SynthesisThe British journal of general practice : the journal of the Royal College of General Practitioners2026
Why aren't they used? Systematic review of barriers to implementation of clinical decision support systems for early cancer detection in primary care.
Synthesis in The British journal of general practice : the journal of the Royal College of General Practitioners, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
backgroundEarly cancer detection is crucial for patient outcomes. Clinical decision support systems (CDSSs) have been developed to assist with decision making about screening or symptomatic assessment in primary care, but implementation remains challenging.
aimTo compare barriers to implementation of cancer-specific CDSSs for screening and symptomatic presentation in primary care. DESIGN AND
settingSystematic mixed-methods literature review.
methodA subanalysis within a systematic review was conducted. Qualitative and quantitative data on barriers were coded into themes guided by the Theoretical Domains Framework. Frequencies of studies mentioning barriers were compared between CDSSs for cancer detection and other conditions, and between cancer-specific CDSSs for screening and symptomatic presentation.
resultsIn total, 29 cancer-specific CDSSs were identified, addressing screening (
conclusionThe function and healthcare context of CDSSs in the diagnostic process (symptomatic assessment or screening decision making) appears to be more relevant to implementation than the targeted condition. Involving stakeholders to clarify medicolegal issues and workflow integration is essential for the implementation of CDSSs for symptomatic presentation.
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