Evidence map›Paper›PMID 28483824›Full record

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

Patients' preferences for GP consultation for perceived cancer risk in primary care: a discrete choice experiment.

Katriina L Whitaker, Alex Ghanouni, Yin Zhou, Georgios Lyratzopoulos, Stephen Morris

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 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Patient preferences for investigating cancer-related symptoms in Australian general practice: a discrete-choice experiment.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024
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  7. Exploring public attitudes towards the new Faster Diagnosis Standard for cancer: a focus group study with the UK public.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019
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  9. Random Access.The British journal of general practice : the journal of the Royal College of General Practitioners · 2017
    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

5 authors.

Katriina L WhitakerSchool of Health Sciences, University of Surrey, Guildford.
Alex GhanouniDepartment of Behavioural Science and Health, University College London, London.
Yin ZhouPrimary Care Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge.
Georgios LyratzopoulosDepartment of Behavioural Science and Health, University College London, London, and Cambridge Centre for Health Services Research, Institute of Public Health, University of Cambridge, Cambridge.
Stephen MorrisDepartment of Applied Health Research, University College London, London.

Funding

Cancer Research UK 13276Cancer Research UK 18180
6 · The paper itself

Abstract

backgroundContacting a doctor for advice when experiencing a potential cancer symptom is an important step in early diagnosis, but barriers to consultation are commonly reported. Understanding barriers to consulting in primary care within the cancer context provides opportunities to improve earlier diagnosis of cancer

aimTo investigate patients' GP consultation preferences when presented with a potential cancer symptom, and to describe whether these preferences are mediated by variable levels of cancer risk. DESIGN AND

settingA UK-wide online survey of adults ≥50 years old, using quota sampling to reflect general population characteristics.

methodA discrete choice experiment examined participants' preferences for primary care consultation for three cancer symptom scenarios: risk level not mentioned, risk designated as 'low', or risk designated as 'high'. Scenarios based on length of consultation, time to getting an appointment, convenience, choice of GP, and GP listening skills were presented in a self-completed online questionnaire.

resultsA total of 9616 observations were obtained from 601 participants. Participants expressed preferences for doctors with better listening skills, the ability to see a GP of their choice, and shorter waiting times. These findings were the same across risk conditions and demographic groups. Participants were willing to wait an extra 3.5 weeks for an appointment with a doctor with good/very good listening skills (versus very poor listening skills) and an extra week for an appointment with a GP of their choice (versus any GP).

conclusionPatient decisions about help seeking seem to be particularly influenced by the anticipated listening skills of doctors. Improving doctors' communication skills may in the longer term encourage people to seek prompt medical help when they experience a cancer symptom.

Indexed as

General PracticePhysician-Patient RelationsAppointments and SchedulesChoice BehaviorEarly Detection of CancerFemaleHealth Services AccessibilityHealth Services ResearchHumansMaleMiddle AgedNeoplasmsPatient PreferencePatient SatisfactionReferral and ConsultationUnited Kingdomcancercommunication skillsdecision makingheath services researchprimary health caresocial skillssymptoms

Identifiers

PMID28483824
PMCPMC5442954

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.