Exploring why European primary care physicians sometimes do not think of, or act on, a possible cancer diagnosis: A qualitative study

Senada Hajdarevic; Cecilia Högberg; Mercè Marzo-Castillejo; Vija Siliņa; Jolanta Sawicka-Powierza; Magadalena Esteva; Tuomas Koskela; Davorina Petek; Sara Contreras-Martos; Marcello Mangione; Zlata Ožvačić Adžić; Radost Asenova; Svjetlana Gašparović Babić; Mette Brekke; Krzysztof Buczkowski; Nicola Buono; Saliha Serap Çifçili; Geert-Jan Dinant; Babette Doorn; Robert D Hoffman; George Kuodza; Peter Murchie; Liina Pilv; Aida Puia; Aurimas Rapalavicius; Emmanouil Smyrnakis; Birgitta Weltermann; Michael Harris

doi:10.3399/BJGPO.2023.0029

Exploring why European primary care physicians sometimes do not think of, or act on, a possible cancer diagnosis: A qualitative study

Senada Hajdarevic, Cecilia Högberg, Mercè Marzo-Castillejo, Vija Siliņa, Jolanta Sawicka-Powierza, Magadalena Esteva, Tuomas Koskela, Davorina Petek, Sara Contreras-Martos, Marcello Mangione, Zlata Ožvačić Adžić, Radost Asenova, Svjetlana Gašparović Babić, Mette Brekke, Krzysztof Buczkowski, Nicola Buono, Saliha Serap Çifçili, Geert-Jan Dinant, Babette Doorn, Robert D HoffmanGeorge Kuodza, Peter Murchie, Liina Pilv, Aida Puia, Aurimas Rapalavicius, Emmanouil Smyrnakis, Birgitta Weltermann, Michael Harris

Integraatio, yhdyspinnat, HYTE

Tutkimustuotos: Artikkeli › Tieteellinen › vertaisarvioitu

1 Sitaatiot (Scopus)

12 Lataukset (Pure)

Abstrakti

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.

Alkuperäiskieli	Englanti
Artikkeli	BJGPO.2023.0029
Sivumäärä	12
Julkaisu	BJGP open
Vuosikerta	7
Numero	4
DOI - pysyväislinkit	https://doi.org/10.3399/BJGPO.2023.0029
Tila	Julkaistu - 2023
OKM-julkaisutyyppi	A1 Alkuperäisartikkeli tieteellisessä aikakauslehdessä

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10.3399/BJGPO.2023.0029Lisenssi: CC BY

BJGPO.2023.0029.fullFinal published version, 1,06 MBLisenssi: CC BY

https://urn.fi/URN:NBN:fi:tuni-202401151482Lisenssi: CC BY

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Hajdarevic, S., Högberg, C., Marzo-Castillejo, M., Siliņa, V., Sawicka-Powierza, J., Esteva, M., Koskela, T., Petek, D., Contreras-Martos, S., Mangione, M., Ožvačić Adžić, Z., Asenova, R., Gašparović Babić, S., Brekke, M., Buczkowski, K., Buono, N., Çifçili, S. S., Dinant, G.-J., Doorn, B., ... Harris, M. (2023). Exploring why European primary care physicians sometimes do not think of, or act on, a possible cancer diagnosis: A qualitative study. BJGP open, 7(4), Artikkeli BJGPO.2023.0029. https://doi.org/10.3399/BJGPO.2023.0029

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title = "Exploring why European primary care physicians sometimes do not think of, or act on, a possible cancer diagnosis: A qualitative study",

abstract = "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.",

author = "Senada Hajdarevic and Cecilia H{\"o}gberg and Merc{\`e} Marzo-Castillejo and Vija Siliņa and Jolanta Sawicka-Powierza and Magadalena Esteva and Tuomas Koskela and Davorina Petek and Sara Contreras-Martos and Marcello Mangione and {O{\v z}va{\v c}i{\'c} Ad{\v z}i{\'c}}, Zlata and Radost Asenova and {Ga{\v s}parovi{\'c} Babi{\'c}}, Svjetlana and Mette Brekke and Krzysztof Buczkowski and Nicola Buono and {\c C}if{\c c}ili, {Saliha Serap} and Geert-Jan Dinant and Babette Doorn and Hoffman, {Robert D} and George Kuodza and Peter Murchie and Liina Pilv and Aida Puia and Aurimas Rapalavicius and Emmanouil Smyrnakis and Birgitta Weltermann and Michael Harris",

note = "Copyright {\textcopyright} 2023, The Authors.",

year = "2023",

doi = "10.3399/BJGPO.2023.0029",

language = "English",

volume = "7",

number = "4",

}

Hajdarevic, S, Högberg, C, Marzo-Castillejo, M, Siliņa, V, Sawicka-Powierza, J, Esteva, M, Koskela, T, Petek, D, Contreras-Martos, S, Mangione, M, Ožvačić Adžić, Z, Asenova, R, Gašparović Babić, S, Brekke, M, Buczkowski, K, Buono, N, Çifçili, SS, Dinant, G-J, Doorn, B, Hoffman, RD, Kuodza, G, Murchie, P, Pilv, L, Puia, A, Rapalavicius, A, Smyrnakis, E, Weltermann, B & Harris, M 2023, 'Exploring why European primary care physicians sometimes do not think of, or act on, a possible cancer diagnosis: A qualitative study', BJGP open, Vuosikerta 7, Nro 4, BJGPO.2023.0029. https://doi.org/10.3399/BJGPO.2023.0029

TY - JOUR

T1 - Exploring why European primary care physicians sometimes do not think of, or act on, a possible cancer diagnosis

T2 - A qualitative study

AU - Hajdarevic, Senada

AU - Högberg, Cecilia

AU - Marzo-Castillejo, Mercè

AU - Siliņa, Vija

AU - Sawicka-Powierza, Jolanta

AU - Esteva, Magadalena

AU - Koskela, Tuomas

AU - Petek, Davorina

AU - Contreras-Martos, Sara

AU - Mangione, Marcello

AU - Ožvačić Adžić, Zlata

AU - Asenova, Radost

AU - Gašparović Babić, Svjetlana

AU - Brekke, Mette

AU - Buczkowski, Krzysztof

AU - Buono, Nicola

AU - Çifçili, Saliha Serap

AU - Dinant, Geert-Jan

AU - Doorn, Babette

AU - Hoffman, Robert D

AU - Kuodza, George

AU - Murchie, Peter

AU - Pilv, Liina

AU - Puia, Aida

AU - Rapalavicius, Aurimas

AU - Smyrnakis, Emmanouil

AU - Weltermann, Birgitta

AU - Harris, Michael

PY - 2023

Y1 - 2023

N2 - 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.

AB - 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.

U2 - 10.3399/BJGPO.2023.0029

DO - 10.3399/BJGPO.2023.0029

M3 - Article

C2 - 37380218

SN - 2398-3795

VL - 7

JO - BJGP open

JF - BJGP open

IS - 4

M1 - BJGPO.2023.0029

ER -

Exploring why European primary care physicians sometimes do not think of, or act on, a possible cancer diagnosis: A qualitative study

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