Evidence map›Paper›PMID 33284856›Full record

ArticlePloS one2020

The route to diagnosis of sarcoma patients: Results from an interview study in the Netherlands and the United Kingdom.

Vicky L M N Soomers, Winette T A van der Graaf, Shane Zaidi, Suzanne E J Kaal, Andrew J Hayes, Bart H W B Schreuder, Robin L Jones, Ingrid M E Desar, Olga Husson

Abstract read
In one paragraph

Article in PloS one, 2020. 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. Observational
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  7. Observational
  8. Diagnostic trajectories of patients with rare cancer in the Netherlands: results from a nationwide cross-sectional survey.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
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  11. Observational
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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.

Vicky L M N SoomersRadboudumc, Nijmegen, The Netherlands.ORCID 0000-0003-0019-3968
Winette T A van der GraafRadboudumc, Nijmegen, The Netherlands.
Shane ZaidiRoyal Marsden Hospital NHS Foundation Trust, London, United Kingdom.
Suzanne E J KaalRadboudumc, Nijmegen, The Netherlands.
Andrew J HayesRoyal Marsden Hospital NHS Foundation Trust, London, United Kingdom.
Bart H W B SchreuderRadboudumc, Nijmegen, The Netherlands.
Robin L JonesRoyal Marsden Hospital NHS Foundation Trust, London, United Kingdom.
Ingrid M E DesarRadboudumc, Nijmegen, The Netherlands.
Olga HussonAntoni van Leeuwenhoekziekenhuis, Amsterdam, The Netherlands.ORCID 0000-0002-1387-8686

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSarcomas are rare tumours. Early diagnosis is challenging, but important for local control and potentially survival and quality of life(QoL). We investigated (1)the route to diagnosis (RtD) experienced by sarcoma patients, including factors contributing to the length of the RtD from patients' perspective; (2)the impact of the RtD on QoL and care satisfaction; and (3)differences in aims 1-2 between English and Dutch patients.

methodsFifteen sarcoma patients from The Royal Marsden Hospital, United Kingdom, and Radboud University Medical Centre, The Netherlands, were interviewed, exploring RtD experiences. Interviews were analysed according to qualitative content analysis.

resultsThe main themes were: patient interval, diagnostic interval, reflection on the RtD and recommendations for improvement. Patient interval was long if symptoms were attributed as benign, did not interfere with daily life or were expected to cease. An incorrect working diagnosis, ineffective process of additional investigations, long referral times and lack of a lead clinician lengthened the diagnostic interval. Long waiting times, false reassurance and inadequate information provision led to dissatisfaction and a high emotional burden. Factors for improvement included increasing awareness of patients and healthcare providers, empowering patients, and having a lead clinician.

conclusionThe RtD of sarcoma patients is complex. Increasing awareness of patients and healthcare providers may contribute to shorten the RtD.

Indexed as

AdultDecision MakingFemaleHumansInterviews as TopicMaleMiddle AgedNetherlandsPatient SatisfactionQuality of LifeSarcomaSoft Tissue NeoplasmsSurveys and QuestionnairesUnited Kingdom

Identifiers

PMID33284856
PMCPMC7721153

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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.