The SYMPTOM‐upper gastrointestinal study: A mixed methods study exploring symptom appraisal and help‐seeking in Australian upper gastrointestinal cancer patients
Rattachement africain : au, gb, qa. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
OBJECTIVE: There is limited evidence on the development of pancreatic and oesophagogastric cancer, how patients decide to seek help and the factors impacting help-seeking. Our study, the first in Australia, aimed to explore symptom appraisal and diagnostic pathways in these patients. A secondary aim was to examine the potential to recruit cancer patients through a cancer quality registry. METHODS: Patients diagnosed with pancreatic or oesophagogastric cancer were recruited through Monash University's Upper-Gastrointestinal Cancer Registry. Data collected through general practitioners (GP) and patient questionnaires included symptoms and their onset, whereas patient interviews focused on the patient's decision-making in seeking help from healthcare pracitioners. Data collection and analysis was informed by the Aarhus statement. Coding was inductive, and themes were mapped onto the Model of Pathways to Treatment. RESULTS: Between November 2018 and March 2020, 27 patient questionnaires and 13 phone interviews were completed. Prior to diagnosis, patients lacked awareness of pancreatic and oesophagogastric cancer symptoms, leading to the normalisation, dismissal and misattribution of the symptoms. Patients initially self-managed symptoms, but worsening of symptoms and jaundice triggered help-seeking. Competing priorities, beliefs about illnesses and difficulties accessing healthcare delayed help-seeking. CONCLUSION: Increased awareness of insidious pancreatic and oesophagogastric cancer symptoms in patients and general practitioners may prompt more urgent investigations and lead to earlier diagnosis.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- The SYMPTOM‐upper gastrointestinal study: A mixed methods study exploring symptom appraisal and help‐seeking in Australian upper gastrointestinal cancer patients
- Date Crossref
- 06/05/2022
- Éditeur
- Wiley
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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The University of Melbourne Department of General Practice pays non établi dans la noticeUniversité ou école supérieure
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Monash University pays non établi dans la noticeUniversité ou école supérieure
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University of Cambridge The Primary Care Unit pays non établi dans la noticeUniversité ou école supérieure
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Primary Health Care pays non établi dans la noticeOrganisme public
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Department of General Practice University of Melbourne Melbourne Victoria Australia pays non établi dans la noticeUniversité ou école supérieure
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School of Public Health and Preventative Medicine pays non établi dans la noticeUniversité ou école supérieure
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Faculty of Veterinary and Agricultural Sciences University of Melbourne Melbourne Victoria Australia pays non établi dans la noticeUniversité ou école supérieure
Department of General Practice — The University of Melbourne, Monash University et The Primary Care Unit — University of Cambridge, avec 4 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.