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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00004652naa a2200529 4500
001oai:DiVA.org:lnu-81976
003SwePub
008190415s2015 | |||||||||||000 ||eng|
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-819762 URI
0247 a https://doi.org/10.1136/bmjopen-2014-0072122 DOI
040 a (SwePub)lnu
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
1001 a Rose, Peter W.u Univ Oxford, UK4 aut
2451 0a Explaining variation in cancer survival between 11 jurisdictions in the International Cancer Benchmarking Partnership :b a primary care vignette survey
264 c 2015-05-27
264 1b BMJ Publishing Group Ltd,c 2015
338 a print2 rdacarrier
520 a Objectives: The International Cancer Benchmarking Partnership (ICBP) is a collaboration between 6 countries and 12 jurisdictions with similar primary care-led health services. This study investigates primary care physician (PCP) behaviour and systems that may contribute to the timeliness of investigating for cancer and subsequently, international survival differences. Design: A validated survey administered to PCPs via the internet set out in two parts: direct questions on primary care structure and practice relating to cancer diagnosis, and clinical vignettes, assessing management of scenarios relating to the diagnosis of lung, colorectal or ovarian cancer. Participants: 2795 PCPs in 11 jurisdictions: New South Wales and Victoria (Australia), British Columbia, Manitoba, Ontario (Canada), England, Northern Ireland, Wales (UK), Denmark, Norway and Sweden. Primary and secondary outcome measures: Analysis compared the cumulative proportion of PCPs in each jurisdiction opting to investigate or refer at each phase for each vignette with 1-year survival, and conditional 5-year survival rates for the relevant cancer and jurisdiction. Logistic regression was used to explore whether PCP characteristics or system differences in each jurisdiction affected the readiness to investigate. Results: 4 of 5 vignettes showed a statistically significant correlation (p<0.05 or better) between readiness to investigate or refer to secondary care at the first phase of each vignette and cancer survival rates for that jurisdiction. No consistent associations were found between readiness to investigate and selected PCP demographics, practice or health system variables. Conclusions: We demonstrate a correlation between the readiness of PCPs to investigate symptoms indicative of cancer and cancer survival rates, one of the first possible explanations for the variation in cancer survival between ICBP countries. No specific health system features consistently explained these findings. Some jurisdictions may consider lowering thresholds for PCPs to investigate for cancer-either directly, or by specialist referral, to improve outcomes.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Cancer och onkologi0 (SwePub)302032 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Cancer and Oncology0 (SwePub)302032 hsv//eng
653 a Medicin
653 a Medicine
7001 a Rubin, Gregu Univ Durham, UK4 aut
7001 a Perera-Salazar, Rafaelu Univ Oxford, UK4 aut
7001 a Almberg, Sigrun Sauru Norwegian Univ Sci & Technol, Norway4 aut
7001 a Barisic, Andrianau Canc Care Ontario, Canada4 aut
7001 a Dawes, Martinu Univ British Columbia, Canada4 aut
7001 a Grunfeld, Evau Ontario Inst Canc Res, Canada;Univ Toronto, Canada4 aut
7001 a Hart, Nigelu Queens Univ Belfast, UK4 aut
7001 a Nea, Richard D.u Bangor Univ, UK4 aut
7001 a Pirotta, Marieu Primary Hlth Care Res Evaluat & Dev, Australia4 aut
7001 a Sisler, Jeffreyu Univ Manitoba, Canada4 aut
7001 a Konrad, Geraldu Univ Manitoba, Canada4 aut
7001 a Toftegaard, Berit Skjodebergu Aarhus Univ, Denmark4 aut
7001 a Thulesius, Hansu Region Kronoberg, Sweden.4 aut0 (Swepub:lnu)hnthab
7001 a Vedsted, Peteru Aarhus Univ, Denmark4 aut
7001 a Young, Janeu Univ Sydney, Australia4 aut
7001 a Hamilton, Willieu Univ Exeter, UK4 aut
7102 a Univ Oxford, UKb Univ Durham, UK4 org
7730 t BMJ Opend : BMJ Publishing Group Ltdg 5:5, s. 1-14q 5:5<1-14x 2044-6055
8564 u https://doi.org/10.1136/bmjopen-2014-007212y Fulltext
8564 u https://bmjopen.bmj.com/content/5/5/e007212.full.pdf
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-81976
8564 8u https://doi.org/10.1136/bmjopen-2014-007212

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