Patient and carer perceived barriers to early presentation and diagnosis of lung cancer: a systematic review
Abstract Background Lung cancer is typically diagnosed at a late stage. Early presentation and detection of lung cancer symptoms is critical to improving survival but can be clinically complicated and as yet a robust screening method for diagnosis is not available in routine practice. Accordingly, t...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2019-01-01
|
| Series: | BMC Cancer |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12885-018-5169-9 |
| _version_ | 1819049176126717952 |
|---|---|
| author | Shemana Cassim Lynne Chepulis Rawiri Keenan Jacquie Kidd Melissa Firth Ross Lawrenson |
| author_facet | Shemana Cassim Lynne Chepulis Rawiri Keenan Jacquie Kidd Melissa Firth Ross Lawrenson |
| author_sort | Shemana Cassim |
| collection | DOAJ |
| description | Abstract Background Lung cancer is typically diagnosed at a late stage. Early presentation and detection of lung cancer symptoms is critical to improving survival but can be clinically complicated and as yet a robust screening method for diagnosis is not available in routine practice. Accordingly, the barriers to help-seeking behaviour and diagnosis need to be considered. This review aimed to document the barriers to early presentation and diagnosis of lung cancer, based on patient and carer perspectives. Methods A systematic review of databases was performed for original, English language articles discussing qualitative research on patient perceived barriers to early presentation and diagnosis of lung cancer. Three major databases were searched: Scopus, PubMed and EBSCOhost. References cited in the selected studies were searched for further relevant articles. Results Fourteen studies met inclusion criteria for review. Barriers were grouped into three categories: healthcare provider and system factors, patient factors and disease factors. Conclusions Studies showed that the most frequently reported barriers to early presentation and diagnosis of lung cancer reported by patients and carers related to poor relationships between GPs and patients, a lack of access to services and care for patients, and a lack of awareness of lung cancer symptoms and treatment. Addressing these barriers offers opportunities by which rates of early diagnosis of lung cancer may be improved. |
| first_indexed | 2024-12-21T11:27:59Z |
| format | Article |
| id | doaj.art-0a4cd985b2734a05b4341c9dd4a6af9a |
| institution | Directory Open Access Journal |
| issn | 1471-2407 |
| language | English |
| last_indexed | 2024-12-21T11:27:59Z |
| publishDate | 2019-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Cancer |
| spelling | doaj.art-0a4cd985b2734a05b4341c9dd4a6af9a2022-12-21T19:05:37ZengBMCBMC Cancer1471-24072019-01-0119111410.1186/s12885-018-5169-9Patient and carer perceived barriers to early presentation and diagnosis of lung cancer: a systematic reviewShemana Cassim0Lynne Chepulis1Rawiri Keenan2Jacquie Kidd3Melissa Firth4Ross Lawrenson5Waikato Medical Research Centre, University of WaikatoWaikato Medical Research Centre, University of WaikatoSchool of Nursing, University of AucklandSchool of Nursing, University of AucklandWaikato Medical Research Centre, University of WaikatoWaikato Medical Research Centre, University of WaikatoAbstract Background Lung cancer is typically diagnosed at a late stage. Early presentation and detection of lung cancer symptoms is critical to improving survival but can be clinically complicated and as yet a robust screening method for diagnosis is not available in routine practice. Accordingly, the barriers to help-seeking behaviour and diagnosis need to be considered. This review aimed to document the barriers to early presentation and diagnosis of lung cancer, based on patient and carer perspectives. Methods A systematic review of databases was performed for original, English language articles discussing qualitative research on patient perceived barriers to early presentation and diagnosis of lung cancer. Three major databases were searched: Scopus, PubMed and EBSCOhost. References cited in the selected studies were searched for further relevant articles. Results Fourteen studies met inclusion criteria for review. Barriers were grouped into three categories: healthcare provider and system factors, patient factors and disease factors. Conclusions Studies showed that the most frequently reported barriers to early presentation and diagnosis of lung cancer reported by patients and carers related to poor relationships between GPs and patients, a lack of access to services and care for patients, and a lack of awareness of lung cancer symptoms and treatment. Addressing these barriers offers opportunities by which rates of early diagnosis of lung cancer may be improved.http://link.springer.com/article/10.1186/s12885-018-5169-9Barrier to diagnosisEarly presentationLung cancerCancer carePrimary careDelay to diagnosis |
| spellingShingle | Shemana Cassim Lynne Chepulis Rawiri Keenan Jacquie Kidd Melissa Firth Ross Lawrenson Patient and carer perceived barriers to early presentation and diagnosis of lung cancer: a systematic review BMC Cancer Barrier to diagnosis Early presentation Lung cancer Cancer care Primary care Delay to diagnosis |
| title | Patient and carer perceived barriers to early presentation and diagnosis of lung cancer: a systematic review |
| title_full | Patient and carer perceived barriers to early presentation and diagnosis of lung cancer: a systematic review |
| title_fullStr | Patient and carer perceived barriers to early presentation and diagnosis of lung cancer: a systematic review |
| title_full_unstemmed | Patient and carer perceived barriers to early presentation and diagnosis of lung cancer: a systematic review |
| title_short | Patient and carer perceived barriers to early presentation and diagnosis of lung cancer: a systematic review |
| title_sort | patient and carer perceived barriers to early presentation and diagnosis of lung cancer a systematic review |
| topic | Barrier to diagnosis Early presentation Lung cancer Cancer care Primary care Delay to diagnosis |
| url | http://link.springer.com/article/10.1186/s12885-018-5169-9 |
| work_keys_str_mv | AT shemanacassim patientandcarerperceivedbarrierstoearlypresentationanddiagnosisoflungcancerasystematicreview AT lynnechepulis patientandcarerperceivedbarrierstoearlypresentationanddiagnosisoflungcancerasystematicreview AT rawirikeenan patientandcarerperceivedbarrierstoearlypresentationanddiagnosisoflungcancerasystematicreview AT jacquiekidd patientandcarerperceivedbarrierstoearlypresentationanddiagnosisoflungcancerasystematicreview AT melissafirth patientandcarerperceivedbarrierstoearlypresentationanddiagnosisoflungcancerasystematicreview AT rosslawrenson patientandcarerperceivedbarrierstoearlypresentationanddiagnosisoflungcancerasystematicreview |