but also emphasized the consequences of not seeking timely help. Our results suggest that these consequences should also be addressed in any public health campaign for RA.

Indexed as

Diagnostic Self EvaluationHealth Knowledge, Attitudes, PracticeHelp-Seeking BehaviorAdultAgedAged, 80 and overAngina PectorisArthritis, RheumatoidColorectal NeoplasmsFemaleHumansMaleMiddle AgedQualitative ResearchResearch DesignSurveys and Questionnaires

Identifiers

PMID27389847
PMCPMC5518890
OpenAlexW2474030159

What OpenQuestion holds

Textmetadata
LicenceTDM
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.