Patient and carer perceived barriers to early presentation and diagnosis of lung cancer: a systematic review
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Date
2019-01-08
Open Access Location
Authors
Journal Title
Journal ISSN
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Publisher
BioMed Central Ltd
Rights
(c) The author/s
CC BY 4.0
Public Domain 1.0
Abstract
Background
Lung cancer is typically diagnosed at a late stage. Early presentation and detection of lung cancer symptoms is critical to improving survival but can be clinically complicated and as yet a robust screening method for diagnosis is not available in routine practice. Accordingly, the barriers to help-seeking behaviour and diagnosis need to be considered. This review aimed to document the barriers to early presentation and diagnosis of lung cancer, based on patient and carer perspectives.
Methods
A systematic review of databases was performed for original, English language articles discussing qualitative research on patient perceived barriers to early presentation and diagnosis of lung cancer. Three major databases were searched: Scopus, PubMed and EBSCOhost. References cited in the selected studies were searched for further relevant articles.
Results
Fourteen studies met inclusion criteria for review. Barriers were grouped into three categories: healthcare provider and system factors, patient factors and disease factors.
Conclusions
Studies showed that the most frequently reported barriers to early presentation and diagnosis of lung cancer reported by patients and carers related to poor relationships between GPs and patients, a lack of access to services and care for patients, and a lack of awareness of lung cancer symptoms and treatment. Addressing these barriers offers opportunities by which rates of early diagnosis of lung cancer may be improved.
Description
Keywords
Barrier to diagnosis, Cancer care, Delay to diagnosis, Early presentation, Lung cancer, Primary care, Early Detection of Cancer, Health Personnel, Health Services Accessibility, Humans, Lung Neoplasms, Patient Acceptance of Health Care
Citation
Cassim S, Chepulis L, Keenan R, Kidd J, Firth M, Lawrenson R. (2019). Patient and carer perceived barriers to early presentation and diagnosis of lung cancer: a systematic review.. BMC Cancer. 19. 1. (pp. 25-).