Systematic review of factors influencing patient and practitioner delay in diagnosis of upper gastrointestinal cancer

Macdonald, S.; Macleod, U.; Campbell, N. C.; Weller, D.; Mitchell, E.

doi:10.1038/sj.bjc.6603089

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., …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.

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., …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.

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., …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., …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., …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)
Journal Article
Macleod, U. (2011). Place of death: Is home always best?. British journal of hospital medicine, 72(8), 441-443. https://doi.org/10.12968/hmed.2011.72.8.441

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., …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., …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.

Development of a measurement tool to assess public awareness of cancer (2009)
Journal Article
Stubbings, S., Robb, K., Waller, J., Ramirez, A., Austoker, J., Macleod, U., …Wardle, J. (2009). Development of a measurement tool to assess public awareness of cancer. The British Journal of Cancer, 101, S13-S17. https://doi.org/10.1038/sj.bjc.6605385

Objective:We aimed to develop and validate a measurement tool to assess cancer awareness in the general population: the cancer awareness measure (CAM).Methods:Items assessing awareness of cancer warning signs, risk factors, incidence, screening progr... Read More about Development of a measurement tool to assess public awareness of cancer.

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., …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.

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.

‘Getting through' not ‘going under': a qualitative study of gender and spousal support after diagnosis with colorectal cancer (2009)
Journal Article
Emslie, C., Browne, S., MacLeod, U., Rozmovits, L., Mitchell, E., & Ziebland, S. (2009). ‘Getting through' not ‘going under': a qualitative study of gender and spousal support after diagnosis with colorectal cancer. Social science & medicine, 68(6), 1169-1175. https://doi.org/10.1016/j.socscimed.2009.01.004

Many studies have found that people with cancer value family support. Feminist work suggests that women carry most responsibility for practical and emotional support in families, but few qualitative cancer studies explicitly incorporate a gender pers... Read More about ‘Getting through' not ‘going under': a qualitative study of gender and spousal support after diagnosis with colorectal cancer.

Factors contributing to the time taken to consult with symptoms of lung cancer: A cross-sectional study (2008)
Journal Article
Smith, S. M., Campbell, N. C., MacLeod, U., Lee, A. J., Raja, A., Wyke, S., …Nicolson, M. C. (2009). Factors contributing to the time taken to consult with symptoms of lung cancer: A cross-sectional study. Thorax, 64(6), 523-531. https://doi.org/10.1136/thx.2008.096560

Objectives: To determine what factors are associated with the time people take to consult with symptoms of lung cancer, with a focus on those from rural and socially deprived areas. Methods: A cross-sectional quantitative interview survey was perform... Read More about Factors contributing to the time taken to consult with symptoms of lung cancer: A cross-sectional study.

The impact of consent on observational research: A comparison of outcomes from consenters and non consenters to an observational study (2008)
Journal Article
Macleod, U., & Watt, G. C. (2008). The impact of consent on observational research: A comparison of outcomes from consenters and non consenters to an observational study. BMC Medical Research Methodology, 8, Article 15. https://doi.org/10.1186/1471-2288-8-15

Background. Public health benefits from research often rely on the use of data from personal medical records. When neither patient consent nor anonymisation is possible, the case for accessing such records for research purposes depends on an assessme... Read More about The impact of consent on observational research: A comparison of outcomes from consenters and non consenters to an observational study.

Influences on pre-hospital delay in the diagnosis of colorectal cancer: a systemic review (2007)
Journal Article
Mitchell, E., Weller, D., Campbell, N. C., Macdonald, S., & Macleod, U. (2008). Influences on pre-hospital delay in the diagnosis of colorectal cancer: a systemic review. The British Journal of Cancer, 98(1), 60-70. https://doi.org/10.1038/sj.bjc.6604096

Colorectal cancer is a major global health problem, with survival varying according to stage at diagnosis. Delayed diagnosis can result from patient, practitioner or hospital delay. This paper reports the results of a review of the factors influencin... Read More about Influences on pre-hospital delay in the diagnosis of colorectal cancer: a systemic review.

Predicting colorectal cancer risk in patients with rectal bleeding (2006)
Journal Article
Robertson, R., Campbell, C., Weller, D. P., Elton, R., Mant, D., Primrose, J., …Sharma, R. (2006). Predicting colorectal cancer risk in patients with rectal bleeding. The British journal of general practice : the journal of the Royal College of General Practitioners, 56(531), 763-767

Background: Rectal bleeding is an important symptom of colorectal cancer but has low predictive value in primary care. Aim: To determine which characteristics of rectal bleeding, along with other factors, are predictive of colorectal cancer. Design o... Read More about Predicting colorectal cancer risk in patients with rectal bleeding.

Systematic review of factors influencing patient and practitioner delay in diagnosis of upper gastrointestinal cancer (2006)
Journal Article
Macdonald, S., Macleod, U., Campbell, N. C., Weller, D., & Mitchell, E. (2006). Systematic review of factors influencing patient and practitioner delay in diagnosis of upper gastrointestinal cancer. The British Journal of Cancer, 94(9), 1272-1280. https://doi.org/10.1038/sj.bjc.6603089

As knowledge on the causation of cancers advances and new treatments are developed, early recognition and accurate diagnosis becomes increasingly important. This review focused on identifying factors influencing patient and primary care practitioner... Read More about Systematic review of factors influencing patient and practitioner delay in diagnosis of upper gastrointestinal cancer.

All Outputs (80)