Evidence map›Paper›PMID 27872084›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2017

Patient perspectives on delays in diagnosis and treatment of cancer: a qualitative analysis of free-text data.

Rachel K Parsonage, Julia Hiscock, Rebecca-Jane Law, Richard D Neal

Abstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing 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

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

  1. Factors affecting the decision to investigate older adults with potential cancer symptoms: a systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2022
    Pooled it
  2. Trial
  3. Article
  4. Association between family functioning and delay in seeking medical care of Chinese bladder cancer patients: the mediating effect of coping styles.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  5. Article
  6. Hidden systems in primary care cancer detection: an embedded qualitative intervention development study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024
    Article
  7. Article
  8. How patients in general practice voice and value their gut feelings about health: a qualitative interview study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023
    Article
  9. COVID-19-Related Racial Discrimination during Lockdown and Its Impact on Asian American Women.International journal of environmental research and public health · 2023
    Article
  10. Article
  11. Article
  12. Article
  13. Factors influencing symptom appraisal and help-seeking of older adults with possible cancer: a mixed-methods systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2022
    Article
  14. Building the case for the use of gut feelings in cancer referrals: perspectives of patients referred to a non-specific symptoms pathway.The British journal of general practice : the journal of the Royal College of General Practitioners · 2022
    Article
  15. Article
  16. Article
  17. Urgent cancer referrals: how well are they working and can they be improved?The British journal of general practice : the journal of the Royal College of General Practitioners · 2021
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  19. 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

4 authors.

Rachel K ParsonageNorth Wales Centre for Primary Care Research, Bangor University, Wrexham, Wales.
Julia HiscockNorth Wales Centre for Primary Care Research, Bangor University, Wrexham, Wales.
Rebecca-Jane LawNorth Wales Centre for Primary Care Research, Bangor University, Wrexham, Wales.
Richard D NealLeeds Institute of Health Sciences, University of Leeds, Leeds.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEarlier cancer diagnosis is crucial in improving cancer survival. The International Cancer Benchmarking Partnership Module 4 (ICBP4) is a quantitative survey study that explores the reasons for delays in diagnosis and treatment of breast, colorectal, lung, and ovarian cancer. To further understand the associated diagnostic processes, it is also important to explore the patient perspectives expressed in the free-text comments.

aimTo use the free-text data provided by patients completing the ICBP4 survey to augment the understanding of patients' perspectives of their diagnostic journey. DESIGN AND

settingQualitative analysis of the free-text data collected in Wales between October 2013 and December 2014 as part of the ICBP4 survey. Newly-diagnosed patients with either breast, ovarian, colorectal, or lung cancer were identified from registry data and then invited by their GPs to participate in the survey.

methodA thematic framework was used to analyse the free-text comments provided at the end of the ICBP4 survey. Of the 905 patients who returned a questionnaire, 530 included comments.

resultsThe free-text data provided information about patients' perspectives of the diagnostic journey. Analysis identified factors that acted as either barriers or facilitators at different stages of the diagnostic process. Some factors, such as screening, doctor-patient familiarity, and private treatment, acted as both barriers and facilitators depending on the context.

conclusionFactors identified in this study help to explain how existing models of cancer diagnosis (for example, the Pathways to Treatment Model) work in practice. It is important that clinicians are aware of how these factors may interact with individual clinical cases and either facilitate, or act as a barrier to, subsequent cancer diagnosis. Understanding and implementing this knowledge into clinical practice may result in quicker cancer diagnoses.

Indexed as

Attitude to HealthDelayed DiagnosisPhysician-Patient RelationsRegistriesTime-to-TreatmentAdultAgedAged, 80 and overEarly Detection of CancerFemaleHumansMaleMiddle AgedNeoplasmsQualitative ResearchReferral and Consultationearly detection of cancerpatientsqualitative researchsurveys and questionnairesWales

Identifiers

PMID27872084
PMCPMC5198621

What OpenQuestion holds

Textmetadata
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.