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Research Articles

What would primary care practitioners do differently after a delayed cancer diagnosis? Learning lessons from their experiences

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Pages 123-131 | Received 10 Sep 2023, Accepted 12 Dec 2023, Published online: 20 Dec 2023

References

  • Rubin G, Berendsen A, Crawford SMM, et al. The expanding role of primary care in cancer control. Lancet Oncol. 2015;16(12):1231–1272. doi:10.1016/S1470-2045(15)00205-3.
  • Cancer Research UK. https://www.cancerresearchuk.org/about-cancer/cancer-symptoms., Accessed June 8, 2023.
  • Shapley M, Mansell G, Jordan JL, et al. Positive predictive values of 5% in primary care for cancer: systematic review. Br J Gen Pract. 2010;60(578):e366–77. doi:10.3399/bjgp10X515412.
  • Jensen H, Nissen A, Vedsted P. Quality deviations in cancer diagnosis:prevalence and time to diagnosis in general practice. Br J Gen Pract. 2014;64(619):e92–e98. doi:10.3399/bjgp14X677149.
  • Swann R, Lyratzopoulos G, Rubin G, et al. The frequency, nature and impact of GP-assessed avoidable delays in a population-based cohort of cancer patients. Cancer Epidemiol. 2020;64:101617. doi:10.1016/j.canep.2019.101617.
  • Neal RD, Tharmanathan P, France B, et al. Is increased time to diagnosis and treatment in symptomatic cancer associated with poorer outcomes? Systematic review. Br J Cancer. 2015;112(Suppl 1):S92–S107. doi:10.1038/bjc.2015.48.
  • Lyratzopoulos G, Vedsted P, Singh H. Understanding missed opportunities for more timely diagnosis of cancer in symptomatic patients after presentation. Br J Cancer. 2015;112 Suppl 1(Suppl 1):S84–S91. doi:10.1038/bjc.2015.47.
  • Singh H, Schiff GD, Graber ML, et al. The global burden of diagnostic errors in primary care. BMJ Qual Saf. 2017;26(6):484–494. doi:10.1136/bmjqs-2016-005401.
  • World Health Organization. Diagnostic errors: technical series on safer primary care. Geneva: world Health Organization; 2016. Licence: CC BY-NC-SA 3.0 IGO. Available at https://www.who.int/publications/i/item/9789241511636
  • Mitchell ED, Rubin G, Merriman L, et al. The role of primary care in cancer diagnosis via emergency presentation: qualitative synthesis of significant event reports. Br J Cancer. 2015;112 Suppl 1((Suppl 1))::S50–S6. doi:10.1038/bjc.2015.42.
  • Goyder CR, Jones CHD, Heneghan CJ, et al. Missed opportunities for diagnosis: lessons learned from diagnostic errors in primary care. Br J Gen Pract. 2015;65(641):e838-44–e844. doi:10.3399/bjgp15X687889.
  • Amelung D, Whitaker KL, Lennard D, et al. Influence of doctor-patient conversations on behaviours of patients presenting to primary care with new or persistent symptoms: a video observation study. BMJ Qual Saf. 2020;29(3):198–208. doi:10.1136/bmjqs-2019-009485.
  • Mills K, Birt L, Emery JD, et al. Understanding symptom appraisal and help-seeking in people with symptoms suggestive of pancreatic cancer: a qualitative study. BMJ Open. 2017;7(9):e015682. doi:10.1136/bmjopen-2016-015682.
  • Braun V, Clarke V. Using thematic analysis in psychology. Qualitative Research in Psychology. 2006;3(2):77–101. doi:10.1191/1478088706qp063oa.
  • Hajdarevic S, Högberg C, Marzo-Castillejo M, et al. Why do european primary care physicians sometimes not think of, or act on, a possible cancer diagnosis? A qualitative study. BJGP Open. 2023;: BJGPO.2023.0029. Jun 28:BJGPO.2023.0029. Epub ahead of print. PMID: 37380218.doi:10.3399/BJGPO.2023.0029.
  • Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007; Dec19(6):349–357. doi:10.1093/intqhc/mzm042.
  • Kostopoulou O, Delaney BC, Munro CW. Diagnostic difficulty and error in primary care–a systematic review. Fam Pract. 2008;25(6):400–413. doi:10.1093/fampra/cmn071.
  • Wiering B, Lyratzopoulos G, Hamilton W, et al. Concordance with urgent referral guidelines in patients presenting with any of six ‘alarm’ features of possible cancer: a retrospective cohort study using linked primary care records. BMJ Qual Saf. 2022;31(8):579–589. doi:10.1136/bmjqs-2021-013425.
