Evidence map›Paper›PMID 30693608›Full record

ArticlePsycho-oncology2019

Lung cancer symptom appraisal among people with chronic obstructive pulmonary disease: A qualitative interview study.

Yvonne Cunningham, Sally Wyke, Kevin G Blyth, Douglas Rigg, Sara Macdonald, Una Macleod, Stephen Harrow, Kathryn A Robb, Katriina L Whitaker

Abstract read
In one paragraph

Article in Psycho-oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

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

  1. Pooled it
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  14. Yonder: Traumatic brain injury, lung cancer, bariatric surgery, and screen time.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019
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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

9 authors.

Yvonne CunninghamInstitute of Health and Wellbeing, University of Glasgow, Glasgow, UK.
Sally WykeInstitute of Health and Wellbeing, University of Glasgow, Glasgow, UK.
Kevin G BlythPleural Disease Unit, Queen Elizabeth University Hospital, Glasgow, UK.
Douglas RiggKeppoch Medical Practice, Possilpark Health & Care Centre, Glasgow, UK.
Sara MacdonaldInstitute of Health and Wellbeing, University of Glasgow, Glasgow, UK.
Una MacleodFaculty of Health Sciences, Hull York Medical School, Hull, UK.
Stephen HarrowPET/CT Centre, Beatson West of Scotland Cancer Centre, Glasgow, UK.
Kathryn A RobbInstitute of Health and Wellbeing, University of Glasgow, Glasgow, UK.ORCID 0000-0002-1672-0411
Katriina L WhitakerSchool of Health Sciences, University of Surrey, Guildford, UK.ORCID 0000-0002-0947-1840

Funding

Cancer Research UK 21572Cancer Research UK C9227/A21572
6 · The paper itself

Abstract

objectiveThe incidence of lung cancer is four times higher in people with chronic obstructive pulmonary disease (COPD) compared with the general population. Promotion of a shorter time from symptom onset to presentation is one potential strategy for earlier lung cancer diagnosis, but distinguishing respiratory symptoms can be difficult. We investigated how the experience of COPD influences symptom appraisal and help seeking for potential lung cancer symptoms.

methodsWe conducted qualitative interviews with men (n = 17) and women (n = 23) aged 40 to 83 years with COPD. Topic guides drew on the integrated symptom-response framework and covered symptom experience, interpretation, action, recognition, help seeking, evaluation, and reevaluation. We used the framework method to analyse the data.

resultsParticipants said that they attributed chest symptoms to their COPD; no other cause was considered. Participants said that family/friends noticed changes in their symptoms and encouraged help seeking. Others felt isolated by their COPD because they could not get out, were fatigued, or were embarrassed. Participants visited health professionals frequently, but increased risk of lung cancer was not discussed.

conclusionsOur study provides insight into different levels of influence on symptom appraisal and targets for intervention. Greater awareness of increased lung cancer risk and support to act on symptom changes is essential and could be achieved through a concerted information campaign. Health professionals working with people with COPD could also optimise appointments to support symptom appraisal of potential lung cancer symptoms.

Indexed as

AdultAgedAged, 80 and overEarly Detection of CancerFemaleHealth Knowledge, Attitudes, PracticeHumansIncidenceMaleMiddle AgedPatient Acceptance of Health CarePulmonary Disease, Chronic ObstructiveQualitative ResearchcancerCOPDearly diagnosisoncologysymptom appraisal

Identifiers

PMID30693608
PMCPMC6492269

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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.