From symptom to cancer diagnosis: Perspectives of patients and family members in Alberta, Canada.

<h4>Background</h4>Significant intervals from the identification of suspicious symptoms to a definitive diagnosis of cancer are common. Streamlining pathways to diagnosis may increase survival, quality of life post-treatment, and patient experience. Discussions of pathways to diagnosis f...

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Main Authors: Anna Pujadas Botey, Paula J Robson, Adam M Hardwicke-Brown, Dorothy M Rodehutskors, Barbara M O'Neill, Douglas A Stewart
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2020-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0239374
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author Anna Pujadas Botey
Paula J Robson
Adam M Hardwicke-Brown
Dorothy M Rodehutskors
Barbara M O'Neill
Douglas A Stewart
author_facet Anna Pujadas Botey
Paula J Robson
Adam M Hardwicke-Brown
Dorothy M Rodehutskors
Barbara M O'Neill
Douglas A Stewart
author_sort Anna Pujadas Botey
collection DOAJ
description <h4>Background</h4>Significant intervals from the identification of suspicious symptoms to a definitive diagnosis of cancer are common. Streamlining pathways to diagnosis may increase survival, quality of life post-treatment, and patient experience. Discussions of pathways to diagnosis from the perspective of patients and family members are crucial to advancing cancer diagnosis.<h4>Aim</h4>To examine the perspectives of a group of patients with cancer and family members in Alberta, Canada, on factors associated with timelines to diagnosis and overall experience.<h4>Methods</h4>A qualitative approach was used. In-depth, semi-structured interviews with patients with cancer (n = 18) and patient relatives (n = 5) were conducted and subjected to a thematic analysis.<h4>Findings</h4>Participants struggled emotionally in the diagnostic period. Relevant to their experience were: potentially avoidable delays, concerns about health status, and misunderstood investigation process. Participants emphasized the importance of their active involvement in the care process, and had unmet supportive care needs.<h4>Conclusion</h4>Psychosocial supports available to potential cancer patients and their families are minimal, and may be important for improved experiences before diagnosis. Access to other patients' lived experiences with the diagnostic process and with cancer, and an enhanced supportive role of family doctors might help improve experiences for patients and families in the interval before receiving a diagnosis of cancer, which may have a significant impact on wellbeing.
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spelling doaj.art-3ae757f23fd940b4ab2a8ae95674d8c12022-12-21T23:11:17ZengPublic Library of Science (PLoS)PLoS ONE1932-62032020-01-01159e023937410.1371/journal.pone.0239374From symptom to cancer diagnosis: Perspectives of patients and family members in Alberta, Canada.Anna Pujadas BoteyPaula J RobsonAdam M Hardwicke-BrownDorothy M RodehutskorsBarbara M O'NeillDouglas A Stewart<h4>Background</h4>Significant intervals from the identification of suspicious symptoms to a definitive diagnosis of cancer are common. Streamlining pathways to diagnosis may increase survival, quality of life post-treatment, and patient experience. Discussions of pathways to diagnosis from the perspective of patients and family members are crucial to advancing cancer diagnosis.<h4>Aim</h4>To examine the perspectives of a group of patients with cancer and family members in Alberta, Canada, on factors associated with timelines to diagnosis and overall experience.<h4>Methods</h4>A qualitative approach was used. In-depth, semi-structured interviews with patients with cancer (n = 18) and patient relatives (n = 5) were conducted and subjected to a thematic analysis.<h4>Findings</h4>Participants struggled emotionally in the diagnostic period. Relevant to their experience were: potentially avoidable delays, concerns about health status, and misunderstood investigation process. Participants emphasized the importance of their active involvement in the care process, and had unmet supportive care needs.<h4>Conclusion</h4>Psychosocial supports available to potential cancer patients and their families are minimal, and may be important for improved experiences before diagnosis. Access to other patients' lived experiences with the diagnostic process and with cancer, and an enhanced supportive role of family doctors might help improve experiences for patients and families in the interval before receiving a diagnosis of cancer, which may have a significant impact on wellbeing.https://doi.org/10.1371/journal.pone.0239374
spellingShingle Anna Pujadas Botey
Paula J Robson
Adam M Hardwicke-Brown
Dorothy M Rodehutskors
Barbara M O'Neill
Douglas A Stewart
From symptom to cancer diagnosis: Perspectives of patients and family members in Alberta, Canada.
PLoS ONE
title From symptom to cancer diagnosis: Perspectives of patients and family members in Alberta, Canada.
title_full From symptom to cancer diagnosis: Perspectives of patients and family members in Alberta, Canada.
title_fullStr From symptom to cancer diagnosis: Perspectives of patients and family members in Alberta, Canada.
title_full_unstemmed From symptom to cancer diagnosis: Perspectives of patients and family members in Alberta, Canada.
title_short From symptom to cancer diagnosis: Perspectives of patients and family members in Alberta, Canada.
title_sort from symptom to cancer diagnosis perspectives of patients and family members in alberta canada
url https://doi.org/10.1371/journal.pone.0239374
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