Preventing delayed diagnosis of cancer: clinicians’ views on main problems and solutions

Background Delayed diagnosis is a major contributing factor to the UK’s lower cancer survival compared to many European countries. In the UK, there is a significant national variation in early cancer diagnosis. Healthcare providers can offer an insight into local priorities for timely cancer diagnos...

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Main Authors: Car, Lorainne Tudor, Papachristou, Nikolaos, Urch, Catherine, Majeed, Azeem, El–Khatib, Mona, Aylin, Paul, Atun, Rifat, Car, Josip, Vincent, Charles
Other Authors: Lee Kong Chian School of Medicine (LKCMedicine)
Format: Journal Article
Language:English
Published: 2018
Subjects:
Online Access:https://hdl.handle.net/10356/88432
http://hdl.handle.net/10220/46917
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author Car, Lorainne Tudor
Papachristou, Nikolaos
Urch, Catherine
Majeed, Azeem
El–Khatib, Mona
Aylin, Paul
Atun, Rifat
Car, Josip
Vincent, Charles
author2 Lee Kong Chian School of Medicine (LKCMedicine)
author_facet Lee Kong Chian School of Medicine (LKCMedicine)
Car, Lorainne Tudor
Papachristou, Nikolaos
Urch, Catherine
Majeed, Azeem
El–Khatib, Mona
Aylin, Paul
Atun, Rifat
Car, Josip
Vincent, Charles
author_sort Car, Lorainne Tudor
collection NTU
description Background Delayed diagnosis is a major contributing factor to the UK’s lower cancer survival compared to many European countries. In the UK, there is a significant national variation in early cancer diagnosis. Healthcare providers can offer an insight into local priorities for timely cancer diagnosis. In this study, we aimed to identify the main problems and solutions relating to delay cancer diagnosis according to cancer care clinicians. Methods We developed and implemented a new priority–setting approach called PRIORITIZE and invited North West London cancer care clinicians to identify and prioritize main causes for and solutions to delayed diagnosis of cancer care. Results Clinicians identified a number of concrete problems and solutions relating to delayed diagnosis of cancer. Raising public awareness, patient education as well as better access to specialist care and diagnostic testing were seen as the highest priorities. The identified suggestions focused mostly on the delays during referrals from primary to secondary care. Conclusions Many identified priorities were feasible, affordable and converged around common themes such as public awareness, care continuity and length of consultation. As a timely, proactive and scalable priority–setting approach, PRIORITZE could be implemented as a routine preventative system for determining patient safety issues by frontline staff.
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spelling ntu-10356/884322020-11-01T05:29:58Z Preventing delayed diagnosis of cancer: clinicians’ views on main problems and solutions Car, Lorainne Tudor Papachristou, Nikolaos Urch, Catherine Majeed, Azeem El–Khatib, Mona Aylin, Paul Atun, Rifat Car, Josip Vincent, Charles Lee Kong Chian School of Medicine (LKCMedicine) Delayed Diagnosis Cancer Diagnosis DRNTU::Science::Medicine Background Delayed diagnosis is a major contributing factor to the UK’s lower cancer survival compared to many European countries. In the UK, there is a significant national variation in early cancer diagnosis. Healthcare providers can offer an insight into local priorities for timely cancer diagnosis. In this study, we aimed to identify the main problems and solutions relating to delay cancer diagnosis according to cancer care clinicians. Methods We developed and implemented a new priority–setting approach called PRIORITIZE and invited North West London cancer care clinicians to identify and prioritize main causes for and solutions to delayed diagnosis of cancer care. Results Clinicians identified a number of concrete problems and solutions relating to delayed diagnosis of cancer. Raising public awareness, patient education as well as better access to specialist care and diagnostic testing were seen as the highest priorities. The identified suggestions focused mostly on the delays during referrals from primary to secondary care. Conclusions Many identified priorities were feasible, affordable and converged around common themes such as public awareness, care continuity and length of consultation. As a timely, proactive and scalable priority–setting approach, PRIORITZE could be implemented as a routine preventative system for determining patient safety issues by frontline staff. Published version 2018-12-12T03:00:41Z 2019-12-06T17:03:14Z 2018-12-12T03:00:41Z 2019-12-06T17:03:14Z 2016 Journal Article Car, L. T., Papachristou, N., Urch, C., Majeed, A., El–Khatib, M., Aylin, P., Atun, R., et al. (2016). Preventing delayed diagnosis of cancer: clinicians’ views on main problems and solutions. Journal of Global Health, 6(2), 020901-. doi:10.7189/jogh.06.020901 2047-2978 https://hdl.handle.net/10356/88432 http://hdl.handle.net/10220/46917 10.7189/jogh.06.020901 en Journal of Global Health © 2016 by the Journal of Global Health. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. 10 p. application/pdf
spellingShingle Delayed Diagnosis
Cancer Diagnosis
DRNTU::Science::Medicine
Car, Lorainne Tudor
Papachristou, Nikolaos
Urch, Catherine
Majeed, Azeem
El–Khatib, Mona
Aylin, Paul
Atun, Rifat
Car, Josip
Vincent, Charles
Preventing delayed diagnosis of cancer: clinicians’ views on main problems and solutions
title Preventing delayed diagnosis of cancer: clinicians’ views on main problems and solutions
title_full Preventing delayed diagnosis of cancer: clinicians’ views on main problems and solutions
title_fullStr Preventing delayed diagnosis of cancer: clinicians’ views on main problems and solutions
title_full_unstemmed Preventing delayed diagnosis of cancer: clinicians’ views on main problems and solutions
title_short Preventing delayed diagnosis of cancer: clinicians’ views on main problems and solutions
title_sort preventing delayed diagnosis of cancer clinicians views on main problems and solutions
topic Delayed Diagnosis
Cancer Diagnosis
DRNTU::Science::Medicine
url https://hdl.handle.net/10356/88432
http://hdl.handle.net/10220/46917
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