Critical items for assessing risk of lung and colorectal cancer in primary care: a Delphi study

Mansell, Gemma, Shapley, Mark, van der Windt, Danielle, Sanders, Tom and Little, Paul (2014) Critical items for assessing risk of lung and colorectal cancer in primary care: a Delphi study. British Journal of General Practice, 64 (625). e509-e515. ISSN 0960-1643

[img]
Preview
Text (Full text)
Mansell et al - Critical items for assessing risk of lung and colorectal cancer in primary care OA.pdf - Published Version
Available under License Creative Commons Attribution Non-commercial.

Download (119kB) | Preview
Official URL: http://dx.doi.org/10.3399/bjgp14X681001

Abstract

Background: Patients with lung or colorectal cancer often present late and have a poor prognosis. Identifying diagnostic indicators to optimally assess the risk of these cancers in primary care would support early identification and timely referral for patients at increased risk.

Aim: To obtain consensus regarding potential diagnostic indicators that are important for assessing the risk of lung or colorectal cancer in primary care consulters presenting with lung or abdominal symptoms.

Design and setting: A Delphi study was conducted with 28 participants from primary and secondary care and academic settings in the UK and Europe.

Method: Indicators were obtained from systematic reviews, recent primary studies and consultation with experts prior to the Delphi study being conducted. Over three rounds, participants rated each diagnostic indicator in terms of its importance, ranked them in order of importance, and rated each item as crucial or not crucial to assess during a GP consultation.

Results: The final round resulted in 25 items remaining for each type of cancer, including established cancer symptoms such as rectal bleeding for colorectal cancer and haemoptysis for lung cancer, but also less frequently used indicators such as patients’ concerns about cancer.

Conclusion: This study highlights the items clinicians feel would be most crucial to include in the clinical assessment of primary care patients, a number of which have rarely been noted in the previous literature. Their importance in assessing the risk of lung or colorectal cancer will be tested as part of a large prospective cohort study (CANDID).

Item Type: Article
Uncontrolled Keywords: Delphi technique; neoplasms; primary health care; referral and consultation
Subjects: A300 Clinical Medicine
Department: Faculties > Health and Life Sciences > Social Work, Education and Community Wellbeing
Depositing User: Paul Burns
Date Deposited: 24 Jan 2019 14:40
Last Modified: 24 Jan 2019 14:45
URI: http://nrl.northumbria.ac.uk/id/eprint/37730

Actions (login required)

View Item View Item

Downloads

Downloads per month over past year

View more statistics


Policies: NRL Policies | NRL University Deposit Policy | NRL Deposit Licence