Article ; Online: Patient symptom experience prior to a diagnosis of oesophageal or gastric cancer: a multi-methods study.
BJGP open
2020 Volume 4, Issue 1
Abstract: Background: Late stage diagnosis of oesophageal and gastric cancer is common, which limits treatment options and contributes to poor survival.: Aim: To explore patients' understanding, experience and presentation of symptoms before a diagnosis of ... ...
Abstract | Background: Late stage diagnosis of oesophageal and gastric cancer is common, which limits treatment options and contributes to poor survival. Aim: To explore patients' understanding, experience and presentation of symptoms before a diagnosis of oesophageal or gastric cancer. Design & setting: Between May 2016 and October 2017, all patients newly diagnosed with oesophageal or gastric cancer were identified at weekly multidisciplinary team meetings at two large hospitals in England. A total of 321 patients were invited to participate in a survey and secondary care medical record review; 127 (40%) participants responded (102 patients had oesophageal cancer and 25 had gastric cancer). Of these, 26 participated in an additional face-to-face interview. Method: Survey and medical record data were analysed descriptively. Interviews were analysed using thematic analysis, informed by the Model of Pathways to Treatment. Results: Participants experienced multiple symptoms before diagnosis. The most common symptom associated with oesophageal cancer was dysphagia ( Conclusion: The patient interval may be lengthened by misinterpretation of key terms, such as heartburn, or misattribution or non-recognition of important bodily changes. Clearly defined symptom awareness messages may encourage earlier help-seeking, while eliciting symptom experience and meanings in primary care consultations could prompt earlier referral and diagnosis. |
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Language | English |
Publishing date | 2020-05-01 |
Publishing country | England |
Document type | Journal Article |
ISSN | 2398-3795 |
ISSN (online) | 2398-3795 |
DOI | 10.3399/bjgpopen20X101001 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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