  • Jensen H, Hoffmann C, Merrild C, et al. Association between GPs’ suspicion of cancer and patients’ usual consultation pattern in primary care: a cross-sectional study. Br J Gen Pract. 2019;69(679):e80–e87. doi:10.3399/bjgp19X700769.
  • Hardy V, Yue A, Archer S, et al. Role of primary care physician factors on diagnostic testing and referral decisions for symptoms of possible cancer: a systematic review. BMJ Open. 2022;12(1):e053732. doi:10.1136/bmjopen-2021-053732.
  • Johansen M-L, Holtedahl KA, Rudebeck CE. How does the thought of cancer arise in a general practice consultation? Interviews with GPs. Scand J Prim Health Care. 2012;30(3):135–140. doi:10.3109/02813432.2012.688701.
  • van Dam L, Korfage IJ, Kuipers EJ, et al. What influences the decision to participate in colorectal cancer screening with faecal occult blood testing and sigmoidoscopy? Eur J Cancer. 2013;49(10):2321–2330. doi:10.1016/j.ejca.2013.03.007.
  • Popa-Velea O, Purcărea VL. Issues of therapeutic communication relevant for improving quality of care. J Med Life. 2014;7 Spec No. 4(Spec Iss 4):39–45.
  • Harris M, Thulesius H, Neves AL, et al. How european primary care practitioners think the timeliness of cancer diagnosis can be improved: a thematic analysis. BMJ Open. 2019;9(9):e030169. doi:10.1136/bmjopen-2019-030169.
  • Walter FM, Penfold C, Joannides A, et al. Missed opportunities for diagnosing brain tumours in primary care: a qualitative study of patient experiences. Br J Gen Pract. 2019;69(681):e224–e235. doi:10.3399/bjgp19X701861.
  • Omura M, Maguire J, Levett-Jones T, et al. The effectiveness of assertiveness communication training programs for healthcare professionals and students: a systematic review. Int J Nurs Stud. 2017;76:120–128. doi:10.1016/j.ijnurstu.2017.09.001.
  • Sandvik H, Hetlevik Ø, Blinkenberg J, et al. Continuity in general practice as predictor of mortality, acute hospitalization, and use of out-of-hours care: a registry-based observational study in Norway. Br J Gen Pract. 2022;72(715):72e84–72e90. doi:10.3399/BJGP.2021.0340.
  • Ridd MJ, Ferreira DL, Montgomery AA, et al. Patient-doctor continuity and diagnosis of cancer: electronic medical records study in general practice. Br J Gen Pract. 2015;65(634):e305-11–e311. doi:10.3399/bjgp15X684829.
  • Melnikow J, Chan BK, Stewart GK. Do follow-up recommendations for abnormal papanicolaou smears influence patient adherence? Arch Fam Med. 1999;8(6):510–514. doi:10.1001/archfami.8.6.510.
  • Scheel BI, Holtedahl K. Symptoms, signs, and tests: the general practitioner’s comprehensive approach towards a cancer diagnosis. Scand J Prim Health Care. 2015;33(3):170–177. doi:10.3109/02813432.2015.1067512.
  • Nordic Federation of General Practice (NFGP). Core values and principles of nordic general practice/family medicine. Scand J Prim Health Care. 2020;38(4):367–368. doi:10.1080/02813432.2020.1842674.
  • National Institute for Health and Care Excellence. Referral guidelines for suspected cancer (clinical guideline 27). NICE, 2005.Available at www.nice.org.uk/guidance/cg27.
  • Ingeman ML, Christensen MB, Bro F, et al. The danish cancer pathway for patients with serious non-specific symptoms and signs of cancer - a cross-sectional study of patient characteristics and cancer probability. BMC Cancer. 2015;15(1):421. doi:10.1186/s12885-015-1424-5.
  • Sutton RT, Pincock D, Baumgart DC, et al. An overview of clinical decision support systems: benefits, risks, and strategies for success. NPJ Digit Med. 2020;3(1):17. doi:10.1038/s41746-020-0221-y.
  • Jones OT, Calanzani N, Saji S, et al. Artificial intelligence techniques that may be applied to primary care data to facilitate earlier diagnosis of cancer: systematic review. J Med Internet Res. 2021;23(3):e23483. doi:10.2196/23483.
  • Buntinx F, Mant D, Van den Bruel A, et al. Dealing with low-incidence serious diseases in general practice. Br J Gen Pract. 2011;61(582):43–46. doi:10.3399/bjgp11X548974.