Evidence map›Paper›PMID 30692091›Full record

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

Disease-related factors affecting timely lymphoma diagnosis: a qualitative study exploring patient experiences.

Debra A Howell, Ruth I Hart, Alexandra G Smith, Una Macleod, Russell Patmore, Eve Roman

Abstract read
In one paragraph

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 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

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

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Exploring the link between unmet needs and quality of life in lymphoma survivors: a cross-sectional study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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  9. Review
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  12. Patient experiences of the urgent cancer referral pathway-Can the NHS do better? Semi-structured interviews with patients with upper gastrointestinal cancer.Health expectations : an international journal of public participation in health care and health policy · 2020
    Article
  13. Article
  14. Burkitt's lymphoma in pregnant woman: Difficult management of a rare case.International journal of surgery case reports · 2020
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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

6 authors.

Debra A HowellEpidemiology and Cancer Statistics Group, professor of epidemiology, Department of Health Sciences, University of York, York.
Ruth I HartEpidemiology and Cancer Statistics Group, professor of epidemiology, Department of Health Sciences, University of York, York.
Alexandra G SmithEpidemiology and Cancer Statistics Group, professor of epidemiology, Department of Health Sciences, University of York, York.
Una MacleodHull York Medical School, University of Hull, Hull.
Russell PatmoreDepartment of Haematology, Queen's Centre for Oncology and Haematology, Castle Hill Hospital, Hull.
Eve RomanEpidemiology and Cancer Statistics Group, professor of epidemiology, Department of Health Sciences, University of York, York.

Funding

Cancer Research UK 13509
6 · The paper itself

Abstract

backgroundExpediting cancer diagnosis is widely perceived as one way to improve patient outcomes. Evidence indicates that lymphoma diagnosis is often delayed, yet understanding of issues influencing this is incomplete.

aimTo explore patients' and their relatives' perceptions of disease-related factors affecting time to diagnosis of Hodgkin and non-Hodgkin lymphoma. DESIGN AND

settingQualitative UK study involving patients with indolent and aggressive lymphomas, and their relatives, from an established population-based cohort in the north of England.

methodSemi-structured interviews with 35 patients and 15 of their relatives. Interviews were audiorecorded and transcribed, and qualitative descriptive analysis was undertaken.

resultsParticipant accounts suggest that certain features of lymphoma can impact on patients' and healthcare providers' (HCPs) responses to disease onset. Three characteristics stand out: disease occurrence (rare), manifestation (varied), and investigative options (often inconclusive). Interviewees described how they, and some HCPs, lacked familiarity with lymphoma, seldom considering it a likely explanation for their symptoms. Symptoms reported were highly variable, frequently non-specific, and often initially thought to be associated with various benign, self-limiting causes. Blood tests and other investigations, while frequently able to detect abnormalities, did not reliably indicate malignancy. Interviewees reported the potential for improvements among HCPs in information gathering, communication of uncertainty, and re-presentation advice for non-resolving/progressive health changes.

conclusionThis study demonstrates the complex characteristics of lymphoma, perceived by patients as prolonging time to diagnosis, often despite significant effort by themselves, their relatives, and HCPs to expedite this process. The findings also illustrate why simple solutions to delayed diagnosis of lymphoma are lacking.

Indexed as

AdultAgedAged, 80 and overDelayed DiagnosisFemaleHealth Care SurveysHealth Knowledge, Attitudes, PracticeHumansInterviews as TopicLymphomaMaleMiddle AgedPatient SatisfactionPhysician-Patient RelationsQualitative ResearchReferral and Consultationcancerdiagnosisgeneral practicehelp seekinglymphomaprimary carequalitative research

Identifiers

PMID30692091
PMCPMC6355261

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.