Evidence map›Paper›PMID 28497588›Full record

ArticleEuropean journal of cancer care2017

Facilitating early diagnosis of lung cancer amongst primary care patients: The views of GPs.

R Wagland, L Brindle, E James, M Moore, A I Esqueda, J Corner

Abstract readMulticenter Study
In one paragraph

Article in European journal of cancer care, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Regulatory role of the miR-142-3p/Translational lung cancer research · 2024
    Article
  8. Survival Analysis of Lung Cancer patients in Brunei Darussalam.Asian Pacific journal of cancer prevention : APJCP · 2023
    Article
  9. Article
  10. Article
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  12. Article
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  14. Observational
  15. Review
  16. Article
  17. Article
  18. Presentation of lung cancer in primary care.NPJ primary care respiratory medicine · 2019
    Article
  19. Article
  20. 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

6 authors.

R WaglandFaculty of Health Sciences, University of Southampton, Southampton, UK.ORCID http://orcid.org/0000-0003-1825-7587
L BrindleFaculty of Health Sciences, University of Southampton, Southampton, UK.ORCID http://orcid.org/0000-0002-8933-3754
E JamesFaculty of Health Sciences, University of Southampton, Southampton, UK.
M MoorePrimary Care and Population Sciences, University of Southampton, Southampton, UK.
A I EsquedaFaculty of Health Sciences, University of Southampton, Southampton, UK.
J CornerExecutive Office, The Nottingham University, University Park, Nottingham, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Early diagnosis of lung cancer (LC) is a policy priority. However, symptoms are vague, associated with other morbidities, and frequently unrecognised by both patients and general practitioners (GPs). This qualitative study, part of a larger mixed methods study, explored GP views regarding the potential for early diagnosis of LC within primary care. Five focus group discussions (FGDs) were conducted with GPs (n = 16) at primary care practices (n = 5) across four counties in south England. FGDs were audio-recorded, transcribed verbatim and analysed using a framework approach. Four broad themes emerged: patients' reporting of symptoms; GP response to symptoms; investigating LC, and; potential initiatives for early diagnosis. GPs reported they often required high levels of suspicion to refer patients on to specialist respiratory consultations, and concerns of 'system overload' were prevalent. Greater access to more sensitive diagnostic investigations such as computed tomography, was argued for by some, particularly for symptomatic patients with negative chest X-rays. GPs challenged current approaches to promoting earlier diagnosis through national symptom awareness campaigns, arguing instead that interventions targeted at high-risk individuals might be more effective without burdening services already under pressure. Further work is needed to identify primary care patients who might most benefit from such targeted interventions.

Indexed as

Attitude of Health PersonnelEarly Detection of CancerEnglandFemaleFocus GroupsGeneral PractitionersHealth Services AccessibilityHumansLung NeoplasmsMalePrimary Health CareReferral and Consultationearly diagnosisgeneral practicelung cancersymptom awarenesssymptoms

Identifiers

PMID28497588
PMCPMC5949863

What OpenQuestion holds

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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.