Evidence map›Paper›PMID 30858332›Full record

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

Missed opportunities for diagnosing brain tumours in primary care: a qualitative study of patient experiences.

Fiona M Walter, Clarissa Penfold, Alexis Joannides, Smiji Saji, Margaret Johnson, Colin Watts, Andrew Brodbelt, Michael D Jenkinson, Stephen J Price, Willie Hamilton and 1 more

Open access · hybridAbstract 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 28 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 3 pooled it
6.9field-weighted citation impact, top 3% 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

28 citing papers in PubMed, 3 syntheses or guidelines pooled it, 45 citations in OpenAlex.

  1. Pooled it
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  3. Interventions to reduce the time to diagnosis of brain tumours.The Cochrane database of systematic reviews · 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

11 authors at 3 institutions in 1 country.

Fiona M WalterPrimary Care Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge.
Clarissa PenfoldPrimary Care Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge.
Alexis JoannidesSchool of Clinical Medicine, Department of Clinical Neurosciences, Division of Neurosurgery, University of Cambridge, Cambridge.
Smiji SajiSchool of Clinical Medicine, Department of Clinical Neurosciences, Division of Neurosurgery, University of Cambridge, Cambridge.
Margaret JohnsonC/O University of Cambridge, Cambridge, Institute of Cancer and Genomic Sciences, University of Birmingham, Birmingham.
Colin WattsInstitute of Cancer and Genomic Sciences, University of Birmingham, Birmingham.
Andrew BrodbeltUniversity of Liverpool and Walton Centre NHS Trust, Liverpool.
Michael D JenkinsonUniversity of Liverpool and Walton Centre NHS Trust, Liverpool.
Stephen J PriceDepartment of Clinical Neurosciences, Division of Neurosurgery, University of Cambridge, Cambridge.
Willie HamiltonUniversity of Exeter Medical School, Exeter.
Suzanne E ScottCentre for Oral, Clinical and Translational Science, Faculty of Dentistry, Oral and Craniofacial Sciences, King's College London, London.
University of Cambridge · GBUniversity of Birmingham · GBUniversity of Exeter · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBrain tumours are uncommon, and have extremely poor outcomes. Patients and GPs may find it difficult to recognise early symptoms because they are often non-specific and more likely due to other conditions.

aimTo explore patients' experiences of symptom appraisal, help seeking, and routes to diagnosis. DESIGN AND

settingQualitative study set in the East and North West of England.

methodIn-depth interviews with adult patients recently diagnosed with a primary brain tumour and their family members were analysed thematically, using the Model of Pathways to Treatment as a conceptual framework.

resultsInterviews were carried out with 39 patients. Few participants (

conclusionMultiple subtle changes and frequent GP visits often precede brain tumour diagnosis, giving possible diagnostic opportunities for GPs. Refined community symptom awareness and GP guidance could enable more direct pathways to diagnosis, and potentially improve patient experiences and outcomes.

Indexed as

Brain NeoplasmsPrimary Health CareAdultCritical PathwaysEnglandFemaleGeneral PractitionersHealth Knowledge, Attitudes, PracticeHelp-Seeking BehaviorHumansMaleMiddle AgedPhysician-Patient RelationsQualitative ResearchQuality ImprovementSymptom Assessmentcentral nervous system neoplasmsdiagnosisprimary brain neoplasmsprimary caresymptoms

Identifiers

PMID30858332
PMCPMC6428480
OpenAlexW2921346596

What OpenQuestion holds

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LicenceCC BY-NC
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.