Evidence map›Paper›PMID 36543386›Full record

ArticleBJGP open2023

Earlier cancer diagnosis in primary care: a feasibility economic analysis of ThinkCancer!

Bethany Fern Anthony, Stefanie Disbeschl, Nia Goulden, Annie Hendry, Julia Hiscock, Zoe Hoare, Jessica Roberts, Jan Rose, Alun Surgey, Nefyn Howard Williams and 4 more

Abstract read
In one paragraph

Article in BJGP open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Trial
  2. Educational Interventions to Reduce Cancer Diagnostic Delays in Primary Care: A Scoping Review.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026
    Review
  3. Article
  4. 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

14 authors.

Bethany Fern AnthonyCentre for Health Economics and Medicines Evaluation (CHEME), Bangor University, Bangor, UK b.anthony@bangor.ac.uk.ORCID https://orcid.org/0000-0002-2593-1069
Stefanie DisbeschlNorth Wales Centre for Primary Care Research, Bangor University, Bangor, UK.
Nia GouldenNWORTH, Bangor University, Bangor, UK.
Annie HendryNorth Wales Centre for Primary Care Research, Bangor University, Bangor, UK.
Julia HiscockNorth Wales Centre for Primary Care Research, Bangor University, Bangor, UK.
Zoe HoareNWORTH, Bangor University, Bangor, UK.
Jessica RobertsNorth Wales Centre for Primary Care Research, Bangor University, Bangor, UK.
Jan RoseNational Cancer Research Institute (NCRI), Consumer Member, London, UK.
Alun SurgeyNorth Wales Centre for Primary Care Research, Bangor University, Bangor, UK.
Nefyn Howard WilliamsDepartment of Primary Care and Mental Health, University of Liverpool, Liverpool, UK.ORCID https://orcid.org/0000-0002-8078-409X
Daniel WalkerNorth Wales Centre for Primary Care Research, Bangor University, Bangor, UK.
Richard NealCollege of Medicine and Health, University of Exeter, Exeter, UK.
Clare WilkinsonNorth Wales Centre for Primary Care Research, Bangor University, Bangor, UK.
Rhiannon Tudor EdwardsCentre for Health Economics and Medicines Evaluation (CHEME), Bangor University, Bangor, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUK cancer survival rates are much lower compared with other high-income countries. In primary care, there are opportunities for GPs and other healthcare professionals to act more quickly in response to presented symptoms that might represent cancer. ThinkCancer! is a complex behaviour change intervention aimed at primary care practice teams to improve the timely diagnosis of cancer.

aimTo explore the costs of delivering the ThinkCancer! intervention to expedite cancer diagnosis in primary care. DESIGN &

settingFeasibility economic analysis using a micro-costing approach, which was undertaken in 19 general practices in Wales, UK.

methodFrom an NHS perspective, micro-costing methodology was used to determine whether it was feasible to gather sufficient economic data to cost the ThinkCancer!

interventionOwing to the COVID-19 pandemic, ThinkCancer! was mainly delivered remotely online in a digital format. Budget impact analysis (BIA) and sensitivity analysis were conducted to explore the costs of face-to-face delivery of the ThinkCancer! intervention as intended pre-COVID-19.

resultsThe total costs of delivering the ThinkCancer! intervention across 19 general practices in Wales was £25 030, with an average cost per practice of £1317 (standard deviation [SD]: 578.2). Findings from the BIA indicated a total cost of £34 630 for face-to-face delivery.

conclusionData collection methods were successful in gathering sufficient health economics data to cost the ThinkCancer!

interventionResults of this feasibility study will be used to inform a future definitive economic evaluation alongside a pragmatic randomised controlled trial (RCT).

Indexed as

early cancer diagnosisfeasibility studiesgeneral practicehealth care economics and organizationsprimary health care

Identifiers

PMID36543386
PMCPMC10354333

What OpenQuestion holds

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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.