All Outputs (90)

Attitudes of newly qualified doctors towards a career in general practice: A qualitative focus group study (2017)
Journal Article
Merrett, A., Jones, D., Sein, K., Green, T., & Macleod, U. (2017). Attitudes of newly qualified doctors towards a career in general practice: A qualitative focus group study. The British journal of general practice : the journal of the Royal College of General Practitioners, 67(657), e253-e259. https://doi.org/10.3399/bjgp17X690221

© British Journal of General Practice 2017. Background A key element of the NHS is universal access to a GP. Recently, UK general practice has been described as being in crisis, with training places unfilled and multiple practices reporting vacancies... Read More about Attitudes of newly qualified doctors towards a career in general practice: A qualitative focus group study.

A systematic review examining reducing unplanned hospital admissions in adults with cancer (2017)
Preprint / Working Paper
Walabyeki, J., Macleod, U., Johnson, M., Dyson, J., Oliver, S., Allgar, V., Oviasu, O., Chen, H., Smith, S., & Hammond, T. A systematic review examining reducing unplanned hospital admissions in adults with cancer

Review question:
1. What interventions have been tested and have successfully reduced unplanned hospital admissions in adults with cancer?

2. What are the factors associated with unplanned hospital admissions in adults with cancer?

Multiple myeloma: routes to diagnosis, clinical characteristics and survival - findings from a UK population-based study (2017)
Journal Article
Howell, D., Smith, A., Appleton, S., Bagguley, T., Macleod, U., Cook, G., Patmore, R., & Roman, E. (2017). Multiple myeloma: routes to diagnosis, clinical characteristics and survival - findings from a UK population-based study. British journal of haematology, 177(1), 67-71. https://doi.org/10.1111/bjh.14513

Prompt cancer diagnosis may align UK survival with European averages. We examined the impact of route to diagnosis on survival for multiple myeloma patients diagnosed 2012–2013 using data from our population-based patient cohort that links to nationa... Read More about Multiple myeloma: routes to diagnosis, clinical characteristics and survival - findings from a UK population-based study.

Do colorectal cancer patients diagnosed as an emergency differ from non-emergency patients in their consultation patterns and symptoms? A longitudinal data-linkage study in England (2016)
Journal Article
Renzi, C., Lyratzopoulos, G., Card, T., Chu, T., Macleod, U., & Rachet, B. (2016). Do colorectal cancer patients diagnosed as an emergency differ from non-emergency patients in their consultation patterns and symptoms? A longitudinal data-linkage study in England. The British Journal of Cancer, 115(7), 866-875. https://doi.org/10.1038/bjc.2016.250

Background: More than 20% of colorectal cancers are diagnosed following an emergency presentation. We aimed to examine pre-diagnostic primary-care consultations and related symptoms comparing patients diagnosed as emergencies with those diagnosed thr... Read More about Do colorectal cancer patients diagnosed as an emergency differ from non-emergency patients in their consultation patterns and symptoms? A longitudinal data-linkage study in England.

Illness identity as an important component of candidacy: Contrasting experiences of help-seeking and access to care in cancer and heart disease (2016)
Journal Article
Macleod, U., Blane, D., Browne, S., Conway, E., Macdonald, S., Mair, F., & May, C. (2016). Illness identity as an important component of candidacy: Contrasting experiences of help-seeking and access to care in cancer and heart disease. Social science & medicine, 168, 101-110. https://doi.org/10.1016/j.socscimed.2016.08.022

How and when we use health services or healthcare provision has dominated exploration of and debates around healthcare access. Levels of utilisation are assumed as a proxy for access. Yet, focusing on utilisation conceals an important aspect of the a... Read More about Illness identity as an important component of candidacy: Contrasting experiences of help-seeking and access to care in cancer and heart disease.

The adaptation, face, and content validation of a needs assessment tool: progressive disease for people with interstitial lung disease (2016)
Journal Article
Boland, J. W., Reigada, C., Yorke, J., Hart, S. P., Bajwah, S., Ross, J., Wells, A., Papadopoulos, A., Currow, D. C., Grande, G., Macleod, U., & Johnson, M. J. (2016). The adaptation, face, and content validation of a needs assessment tool: progressive disease for people with interstitial lung disease. Journal of palliative medicine, 19(5), 549-555. https://doi.org/10.1089/jpm.2015.0355

Background: Irrreversible interstitial lung disease (ILD) is associated with high morbidity and mortality. Palliative care needs of patients and caregivers are not routinely assessed; there is no tool to identify needs and triage support in clinical... Read More about The adaptation, face, and content validation of a needs assessment tool: progressive disease for people with interstitial lung disease.

