Evidence map›Paper›PMID 30621616›Full record

SynthesisBMC cancer2019

Patient and carer perceived barriers to early presentation and diagnosis of lung cancer: a systematic review.

Shemana Cassim, Lynne Chepulis, Rawiri Keenan, Jacquie Kidd, Melissa Firth, Ross Lawrenson

Abstract readSystematic Review
In one paragraph

Synthesis in BMC cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 82 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
82citing papers in PubMed, 5 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

82 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. Barriers and Facilitators to Participation in Health Screening: an Umbrella Review Across Conditions.Prevention science : the official journal of the Society for Prevention Research · 2022
    Pooled it
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  4. The Effectiveness of Interventional Cancer Education Programs for School Students Aged 8-19 Years: a Systematic Review.Journal of cancer education : the official journal of the American Association for Cancer Education · 2021
    Pooled it
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  16. The mediating effect of hope between perceived social support and spiritual well-being in patients with early-stage lung cancer: A cross-sectional study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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22 more citing papers are in PubMed but not listed here.

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.

Shemana CassimWaikato Medical Research Centre, University of Waikato, Hamilton, 3240, New Zealand. shemana.cassim@waikato.ac.nz.ORCID http://orcid.org/0000-0001-7027-3467
Lynne ChepulisWaikato Medical Research Centre, University of Waikato, Hamilton, 3240, New Zealand.
Rawiri KeenanSchool of Nursing, University of Auckland, Auckland, 1023, New Zealand.
Jacquie KiddSchool of Nursing, University of Auckland, Auckland, 1023, New Zealand.
Melissa FirthWaikato Medical Research Centre, University of Waikato, Hamilton, 3240, New Zealand.
Ross LawrensonWaikato Medical Research Centre, University of Waikato, Hamilton, 3240, New Zealand.

Funding

Health Research Council of New Zealand 17/438
6 · The paper itself

Abstract

backgroundLung cancer is typically diagnosed at a late stage. Early presentation and detection of lung cancer symptoms is critical to improving survival but can be clinically complicated and as yet a robust screening method for diagnosis is not available in routine practice. Accordingly, the barriers to help-seeking behaviour and diagnosis need to be considered. This review aimed to document the barriers to early presentation and diagnosis of lung cancer, based on patient and carer perspectives.

methodsA systematic review of databases was performed for original, English language articles discussing qualitative research on patient perceived barriers to early presentation and diagnosis of lung cancer. Three major databases were searched: Scopus, PubMed and EBSCOhost. References cited in the selected studies were searched for further relevant articles.

resultsFourteen studies met inclusion criteria for review. Barriers were grouped into three categories: healthcare provider and system factors, patient factors and disease factors.

conclusionsStudies showed that the most frequently reported barriers to early presentation and diagnosis of lung cancer reported by patients and carers related to poor relationships between GPs and patients, a lack of access to services and care for patients, and a lack of awareness of lung cancer symptoms and treatment. Addressing these barriers offers opportunities by which rates of early diagnosis of lung cancer may be improved.

Indexed as

Early Detection of CancerHealth PersonnelHealth Services AccessibilityHumansLung NeoplasmsPatient Acceptance of Health CareBarrier to diagnosisCancer careDelay to diagnosisEarly presentationLung cancerPrimary care

Identifiers

PMID30621616
PMCPMC6323678

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.