43: The impact of a national public awareness campaign for cough as a lung cancer symptom

Ironmonger, Lucy; Ohuma, Eric O; Ormiston‐Smith, Nick; Gildea, Carolynn; Thomson, C.S.; Peake, Michael

doi:10.1016/s0169-5002(15)50043-3

Cited by 2 publications

(3 citation statements)

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“…Raised awareness 71 and increased visits to PCPs with the target symptoms in response to these campaigns have been reported, although the eff ects might be short lived. Faced with symptomatic patients, the challenge for PCPs is to identify those with the highest likelihood of having cancer when most patients they see will not have the disease; indeed, the symptoms involved are both common and not cancer specifi c.…”

Section: Public Awareness Campaigns and How They Relate To Primary Carementioning

confidence: 99%

“…Campaigns to promote early referral of patients suspected of having lung cancer have been the most successful reported so far in terms of achieving signifi cant increases in referrals for chest x-ray and specialist assessment, increased diagnoses, a stage shift to earlier disease, and a rise in potentially curative treatment. 71 The public awareness campaign in England, based on the strapline "Been coughing for three weeks or more? Tell your doctor" (fi gure 4), led to a 67% overall increase in patients across all age groups visiting their PCPs with a cough; despite this increase, most PCPs surveyed were supportive of the campaign.…”

Section: Public Awareness Campaigns and How They Relate To Primary Carementioning

confidence: 99%

“…The principles of good medical practice are paramount. They include a thorough history and examination, adherence to referral guidelines, safety netting, 71,139 and the use of diagnostic tests. Greater use of existing investigations in primary care settings has been advocated by others, 10 but this should not be to the detriment of urgent specialist referral when such referral is mandated, because use of PCP-initiated investigations is associated with a longer time to referral for a range of common cancers.…”

Section: Diffi Cult Diagnoses and Rare Cancersmentioning

confidence: 99%

See 2 more Smart Citations

The expanding role of primary care in cancer control

Rubin

Berendsen

Crawford

et al. 2015

The Lancet Oncology

437

450

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The nature of cancer control is changing, with an increasing emphasis, fuelled by public and political demand, on prevention, early diagnosis, and patient experience during and after treatment. At the same time, primary care is increasingly promoted, by governments and health funders worldwide, as the preferred setting for most health care for reasons of increasing need, to stabilise health-care costs, and to accommodate patient preference for care close to home. It is timely, then, to consider how this expanding role for primary care can work for cancer control, which has long been dominated by highly technical interventions centred on treatment, and in which the contribution of primary care has been largely perceived as marginal. In this Commission, expert opinion from primary care and public health professionals with academic and clinical cancer expertise-from epidemiologists, psychologists, policy makers, and cancer specialists-has contributed to a detailed consideration of the evidence for cancer control provided in primary care and community care settings. Ranging from primary prevention to end-of-life care, the scope for new models of care is explored, and the actions needed to eff ect change are outlined. The strengths of primary care-its continuous, coordinated, and comprehensive care for individuals and families-are particularly evident in prevention and diagnosis, in shared follow-up and survivorship care, and in end-of-life care. A strong theme of integration of care runs throughout, and its elements (clinical, vertical, and functional) and the tools needed for integrated working are described in detail. All of this change, as it evolves, will need to be underpinned by new research and by continuing and shared multiprofessional development.

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Section: Public Awareness Campaigns and How They Relate To Primary Carementioning

confidence: 99%

Section: Public Awareness Campaigns and How They Relate To Primary Carementioning

confidence: 99%