Mirtazapine added to selective serotonin reuptake inhibitors for treatment-resistant depression in primary care (MIR trial): Study protocol for a randomised controlled trial (2016)
Journal Article
Tallon, D., Wiles, N., Campbell, J., Chew-Graham, C., Dickens, C., Macleod, U., Peters, T. J., Lewis, G., Anderson, I. M., Gilbody, S., Hollingworth, W., Davies, S., & Kessler, D. (2016). Mirtazapine added to selective serotonin reuptake inhibitors for treatment-resistant depression in primary care (MIR trial): Study protocol for a randomised controlled trial. Trials, 17(1), Article 66. https://doi.org/10.1186/s13063-016-1199-2

© 2016 Tallon et al. Background: People with depression are usually managed in primary care and antidepressants are often the first-line treatment, but only one third of patients respond fully to a single antidepressant. This paper describes the prot... Read More about Mirtazapine added to selective serotonin reuptake inhibitors for treatment-resistant depression in primary care (MIR trial): Study protocol for a randomised controlled trial.

Family caregivers who would be unwilling to provide care at the end of life again: findings from the Health Survey for England population survey (2016)
Journal Article
Johnson, M. J., Allgar, V., Macleod, U., Jones, A., Oliver, S., & Currow, D. (2016). Family caregivers who would be unwilling to provide care at the end of life again: findings from the Health Survey for England population survey. PLoS ONE, 11(1), e0146960. https://doi.org/10.1371/journal.pone.0146960

Background Family caregivers provide significant care at the end of life. We aimed to describe caregiver characteristics, and of those unwilling to repeat this role under the same circumstances. Methods Observational study of adults in private househ... Read More about Family caregivers who would be unwilling to provide care at the end of life again: findings from the Health Survey for England population survey.

Does the use of specialist palliative care services modify the effect of socioeconomic status on place of death? A systematic review (2015)
Journal Article
Chen, H., Nicolson, D. J., MacLeod, U., Allgar, V., Dalgliesh, C., & Johnson, M. (2016). Does the use of specialist palliative care services modify the effect of socioeconomic status on place of death? A systematic review. Palliative medicine, 30(5), 434-445. https://doi.org/10.1177/0269216315602590

© SAGE Publications. Background: Cancer patients in lower socioeconomic groups are significantly less likely to die at home and experience more barriers to access to palliative care. It is unclear whether receiving palliative care may mediate the eff... Read More about Does the use of specialist palliative care services modify the effect of socioeconomic status on place of death? A systematic review.

The expanding role of primary care in cancer control (2015)
Journal Article
Rubin, G., Berendsen, A., Crawford, S. M., Dommett, R., Earle, C., Emery, J., Fahey, T., Grassi, L., Grunfeld, E., Gupta, S., Hamilton, W., Hiom, S., Hunter, D., Lyratzopoulos, G., Macleod, U., Mason, R., Mitchell, G., Neal, R. D., Peake, M., Roland, M., …Zimmermann, C. (2015). The expanding role of primary care in cancer control. The lancet oncology, 16(12), 1231-1272. https://doi.org/10.1016/S1470-2045%2815%2900205-3

© 2015 Elsevier Ltd. The nature of cancer control is changing, with an increasing emphasis, fuelled by public and political demand, on prevention, early diagnosis, and patient experience during and after treatment. At the same time, primary care is i... Read More about The expanding role of primary care in cancer control.

Low cancer suspicion following experience of a cancer 'warning sign' (2015)
Journal Article
Whitaker, K. L., Winstanley, K., Macleod, U., Scott, S. E., & Wardle, J. (2015). Low cancer suspicion following experience of a cancer 'warning sign'. European Journal of Cancer, 51(16), 2473-2479. https://doi.org/10.1016/j.ejca.2015.07.014

© 2015 The Authors. Published by Elsevier Ltd. Aim Lower socioeconomic status (SES) is associated with a higher risk of late-stage cancer diagnosis. A number of explanations have been advanced for this, but one which has attracted recent attention is... Read More about Low cancer suspicion following experience of a cancer 'warning sign'.

Risk factors for emergency presentation with lung and colorectal cancers: A systematic review (2015)
Journal Article
Mitchell, E. D., Pickwell-Smith, B., & Macleod, U. (2015). Risk factors for emergency presentation with lung and colorectal cancers: A systematic review. BMJ open, 5(4), Article e006965. https://doi.org/10.1136/bmjopen-2014-006965

© 2015, BMJ. All rights reserved. Objective: To identify patient and practitioner factors that influence cancer diagnosis via emergency presentation (EP). Design: Systematic review. Data sources: MEDLINE, EMBASE, CINAHL, EBM Reviews, Science and Soci... Read More about Risk factors for emergency presentation with lung and colorectal cancers: A systematic review.

Core intended learning outcomes for tackling health inequalities in undergraduate medicine Curriculum development (2015)
Journal Article
Williamson, A. E., Ayres, R., Allen, J., & Macleod, U. (2015). Core intended learning outcomes for tackling health inequalities in undergraduate medicine Curriculum development. BMC Medical Education, 15(1), Article 66. https://doi.org/10.1186/s12909-015-0342-1

© 2015 Williamson et al.; licensee BioMed Central. Background: Despite there being a concerted effort in recent years to influence what doctors can do to tackle health inequalities in the UK, there has been limited policy focus on what undergraduate... Read More about Core intended learning outcomes for tackling health inequalities in undergraduate medicine Curriculum development.

