ArticleBJGP open2021
Evaluating the delay prior to primary care presentation in patients with lung cancer: a cohort study.
Article in BJGP open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Diagnostic pathways for lung cancer patients in Denmark: General practice events, first referral and stage at diagnosis.Acta oncologica (Stockholm, Sweden) · 2026Article
- Self-request chest x-ray services-reducing barriers to diagnosis of lung cancer.The British journal of radiology · 2025Article
- Smoking status, symptom significance and healthcare seeking with lung cancer symptoms in the Danish general population.NPJ primary care respiratory medicine · 2025Article
- Facilitators and barriers to help-seeking behavior for symptoms in patients with lung cancer in China-a qualitative study.Frontiers in psychology · 2025Article
- Evaluating the Time Interval Between Symptoms Onset, Diagnosis, and Therapeutic Intervention in Lung Cancer: A Cross-Sectional Study in Southern Iran.Cancer reports (Hoboken, N.J.) · 2024Article
- Incidental pulmonary nodules may lead to a high proportion of early-stage lung cancer: but it requires more than a high CT volume to achieve this.European clinical respiratory journal · 2024Article
- A population-based study on social inequality and barriers to healthcare-seeking with lung cancer symptoms.NPJ primary care respiratory medicine · 2022Article
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLittle is known about 'within-patient delay', which is the time from first symptom of lung cancer to contacting primary care.
aimPrimary outcomes were length of within-patient delay and the proportion of total delay it represents. Secondary outcomes were factors causing delay and survival. DESIGN &
settingA cohort study of newly diagnosed patients with lung cancer at two hospitals in Norfolk.
methodPatients completed questionnaires regarding onset of symptoms, whether they had delayed, and their reasons. GPs completed correlating questionnaires. Pathway times and other data were extracted from cancer registry and hospital records, and outcomes obtained prospectively. Factors causing delay were compared using ratios of geometric means.
resultsIn 379 patients, mean within-patient delay and pre-secondary care delay were 188.6 days and 241 days (61.4% and 78.5% of total delay, respectively). It was found that 38.8% of patients felt they had delayed. Patient-related causes of delay were denial (ratio of means [ROM] = 4.36;
conclusionUsing smoking registers, awareness literature, and self-care manuals, primary care staff could liaise with people who have ever smoked regarding their symptoms to ensure early referral to secondary care.
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