2026-04-29T23:04:15Zhttps://repisalud.isciii.es/rest/oai/requestoai:repisalud.isciii.es:20.500.12105/238062024-10-09T06:36:36Zcom_20.500.12105_15322com_20.500.12105_2051col_20.500.12105_16967
Repisalud
author
Hajdarevic, Senada
author
Högberg, Cecilia
author
Marzo-Castillejo, Mercè
author
Siliņa, Vija
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Sawicka-Powierza, Jolanta
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Esteva Cantó, Magdalena
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Koskela, Tuomas
author
Petek, Davorina
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Contreras-Martos, Sara
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Mangione, Marcello
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Ožvačić Adžić, Zlata
author
Asenova, Radost
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Gašparović Babić, Svjetlana
author
Brekke, Mette
author
Buczkowski, Krzysztof
author
Buono, Nicola
author
Çifçili Saliha, Serap
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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
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Weltermann, Birgitta
author
Harris, Michael
2024-10-09T06:36:35Z
2024-10-09T06:36:35Z
2023-06-28
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
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.
eng
Why do European primary care physicians sometimes not think of, or act on, a possible cancer diagnosis? A qualitative study
research article