Evaluation of risk assessment tools for suspected cancer in general practice: a cohort study

Hamilton, William; Green, Trish; Martins, Tanimola; Elliott, Kathy; Rubin, Greg; Macleod, Una

doi:10.3399/bjgp13x660751

Cited by 90 publications

(116 citation statements)

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“…In the UK healthcare system, this pathway involves primary care, and most commonly general practitioners (GPs). Owing to their traditional gate-keeping role within the UK healthcare system, there is an emerging body of work on the role of GPs in the process to cancer diagnosis (Richards, 2009;Hippisley-Cox and Coupland, 2011;Mansell et al, 2011;Hamilton et al, 2013;Mitchell et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

Embedding electronic decision-support tools for suspected cancer in primary care: a qualitative study of GPs’ experiences

Dikomitis

Green

Macleod

2015

Prim Health Care Res Dev

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Aim: The purpose of this evaluation was to obtain views from general practitioners (GPs) who piloted the electronic risk assessment tools (eRATs) for suspected lung or colorectal cancer. We wanted to find out whether GPs were able to integrate these tools into their everyday practice. We were also keen to identify facilitators and barriers to their more widespread use. Background: Cancer remains one of UK's biggest health problems, in terms of morbidity and mortality. Comparative European data show that five-year survival figures for many cancers are lower in the United Kingdom than in comparable European countries. eRATs are intended to aid recognition of symptoms of lung and colorectal cancers in patients aged 40 years and over. Methods: This was a qualitative study; telephone interviews were conducted with 23 GPs who piloted the eRATs. A systematic qualitative analysis was applied to the data. The normalisation process model was used after data collection. This theory-driven conceptual framework was used to examine the operationalisation of this intervention in Primary Care. Findings: Electronic decision-support tools appear to be useful additions to the resources available to GPs in order to assist them with recognizing potential cancer symptoms. However, the tools need to be refined in order to integrate them into GP practice. The tools raised GPs' awareness about cancer because of the prompt facility of the software, although this also raised the potential of 'prompt fatigue'. GPs constantly receive alerts via their clinical system, particularly related to the Quality and Outcomes Framework. The integration of eRATs into routine practice could be engendered by improvement to the training packages that accompany them, and by its delivery via a platform compatible with all GP clinical systems.

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Section: Introductionmentioning

confidence: 99%

Embedding electronic decision-support tools for suspected cancer in primary care: a qualitative study of GPs’ experiences

Dikomitis

Green

Macleod

2015

Prim Health Care Res Dev

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“…This was demonstrated in the authors' study of similar colorectal and lung tools. 28 Other European countries have better outcomes from uterine cancer than the UK. 3 Some of this may reflect earlier investigation of symptomatic women.…”

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confidence: 99%

Risk of uterine cancer in symptomatic women in primary care: case–control study using electronic records

2013

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“…In an evaluation at the time, their use was associated with increased urgent referrals; 47 additional lung and 10 additional colorectal cancers were identified, some of favourable staging. 9 In 2012 they were provided to all practices in England and have now been adopted by NICE in the revision of their guidance for GPs. Alongside risk prediction algorithms developed by researchers in Nottingham, they lie behind an electronic…”

Section: Risk Of Cancermentioning

confidence: 99%

Research into practice: prompt diagnosis of cancer in primary care

et al. 2014

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Evaluation of risk assessment tools for suspected cancer in general practice: a cohort study

Cited by 90 publications

References 10 publications

Embedding electronic decision-support tools for suspected cancer in primary care: a qualitative study of GPs’ experiences

Embedding electronic decision-support tools for suspected cancer in primary care: a qualitative study of GPs’ experiences

Risk of uterine cancer in symptomatic women in primary care: case–control study using electronic records

Research into practice: prompt diagnosis of cancer in primary care

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