All Outputs (172)

Understanding diagnosis of lung cancer in primary care: qualitative synthesis of significant event audit reports (2013)
Journal Article
Mitchell, E. D., Rubin, G., & Macleod, U. (2013). Understanding diagnosis of lung cancer in primary care: qualitative synthesis of significant event audit reports. The British journal of general practice : the journal of the Royal College of General Practitioners, 63(606), e37-e46. https://doi.org/10.3399/bjgp13X660760

Background Most lung cancers present symptomatically, but the pathway to diagnosis in primary care can be complex and is poorly understood. Significant event audit (SEA) is a quality improvement technique widely used in UK general practice. Aim To ga... Read More about Understanding diagnosis of lung cancer in primary care: qualitative synthesis of significant event audit reports.

Developing a community-based intervention to improve quality of life in people with colorectal cancer: A complex intervention development study (2013)
Journal Article
Gray, N. M., Allan, J. L., Murchie, P., Browne, S., Hall, S., Hubbard, G., Johnston, M., Lee, A. J., McKinley, A., Macleod, U., Presseau, J., Samuel, L., Wyke, S., & Campbell, N. C. (2013). Developing a community-based intervention to improve quality of life in people with colorectal cancer: A complex intervention development study. BMJ open, 3(4), Article e002596. https://doi.org/10.1136/bmjopen-2013-002596

Objectives: To develop and pilot a theory and evidence-based intervention to improve quality of life (QoL) in people with colorectal cancer. Design: A complex intervention development study. Setting: North East Scotland and Glasgow. Participants: Sem... Read More about Developing a community-based intervention to improve quality of life in people with colorectal cancer: A complex intervention development study.

Early mortality from colorectal cancer in England: A retrospective observational study of the factors associated with death in the first year after diagnosis (2013)
Journal Article
Downing, A., Aravani, A., MacLeod, U., Oliver, S., Finan, P. J., Thomas, J. D., Quirke, P., Wilkinson, J. R., & Morris, E. J. (2013). Early mortality from colorectal cancer in England: A retrospective observational study of the factors associated with death in the first year after diagnosis. The British Journal of Cancer, 108(3), 681-685. https://doi.org/10.1038/bjc.2012.585

Background: The United Kingdom performs poorly in international comparisons of colorectal cancer survival with much of the deficit owing to high numbers of deaths close to the time of diagnosis. This retrospective cohort study investigates the patien... Read More about Early mortality from colorectal cancer in England: A retrospective observational study of the factors associated with death in the first year after diagnosis.

Reducing the time before consulting with symptoms of Lung cancer: a randomised controlled trial in primary care (2013)
Journal Article
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

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 indi... Read More about Reducing the time before consulting with symptoms of Lung cancer: a randomised controlled trial in primary care.

Evaluation of risk assessment tools for suspected cancer in general practice: a cohort study (2013)
Journal Article
Hamilton, W., Green, T., Martins, T., Elliott, K., Rubin, G., & Macleod, U. (2013). Evaluation of risk assessment tools for suspected cancer in general practice: a cohort study. The British journal of general practice : the journal of the Royal College of General Practitioners, 63(606), 30-36. https://doi.org/10.3399/bjgp13X660751

Background: Diagnostic delay is deemed to account for an estimated 5000 to 10 000 extra cancer deaths each year in the UK. Many cancer patients do not have symptoms meeting national referral criteria for rapid investigation. Risk assessment tools (RA... Read More about Evaluation of risk assessment tools for suspected cancer in general practice: a cohort study.

A pilot randomised controlled trial to reduce suffering and emotional distress in patients with advanced cancer (2012)
Journal Article
Lloyd-Williams, M., Cobb, M., O'Connor, T., Dunn, L., & Shiels, C. (2013). A pilot randomised controlled trial to reduce suffering and emotional distress in patients with advanced cancer. Journal of affective disorders, 148(1), 141 - 145. https://doi.org/10.1016/j.jad.2012.11.013

Introduction: A pilot trial was carried out to determine if a focussed narrative interview could alleviate the components of suffering and anxiety and depression in advanced cancer patients. InterventionPatients recruited were invited to participate... Read More about A pilot randomised controlled trial to reduce suffering and emotional distress in patients with advanced cancer.

In search of the cancer candidate: Can lay epidemiology help? (2012)
Journal Article
Macdonald, S., Watt, G., & Macleod, U. (2013). In search of the cancer candidate: Can lay epidemiology help?. Sociology of Health and Illness, 35(4), 575-591. https://doi.org/10.1111/j.1467-9566.2012.01513.x

First published in 1991, the ideas embedded in 'Lay epidemiology and the prevention paradox' offered a novel and rational explanation for the lay public's failure to fully engage with the lifestyle messages offered by health educators. During the cou... Read More about In search of the cancer candidate: Can lay epidemiology help?.

