Evidence map›Paper›PMID 38232984›Full record

ReviewBMJ open quality2024

Mixed methods study of attitudes on location of gynaecological oncology outpatient care: a patient and healthcare professional questionnaire.

Rebecca Newhouse, Victoria Cullimore, Emily Hotton, Hilary Maxwell, Eleanor Jones, Jo Morrison

Abstract readReview
In one paragraph

Review in BMJ open quality, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Rebecca NewhouseDepartment of Gynaecological Oncology, GRACE Centre, Somerset NHS Foundation Trust, Taunton, Somerset, UK.
Victoria CullimoreObstetrics and Gynaecology, University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK.
Emily HottonWomen and Children's Research, North Bristol NHS Trust Southmead Hospital, Bristol, UK.
Hilary MaxwellWomen's Health Department, Dorset County Hospital NHS Foundation Trust, Dorchester, Dorset, UK.
Eleanor JonesDepartment of Obstetrics and Gynaecology, Saint Mary's Hospital, Manchester University NHS Foundation Trust, Manchester, UK.
Jo MorrisonDepartment of Gynaecological Oncology, GRACE Centre, Somerset NHS Foundation Trust, Taunton, Somerset, UK jo.morrison@SomersetFT.nhs.uk.ORCID 0000-0003-0000-520X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveGynaecological oncology place of care is often based on evolution of services, along historical professional boundaries, rather than user needs or preferences. We aimed to assess existing evidence, gather views of patients in the UK on their preferred place of outpatient care for gynaecological malignancies and evaluate alignment with preferences of healthcare professionals (HCP).

methodsWe performed a mixed methods study, including a scoping review, a patient survey and a healthcare practitioner questionnaire. We collected quantitative and qualitative data, performing content analysis to determine current practice and impact on patients.

resultsNo studies were identified in our scoping review. We received responses from 159 patients and 54 gynaecological oncology HCPs. There was a strong preference for a dedicated gynaecological oncology setting (89% somewhat or very happy) (p<0.0001). Fifty-three percent of patients were somewhat or very unhappy to have care colocated with general obstetrics and gynaecology services. Specifically, two key themes were identified through content analysis of qualitative data from patients: 'environment and getting this right is vital'; and 'our cancer should be the priority'. HCPs underestimated the strong patient preference to be seen in dedicated units. Of those who see patients within general obstetrics and gynaecology, only 50% said patients were seen at separate times/locations from obstetric patients.

conclusionThis study demonstrates the significant impact of place of care on gynaecological oncology patients, which may be underestimated by HCPs.

Indexed as

Genital Neoplasms, FemaleGynecologyAmbulatory CareDelivery of Health CareFemaleHumansPregnancySurveys and QuestionnairesHealthcare quality improvementObstetrics and gynecologyPatient-centred carePatient Preference

Identifiers

PMID38232984
PMCPMC10806580

What OpenQuestion holds

Textmetadata
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.