Evidence map›Paper›PMID 30642908›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2019

Association between GPs' suspicion of cancer and patients' usual consultation pattern in primary care: a cross-sectional study.

Henry Jensen, Camilla Hoffmann Merrild, Henrik Møller, Peter Vedsted

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Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

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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.

Henry JensenResearch Centre for Cancer Diagnosis in Primary Care, Department of Public Health, Aarhus University, Aarhus.
Camilla Hoffmann MerrildResearch Centre for Cancer Diagnosis in Primary Care, Department of Public Health, Aarhus University, Aarhus.
Henrik MøllerResearch Centre for Cancer Diagnosis in Primary Care, Department of Public Health, Aarhus University; the Danish Clinical Registries (RKKP), Aarhus.
Peter VedstedResearch Centre for Cancer Diagnosis in Primary Care, Department of Public Health, Aarhus University, Aarhus; Research Unit for General Practice, Aarhus University, Aarhus.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients who rarely consult a GP in the 19-36 months before a cancer diagnosis have more advanced cancer at diagnosis and a worse prognosis. To ensure more timely diagnosis of cancer, the GP should suspect cancer as early as possible.

aimTo investigate the GP's suspicion of cancer according to the patient with cancer's usual consultation pattern in general practice. DESIGN AND

settingA cross-sectional study based on survey data from general practice of 3985 Danish patients diagnosed with cancer from May 2010 to August 2010, and linked to national register data.

methodUsing logistic regression analysis with restricted cubic splines, the odds ratio (OR) of the GP to suspect cancer as a function of the patient's number of face-to-face consultations with the GP in the 19-36 months before a cancer diagnosis was estimated.

resultsGPs' cancer suspicion decreased with higher usual consultation frequency in general practice. A significant decreasing trend in ORs for cancer suspicion was seen across usual consultation categories overall (

conclusionGPs suspect cancer more often in rare attenders ≥55 years. GPs' cancer suspicion was lower in younger patients (<55 years), in both rare and frequent attenders. GPs should be aware of possible missed opportunities for cancer diagnosis in young attenders and use safety netting to reduce the risk of missing a cancer diagnosis.

Indexed as

General PracticeAdultAgedAged, 80 and overCross-Sectional StudiesDenmarkEarly Detection of CancerFemaleHealth Knowledge, Attitudes, PracticeHumansMaleMiddle AgedNeoplasmsOdds RatioPractice Patterns, Physicians'Referral and Consultationaccessibility of health servicesDenmarkearly diagnosisgeneral practicehealthcare deliveryneoplasms

Identifiers

PMID30642908
PMCPMC6355274

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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.