Developing a complex intervention to reduce time to presentation with symptoms of lung cancer (2012)
Journal Article
Smith, S. M., Murchie, P., Devereux, G., Johnston, M., Lee, A. J., Macleod, U., Nicolson, M. C., Powell, R., Ritchie, L. D., Wyke, S., & Campbell, N. C. (2012). Developing a complex intervention to reduce time to presentation with symptoms of lung cancer. The British journal of general practice : the journal of the Royal College of General Practitioners, 62(602), e605-e615. https://doi.org/10.3399/bjgp12X654579

Background: Lung cancer is the commonest cause of cancer in Scotland and is usually advanced at diagnosis. Median time between symptom onset and consultation is 14 weeks, so an intervention to prompt earlier presentation could support earlier diagnos... Read More about Developing a complex intervention to reduce time to presentation with symptoms of lung cancer.

Longitudinal trajectories of awareness in early-stage dementia (2012)
Journal Article
Clare, L., Nelis, S. M., Martyr, A., Whitaker, C. J., Marková, I. S., Roth, I., Woods, R. T., & Morris, R. G. (2012). Longitudinal trajectories of awareness in early-stage dementia. Alzheimer Disease and Associated Disorders, 26(2), 140-147. https://doi.org/10.1097/WAD.0b013e31822c55c4

Although it is often assumed that awareness decreases as dementia severity increases, there is limited evidence regarding changes in awareness over time. We examined awareness in 101 individuals with early-stage dementia (PwD) and their carers; 66 we... Read More about Longitudinal trajectories of awareness in early-stage dementia.

Marital relationship quality in early-stage dementia: Perspectives from people with dementia and their spouses (2012)
Journal Article
Martyr, A., Clare, L., Nelis, S. M., Markova, I. S., Roth, I., Woods, R. T., Whitaker, C. J., & Morris, R. G. (2012). Marital relationship quality in early-stage dementia: Perspectives from people with dementia and their spouses. Alzheimer Disease and Associated Disorders, 26(2), 148-158. https://doi.org/10.1097/WAD.0b013e318221ba23

Spouse caregivers of people with dementia (PwD) report relatively poor marital relationship quality (RQ), but few studies have obtained the perspective of the PwD, examined discrepancies between spouses, or considered changes in RQ over time. This st... Read More about Marital relationship quality in early-stage dementia: Perspectives from people with dementia and their spouses.

Verbal fluency and awareness of functional deficits in early-stage dementia (2012)
Journal Article
Marková, I. S., Woods, R. T., Whitaker, C. J., Markova, I., Clare, L., Martyr, A., Morris, R. G., Nelis, S. M., Roth, I., Whitaker, C., & Woods, R. (2012). Verbal fluency and awareness of functional deficits in early-stage dementia. Clinical Neuropsychologist, 26(3), 501-519. https://doi.org/10.1080/13854046.2012.665482

Assessment of activities of daily living is an important element in the diagnosis of dementia, with research suggesting a link between functional ability and cognition. We investigated the relationship between self- and informant ratings of instrumen... Read More about Verbal fluency and awareness of functional deficits in early-stage dementia.

ICDs in end-stage heart failure (2012)
Journal Article
Pettit, S. J., Browne, S., Hogg, K. J., Connelly, D. T., Gardner, R. S., May, C. R., Macleod, U., & Mair, F. S. (2012). ICDs in end-stage heart failure. BMJ Supportive & Palliative Care, 2(2), 94-97. https://doi.org/10.1136/bmjspcare-2011-000176

Implantable cardioverter defibrillators (ICDs) reduce mortality in selected patients with chronic heart failure but prognostic benefit is likely to attenuate with progression to end-stage heart failure. The incidence of multiple futile ICD shocks bef... Read More about ICDs in end-stage heart failure.

Patients' needs following colorectal cancer diagnosis: where does primary care fit in? (2011)
Journal Article
Browne, S., Dowie, A., Mitchell, E. D., Wyke, S., Ziebland, S., Campbell, N., & Macleod, U. (2011). Patients' needs following colorectal cancer diagnosis: where does primary care fit in?. The British journal of general practice : the journal of the Royal College of General Practitioners, 61(592), e692 - e699. https://doi.org/10.3399/bjgp11x606582

Background Colorectal cancer is the third most common cancer in the UK. Patients with colorectal cancer spend most of their time in the community, but the role of primary care in their management and follow-up is unclear. Aim To explore colorectal ca... Read More about Patients' needs following colorectal cancer diagnosis: where does primary care fit in?.

