Evidence map›Paper›PMID 36447409›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2023

Women's experiences along the ovarian cancer diagnostic pathway in Catalonia: A qualitative study.

Carmen Vela-Vallespín, Laura Medina-Perucha, Constanza Jacques-Aviñó, Núria Codern-Bové, Meggan Harris, Josep M Borras, Mercè Marzo-Castillejo

Open access · goldAbstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

14 citing papers in PubMed, 19 citations in OpenAlex.

  1. Multidisciplinary management of advanced ovarian cancer in Spain: expert recommendations for achieving maximum survival and improving patient care.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  2. The Educational Value of the Missed Opportunity.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026
    Article
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  10. Experiences of people with Long Covid with a digital physiotherapy intervention: A qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
  11. Article
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  14. Women's experiences along the ovarian cancer diagnostic pathway in Catalonia: A qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2023
    Article
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

7 authors at 3 institutions in 2 countries.

Carmen Vela-VallespínPrimary Health Care Center Riu Nord i Riu Sud, Catalan Health Institut, Barcelona, Spain.ORCID 0000-0002-7771-2749
Laura Medina-PeruchaUnitat Transversal de la Recerca, Fundació Institut Universitari per a la Recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, Spain.ORCID 0000-0002-2981-2614
Constanza Jacques-AviñóUnitat Transversal de la Recerca, Fundació Institut Universitari per a la Recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, Spain.ORCID 0000-0001-8506-780X
Núria Codern-BovéDepartment of Nursing, Escola Universitària d'Infermeria i Teràpia Ocupacional de Terrassa, Universitat Autònoma Barcelona, Barcelona, Spain.ORCID 0000-0003-0210-7488
Meggan HarrisIndependent Researcher, Valencia, Spain.ORCID 0000-0003-0511-5395
Josep M BorrasDepartment Clinical Sciences, Bellvitge Biomedical Research Institute (IDIBELL), University of Barcelona, Barcelona, Spain.ORCID 0000-0001-7330-6308
Mercè Marzo-CastillejoResearch Support Unit Metropolitana Sud, University Institute for Primary Health Care Research IDIAPJordi Gol, Barcelona, Spain.ORCID 0000-0002-1201-3090
Universitat Autònoma de Barcelona · ESInstitut Universitari d'Investigació en Atenció Primària Jordi Gol · ESInstitut d'Investigació Biomédica de Bellvitge · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEarly detection of symptoms and prompt diagnosis of ovarian cancer are considered important avenues for improving patient experiences and outcomes.

methodsThis qualitative study used a phenomenological approach to perform patient interviews, collecting individual accounts of the prediagnostic phase in women diagnosed and treated for ovarian cancer in 2016-2017. Purposive sampling was used to obtain a diverse sample of 24 participants, while thematic content analysis was used to extract themes and subthemes from interview data.

resultsThree themes and nine subthemes were identified. The first theme was women's delay in recognizing symptoms and seeking care, with subthemes on the lack of knowledge about early signs of ovarian cancer, gender-related barriers and false reassurance from negative test results. A second theme was missed opportunities during healthcare encounters, due to misattribution of women's symptoms by their physicians, underestimation of symptom severity and need for mediation and inadequate tests and/or false negative results. Finally, interviews highlighted the use of resources and alternative healthcare pathways, including complementary/alternative medicines, access to private health care and women's capacity for action and decision-making (agency) about their health.

conclusionDelayed diagnosis of ovarian cancer is rooted in both individual factors (lack of health literacy, reluctance to seek care) and systemic issues (missed opportunities in healthcare encounters, access to timely specialist care). Further research is needed to investigate the extent to which traditional gender roles and socioeconomic inequalities condition women's ability to manage their own health and to interact with health professionals and the health system. PATIENT AND PUBLIC CONTRIBUTION: In addition to the patient participation during the interviews, one author was a representative of a patient association.

Indexed as

Delivery of Health CareOvarian NeoplasmsFemaleHumansQualitative ResearchSpainearly detectionhealthcare seekingovarian cancerprehospital careprimary health carequalitative researchwomen

Identifiers

PMID36447409
PMCPMC9854297
OpenAlexW4310709957

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.