Evidence map›Paper›PMID 38326766›Full record

ArticleBMC cancer2024

Anticipated time to seek medical advice for possible lung cancer symptoms and barriers to timely presentation in Palestine: a national cross-sectional study.

Mohamedraed Elshami, Nawras Sawafta, Ahmad Mansour, Mohammed Alser, Ibrahim Al-Slaibi, Hanan Abukmail, Hanan Shurrab, Shahd Qassem, Faten Darwish Usrof, Malik Alruzayqat and 16 more

Open access · goldAbstract read
In one paragraph

Article in BMC cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 42% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

26 authors at 6 institutions in 4 countries.

Mohamedraed Elshami *Division of Surgical Oncology, Department of Surgery, University Hospitals Cleveland Medical Center, 11100 Euclid Avenue, Lakeside 7100, Cleveland, OH, 44106, USA. mohamedraed.elshami@gmail.com.
Nawras Sawafta *Faculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Ahmad Mansour *Faculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Mohammed AlserFaculty of Medicine, Islamic University of Gaza, Gaza, Palestine.
Ibrahim Al-SlaibiAlmakassed Hospital, Jerusalem, Palestine.
Hanan AbukmailInternational Medical Corps, Gaza, Palestine.
Hanan ShurrabFaculty of Pharmacy, Al-Azhar University of Gaza, Gaza, Palestine.
Shahd QassemFaculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Faten Darwish UsrofDepartment of a Medical Laboratory Sciences, Faculty of Health Sciences, Islamic University of Gaza, Gaza City, Palestine.
Malik AlruzayqatFaculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Wafa AqelFaculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Roba NairoukhFaculty of Dentistry, Al-Quds University, Jerusalem, Palestine.
Rahaf KittanehFaculty of Nursing, An Najah National University, Nablus, Palestine.
Yousef Mahmoud Nimer HabesFaculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Obaida GhanimFaculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Wesam Almajd AabedFaculty of Dentistry, Al Azhar University of Gaza, Gaza, Palestine.
Ola OmarFaculty of Medicine, Al Najah National University, Nablus, Palestine.
Motaz DaraghmaFaculty of Medicine, Al Najah National University, Nablus, Palestine.
Jumana AljbourFaculty of Medicine, Islamic University of Gaza, Gaza, Palestine.
Razan E M ElianFaculty of Medicine, Islamic University of Gaza, Gaza, Palestine.
Areen ZuhourFaculty of Medicine, Al Najah National University, Nablus, Palestine.
Haneen HabesFaculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Mohammed Al-DadahFaculty of Medicine, Islamic University of Gaza, Gaza, Palestine.
Shurouq I AlbarqiFaculty of Pharmacy, Al-Azhar University of Gaza, Gaza, Palestine.
Bettina Bottcher *Faculty of Medicine, Islamic University of Gaza, Gaza, Palestine.
Nasser Abu-El-Noor *Faculty of Nursing, Islamic University of Gaza, Gaza, Palestine.
Al-Quds University · PSIslamic University of Gaza · PSAn-Najah National University · PSAl-Azhar University – Gaza · PSInternational Medical Corps · USUniversity Hospitals of Cleveland · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLung cancer (LC) has poor survival outcomes mainly due to diagnosis at late stages. This study explored the anticipated time to seek medical advice for possible LC symptoms and barriers to early presentation in Palestine.

methodsThis cross-sectional study recruited adult participants from hospitals, primary healthcare centers, and public spaces of 11 governorates using convenience sampling. A modified, translated-into-Arabic version of the validated LC awareness measure was used to assess LC symptom awareness, the time needed to seek medical advice and barriers to early presentation.

resultsA total of 4762 participants were included. The proportion that would immediately seek medical advice for possible LC symptoms varied according to the symptoms' nature. For respiratory symptoms, this ranged from 15.0% for 'painful cough' to 37.0% for 'coughing up blood'. For non-respiratory symptoms, this ranged from '4.2% for 'unexplained loss of appetite' to 13.8% for 'changes in the shape of fingers or nails'. Participants with good LC symptom awareness were more likely to seek medical advice within a week of recognizing most LC symptoms. About 13.0% would delay their visit to see a doctor after recognizing an LC symptom. The most reported barriers were emotional with 'disliking the visit to healthcare facilities' (59.8%) as the leading barrier.

conclusionLC respiratory symptoms were more likely to prompt early seeking of medical advice. Good LC symptom awareness was associated with a higher likelihood of help-seeking within a week. Educational interventions are needed to promote LC awareness and address the perceived barriers to early presentation in low-resource settings, such as Palestine.

Indexed as

Lung NeoplasmsAdultCross-Sectional StudiesEmotionsHealth Knowledge, Attitudes, PracticeHumansPatient Acceptance of Health CareResearch DesignAwarenessBarriersEarly diagnosisEarly presentationLung cancerPalestine

Identifiers

PMID38326766
PMCPMC10848550
OpenAlexW4391610667

What OpenQuestion holds

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LicenceCC BY
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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.