Modifiable and fixed factors predicting quality of life in people with colorectal cancer (2011)
Journal Article
Gray, N. M., Hall, S. J., Browne, S., Macleod, U., Mitchell, E., Lee, A. J., Johnston, M., Wyke, S., Samuel, L., Weller, D., & Campbell, N. C. (2011). Modifiable and fixed factors predicting quality of life in people with colorectal cancer. The British Journal of Cancer, 104(11), 1697-1703. https://doi.org/10.1038/bjc.2011.155

BACKGROUND: People with colorectal cancer have impaired quality of life (QoL). We investigated what factors were most highly associated with it. METHODS: Four hundred and ninety-six people with colorectal cancer completed questionnaires about QoL, fu... Read More about Modifiable and fixed factors predicting quality of life in people with colorectal cancer.

How frequently do young people with potential cancer symptoms present in primary care? (2011)
Journal Article
Fern, L. A., Campbell, C., Eden, T. O., Grant, R., Lewis, I., Macleod, U., Weller, D., & Whelan, J. (2011). How frequently do young people with potential cancer symptoms present in primary care?. The British journal of general practice : the journal of the Royal College of General Practitioners, 61(586), e223-e230. https://doi.org/10.3399/bjgp11X572418

Background: Although uncommon in teenagers and young adults, cancer is the leading cause of non-accidental death in those aged 15-24 years. A prolonged period to cancer diagnosis in this cohort is reported and thought to be a consequence of the rarit... Read More about How frequently do young people with potential cancer symptoms present in primary care?.

Place of death: Is home always best? (2011)
Presentation / Conference Contribution
Macleod, U. Place of death: Is home always best?

Place of death is now a quality marker of end of life care. Decisions around place of death are complex. This article considers the extent to which place of death is an appropriate way to determine good end of life care.

Ethnic disparities in knowledge of Cancer Screening Programmes in the UK (2010)
Journal Article
Robb, K., Wardle, J., Stubbings, S., Ramirez, A., Austoker, J., MacLeod, U., Hiom, S., & Waller, J. (2010). Ethnic disparities in knowledge of Cancer Screening Programmes in the UK. Journal of Medical Screening, 17(3), 125-131. https://doi.org/10.1258/jms.2010.009112

Objective: The aim of the study was to examine awareness of the three National Cancer Screening Programmes (breast, cervical, bowel) among white and ethnic minority groups in the UK. Setting Data were from two surveys in which the screening questions... Read More about Ethnic disparities in knowledge of Cancer Screening Programmes in the UK.

Public awareness of cancer in Britain: a population-based survey of adults (2009)
Journal Article
Robb, K., Stubbings, S., Ramirez, A., Macleod, U., Austoker, J., Waller, J., Hiom, S., & Wardle, J. (2009). Public awareness of cancer in Britain: a population-based survey of adults. The British Journal of Cancer, 101(S2), S18-S23. https://doi.org/10.1038/sj.bjc.6605386

Objective:To assess public awareness of cancer warning signs, anticipated delay and perceived barriers to seeking medical advice in the British population. Methods:We carried out a population-based survey using face-to-face, computer-assisted intervi... Read More about Public awareness of cancer in Britain: a population-based survey of adults.

Risk factors for delayed presentation and referral of symptomatic cancer: Evidence for common cancers (2009)
Journal Article
Macleod, U., Burgess, C., Macdonald, S., Mitchell, E. D., & Ramirez, A. J. (2009). Risk factors for delayed presentation and referral of symptomatic cancer: Evidence for common cancers. The British Journal of Cancer, 101(S2), S92-S101. https://doi.org/10.1038/sj.bjc.6605398

Background:It has been suggested that the known poorer survival from cancer in the United Kingdom, compared with other European countries, can be attributed to more advanced cancer stage at presentation. There is, therefore, a need to understand the... Read More about Risk factors for delayed presentation and referral of symptomatic cancer: Evidence for common cancers.

Awareness of cancer symptoms and anticipated help seeking among ethnic minority groups in England (2009)
Journal Article
Waller, J., Robb, K., Stubbings, S., Ramirez, A., Macleod, U., Austoker, J., Hiom, S., & Wardle, J. (2009). Awareness of cancer symptoms and anticipated help seeking among ethnic minority groups in England. The British Journal of Cancer, 101, S24-S30. https://doi.org/10.1038/sj.bjc.6605387

Objective:Little is known about ethnic differences in awareness of cancer-warning signs or help-seeking behaviour in Britain. As part of the National Awareness and Early Diagnosis Initiative (NAEDI), this study aimed to explore these factors as possi... Read More about Awareness of cancer symptoms and anticipated help seeking among ethnic minority groups in England.