Sarah Smith
Reducing the time before consulting with symptoms of Lung cancer: a randomised controlled trial in primary care
Smith, Sarah; Fielding, Shona; Murchie, Peter; Johnston, Marie; Wyke, Sally; Powell, Rachael; Devereux, Graham; Nicolson, Marianne; Wilson, Phil; Ritchie, Lewis; Lee, Amanda J.; Campbell, Neil C.; Macleod, Una
Authors
Shona Fielding
Peter Murchie
Marie Johnston
Sally Wyke
Rachael Powell
Graham Devereux
Marianne Nicolson
Phil Wilson
Lewis Ritchie
Amanda J. Lee
Neil C. Campbell
Professor Una Macleod U.M.Macleod@hull.ac.uk
Professor of Primary Care Medicine
Abstract
Background Most individuals with lung cancer have symptoms for several months before presenting to their GP. Earlier consulting may improve survival. Aim To evaluate whether a theory-based primary care intervention increased timely consulting of individuals with symptoms of lung cancer. Design and setting Open randomised controlled trial comparing intervention with usual care in two general practices in north-east Scotland. Method Smokers and ex-smokers aged ≥55 years were randomised to receive a behavioural intervention or usual care. The intervention comprised a single nurse consultation at participants' general practice and a self-help manual. The main outcomes were consultations within target times for individuals with new chest symptoms (≤3 days haemoptysis, ≤3 weeks other symptoms) in the year after the intervention commenced, and intentions about consulting with chest symptoms at 1 and 6 months. Results Two hundred and twelve participants were randomised and 206 completed the trial. The consultation rate for new chest symptoms in the intervention group was 1.19 (95% confidence interval [CI] = 0.92 to 1.53;P= 0.18) times higher than in the usual-care group and the proportion of consultations within the target time was 1.11 (95% CI = 0.41 to 3.03;P= 0.83) times higher. One month after the intervention commenced, the intervention group reported intending to consult with chest symptoms 31 days (95% CI = 7 to 54;P= 0.012) earlier than the usual care group, and at 6 months this was 25 days (95% CI = 1.5 to 48;P= 0.037) earlier. Conclusion Behavioural intervention in primary care shortened the time individuals at high risk of lung disease intended to take before consulting with new chest symptoms (the secondary outcome of the study), but increases in consultation rates and the proportions of consultations within target times were not statistically significant.
Citation
Smith, S., Fielding, S., Murchie, P., Johnston, M., Wyke, S., Powell, R., Devereux, G., Nicolson, M., Wilson, P., Ritchie, L., Lee, A. J., Campbell, N. C., & Macleod, U. (2013). Reducing the time before consulting with symptoms of Lung cancer: a randomised controlled trial in primary care. The British journal of general practice : the journal of the Royal College of General Practitioners, 63(606), 47-54. https://doi.org/10.3399/bjgp13x660779
Journal Article Type | Article |
---|---|
Acceptance Date | Jan 1, 2013 |
Publication Date | Jan 1, 2013 |
Journal | British Journal of General Practice |
Print ISSN | 0960-1643 |
Publisher | Royal College of General Practitioners |
Peer Reviewed | Peer Reviewed |
Volume | 63 |
Issue | 606 |
Pages | 47-54 |
DOI | https://doi.org/10.3399/bjgp13x660779 |
Keywords | Family Practice |
Public URL | https://hull-repository.worktribe.com/output/429131 |
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