Evidence map›Paper›PMID 29581127›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2018

Acceptability of text messages for safety netting patients with low-risk cancer symptoms: a qualitative study.

Yasemin Hirst, Anita Wey Wey Lim

Open access · hybridAbstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
3.8field-weighted citation impact, top 7% 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

14 citing papers in PubMed, 24 citations in OpenAlex.

  1. Trial
  2. Safety-netting advice documentation in out-of-hours primary care: a retrospective cohort from 2013 to 2020.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025
    Article
  3. 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
    Article
  4. Transforming post pandemic cancer services.British journal of cancer · 2024
    Review
  5. Article
  6. SAFETY NETTING CONCEPT IN PRIMARY CARE CONSULTATION.Annals of Ibadan postgraduate medicine · 2023
    Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Factors affecting the documentation of spoken safety-netting advice in routine GP consultations: a cross-sectional study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021
    Article
  12. Development of a tool for coding safety-netting behaviours in primary care: a mixed-methods study using existing UK consultation recordings.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019
    Article
  13. Safety netting for primary care: evidence from a literature review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019
    Review
  14. Safety netting: now doctors need it too.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018
    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

2 authors at 2 institutions in 1 country.

Yasemin HirstResearch Department of Behavioural Science and Health, University College London, London.
Anita Wey Wey LimCentre for Cancer Prevention, Wolfson Institute of Preventive Medicine, Queen Mary University, London.
Queen Mary University of London · GBUniversity College London · GB

Funding

Cancer Research UK 16892Cancer Research UK 22877
6 · The paper itself

Abstract

backgroundSafety netting is an important diagnostic strategy for patients presenting to primary care with potential (low-risk) cancer symptoms. Typically, this involves asking patients to return if symptoms persist. However, this relies on patients re-appraising their symptoms and making follow-up appointments, which could contribute to delays in diagnosis. Text messaging is increasingly used in primary care to communicate with patients, and could be used to improve safety netting.

aimTo explore the acceptability and feasibility of using text messages to safety net patients presenting with low-risk cancer symptoms in GP primary care (txt-netting). DESIGN AND

settingQualitative focus group and interview study with London-based GPs.

methodParticipants were identified using convenience sampling methods. Five focus groups and two interviews were conducted with 22 GPs between August and December 2016. Sessions were audiorecorded, transcribed verbatim, and analysed using thematic analysis.

resultsGPs were amenable to the concept of using text messages in cancer safety netting, identifying it as an additional tool that could help manage patients and promote symptom awareness. There was wide variation in GP preferences for text message content, and a number of important potential barriers to txt-netting were identified. Concerns were raised about the difficulties of conveying complex safety netting advice within the constraints of a text message, and about confidentiality, widening inequalities, and workload implications.

conclusionText messages were perceived to be an acceptable potential strategy for safety netting patients with low-risk cancer symptoms. Further work is needed to ensure it is cost-effective, user friendly, confidential, and acceptable to patients.

Indexed as

General PracticeText MessagingAttitude of Health PersonnelFeasibility StudiesFocus GroupsGeneral PractitionersHumansPatient SafetyPatient SatisfactionPhysician-Patient RelationsPractice Patterns, Physicians'Precancerous ConditionsQualitative ResearchUnited KingdomWatchful Waitingearly diagnosispatient safetyprimary carequalitative researchsigns and symptomstext messaging

Identifiers

PMID29581127
PMCPMC5916080
OpenAlexW2780001160

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.