GPs' perceptions and experiences of public awareness campaigns for cancer: A qualitative enquiry (2015)
Journal Article
Green, T., Atkin, K., & Macleod, U. (2016). GPs' perceptions and experiences of public awareness campaigns for cancer: A qualitative enquiry. Health Expectations, 19(2), 377-387. https://doi.org/10.1111/hex.12362

© 2016 John Wiley & Sons Ltd. Background: Public awareness campaigns for cancer are used to alert the UK population to symptoms which, if experienced, should be discussed with their general practitioner (GP). More timely diagnosis of cancer is assu... Read More about GPs' perceptions and experiences of public awareness campaigns for cancer: A qualitative enquiry.

Correction: Attributions of cancer 'alarm' symptoms in a community sample (2015)
Journal Article
Whitaker, K. L., Scott, S. E., Winstanley, K., Macleod, U., & Wardle, J. (2015). Correction: Attributions of cancer 'alarm' symptoms in a community sample. PLoS ONE, 10(3), Article e0118418. https://doi.org/10.1371/journal.pone.0118418

In Table 1, the (N) value in the “*Cough or hoarseness” column in the last row is incorrectly recorded as 1469. The (N) value should be 149. Please see the corrected Table 1 here.

Is increased time to diagnosis and treatment in symptomatic cancer associated with poorer outcomes? Systematic review (2015)
Journal Article
Neal, R. D., Tharmanathan, P., France, B., Din, N. U., Cotton, S., Fallon-Ferguson, J., Hamilton, W., Hendry, A., Hendry, M., Lewis, R., Macleod, U., Mitchell, E. D., Pickett, M., Rai, T., Shaw, K., Stuart, N., Tørring, M. L., Wilkinson, C., Williams, B., Williams, N., & Emery, J. (2015). Is increased time to diagnosis and treatment in symptomatic cancer associated with poorer outcomes? Systematic review. The British Journal of Cancer, 112, S92-S107. https://doi.org/10.1038/bjc.2015.48

© 2015 Cancer Research UK. Background: It is unclear whether more timely cancer diagnosis brings favourable outcomes, with much of the previous evidence, in some cancers, being equivocal. We set out to determine whether there is an association betwee... Read More about Is increased time to diagnosis and treatment in symptomatic cancer associated with poorer outcomes? Systematic review.

Cancer detection in primary care: Insights from general practitioners (2015)
Journal Article
Green, T., Atkin, K., & Macleod, U. (2015). Cancer detection in primary care: Insights from general practitioners. The British Journal of Cancer, 112, S41-S49. https://doi.org/10.1038/bjc.2015.41

© 2015 Cancer Research UK. Background: General practitioners (GPs) have a key role in cancer detection as the usual first point of contact for patients with potential cancer symptoms. Nevertheless, there is limited work that investigates their percep... Read More about Cancer detection in primary care: Insights from general practitioners.

The role of primary care in cancer diagnosis via emergency presentation: qualitative synthesis of significant event reports (2015)
Journal Article
Mitchell, E. D., Rubin, G., Merriman, L., & Macleod, U. (2015). The role of primary care in cancer diagnosis via emergency presentation: qualitative synthesis of significant event reports. The British Journal of Cancer, 112(S1), S50-S56. https://doi.org/10.1038/bjc.2015.42

Background:
Patients diagnosed with cancer in the context of an emergency presentation (EP) have poorer outcomes. It is often assumed that such patients present to the emergency department without consulting their general practitioner (GP). Little w... Read More about The role of primary care in cancer diagnosis via emergency presentation: qualitative synthesis of significant event reports.

Embedding electronic decision-support tools for suspected cancer in primary care: a qualitative study of GPs' experiences (2015)
Journal Article
Dikomitis, L., Green, T., & Macleod, U. (2015). Embedding electronic decision-support tools for suspected cancer in primary care: a qualitative study of GPs' experiences. Primary health care research & development, 16(6), 548-555. https://doi.org/10.1017/S1463423615000109

Aim: The purpose of this evaluation was to obtain views from general practitioners (GPs) who piloted the electronic risk assessment tools (eRATs) for suspected lung or colorectal cancer. We wanted to find out whether GPs were able to integrate these... Read More about Embedding electronic decision-support tools for suspected cancer in primary care: a qualitative study of GPs' experiences.

Help seeking for cancer 'alarm' symptoms: A qualitative interview study of primary care patients in the UK (2015)
Journal Article
Whitaker, K. L., Macleod, U., Winstanley, K., Scott, S. E., & Wardle, J. (2015). Help seeking for cancer 'alarm' symptoms: A qualitative interview study of primary care patients in the UK. The British journal of general practice : the journal of the Royal College of General Practitioners, 65(631), e96-e105. https://doi.org/10.3399/bjgp15X683533

©British Journal of General Practice Background: Delay in help seeking for cancer 'alarm' symptoms has been identified as a contributor to delayed diagnosis. Aim: To understand people's help-seeking decision making for cancer alarm symptoms, without... Read More about Help seeking for cancer 'alarm' symptoms: A qualitative interview study of primary care patients in the UK.