2026-04-29T23:03:57Zhttps://repisalud.isciii.es/rest/oai/request

oai:repisalud.isciii.es:20.500.12105/238062024-10-09T06:36:36Zcom_20.500.12105_15322com_20.500.12105_2051col_20.500.12105_16967

00925njm 22002777a 4500 dc Hajdarevic, Senada author Högberg, Cecilia author Marzo-Castillejo, Mercè author Siliņa, Vija author Sawicka-Powierza, Jolanta author Esteva Cantó, Magdalena author Koskela, Tuomas author Petek, Davorina author Contreras-Martos, Sara author Mangione, Marcello author Ožvačić Adžić, Zlata author Asenova, Radost author Gašparović Babić, Svjetlana author Brekke, Mette author Buczkowski, Krzysztof author Buono, Nicola author Çifçili Saliha, Serap author Dinant, Geert-Jan author Doorn, Babette author Hoffman, Robert D author Kuodza, George author Murchie, Peter author Pilv, Liina author Puia, Aida author Rapalavicius, Aurimas author Smyrnakis, Emmanouil author Weltermann, Birgitta author Harris, Michael author 2023-06-28 Background: While primary care physicians (PCPs) play a key role in cancer detection, they can find cancer diagnosis challenging, and some patients have considerable delays between presentation and onward referral. Aim: To explore European PCPs' experiences and views on cases where they considered that they had been slow to think of, or act on, a possible cancer diagnosis. Design & setting: A multicentre European qualitative study, based on an online survey with open-ended questions, asking PCPs for their narratives about cases when they had missed a diagnosis of cancer. Method: Using maximum variation sampling, PCPs in 23 European countries were asked to describe what happened in a case where they were slow to think of a cancer diagnosis, and for their views on why it happened. Thematic analysis was used to analyse the data. Results: A total of 158 PCPs completed the questionnaire. The main themes were as follows: patients' descriptions did not suggest cancer; distracting factors reduced PCPs' cancer suspicions; patients' hesitancy delayed the diagnosis; system factors not facilitating timely diagnosis; PCPs felt that they had acted wrongly; and problems with communicating adequately. Conclusion: The study identified six overarching themes that need to be addressed. Doing so should reduce morbidity and mortality in the small proportion of patients who have a significant, avoidable delay in their cancer diagnosis. The 'Swiss cheese' model of accident causation showed how the themes related to each other. Hajdarevic, Senada; Högberg, Cecilia; Marzo-Castillejo, Mercè; Siliņa, Vija; Sawicka-Powierza, Jolanta; Esteva Cantó, Magdalena; Koskela, Tuomas; Petek, Davorina; Contreras-Martos, Sara; Mangione, Marcello; Ožvačić Adžić, Zlata; Asenova, Radost; Gašparović Babić, Svjetlana; Brekke, Mette; Buczkowski, Krzysztof; Buono, Nicola; Çifçili Saliha, Serap; Dinant, Geert-Jan; Doorn, Babette; Hoffman, Robert D; Kuodza, George; Murchie, Peter; Pilv, Liina; Puia, Aida; Rapalavicius, Aurimas; Smyrnakis, Emmanouil; Weltermann, Birgitta; Harris, Michael. Exploring why European primary care physicians sometimes do not think of, or act on, a possible cancer diagnosis. A qualitative study. BJGP Open 2023; 7 (4): BJGPO.2023.0029. 10.3399/BJGPO.2023.0029 2398-3795 BJGP open https://hdl.handle.net/20.500.13003/19377 37380218 https://hdl.handle.net/20.500.12105/23806 Why do European primary care physicians sometimes not think of, or act on, a possible cancer diagnosis? A qualitative study