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. 2015 Oct;32(5):568-77.
doi: 10.1093/fampra/cmv048. Epub 2015 Jun 22.

Symptom perceptions and help-seeking behaviour prior to lung and colorectal cancer diagnoses: a qualitative study

Sarah McLachlan  1 , Gemma Mansell  2 , Tom Sanders  3 , Sarah Yardley  4 , Daniëlle van der Windt  2 , Lucy Brindle  5 , Carolyn Chew-Graham  2 , Paul Little  6
Affiliations

Symptom perceptions and help-seeking behaviour prior to lung and colorectal cancer diagnoses: a qualitative study

Sarah McLachlan et al. Fam Pract. 2015 Oct.

Abstract

Background: Lung and colorectal cancer are common and have high UK mortality rates. Early diagnosis is important in reducing cancer mortality, but the literature on lung and colorectal cancers suggests many people wait for a considerable time before presenting symptoms.

Objective: To gain in-depth understanding of patients' interpretations of symptoms of lung and colorectal cancer prior to diagnosis, and to explore processes leading to help-seeking.

Methods: Semi-structured interviews were conducted with patients diagnosed with lung (N=9) or colorectal (N=20) cancer within the previous 12 months. Patients were asked about symptoms experienced in the period preceding diagnosis, their interpretations of symptoms, and decision making for help-seeking. Thematic analysis was conducted and comparisons drawn within and across the patient groups.

Results: Patients were proactive and rational in addressing symptoms; many developed alternative, non-cancer explanations based on their knowledge and experience. Discussions with important others frequently provided the impetus to consult, but paradoxically others often initially reinforced alternative explanations. Fear and denial did not emerge as barriers to help-seeking, but help-seeking was triggered when patients' alternative explanations could no longer be maintained, for instance due to persistence or progression of symptoms.

Conclusion: Patients' reasoning, decision making and interpersonal interactions prior to diagnosis were complex. Prompting patients for additional detail on symptoms within consultations could elicit critical contextual information to aid referral decisions. Findings also have implications for the design of public health campaigns.

Keywords: Diagnosis; neoplasms; primary health care; qualitative; referral and consultation..

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Figures

Figure 1.
Figure 1.
Model of symptom perceptions and help-seeking behaviour prior to cancer diagnoses, based on data from 29 patients with lung or colorectal cancer
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References

    1. Cancer Research UK. 2011. Cancer Incidence for Common Cancers http://www.cancerresearchuk.org/cancer-info/cancerstats/incidence/common... (accessed on 12 June 2014).
    1. Richards MA. The size of the prize for earlier diagnosis of cancer in England. Br J Cancer 2009; 101 (suppl 2): S125–9. - PMC - PubMed
    1. National Institute for Health and Clinical Excellence. 2005. Referral Guidelines for Suspected Cancer (Clinical Guideline 27).
    1. Coleman MP, Forman D, Bryant H, et al. Cancer survival in Australia, Canada, Denmark, Norway, Sweden, and the UK, 1995–2007 (the International Cancer Benchmarking Partnership): an analysis of population-based cancer registry data. Lancet 2011; 377: 127–38. - PMC - PubMed
    1. Forbes LJ, Simon AE, Warburton F, et al. Differences in cancer awareness and beliefs between Australia, Canada, Denmark, Norway, Sweden and the UK (the International Cancer Benchmarking Partnership): do they contribute to differences in cancer survival? Br J Cancer 2013; 108: 292–300. - PMC - PubMed

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