Priorities for implementation research on diagnosing cancer in primary care: a consensus process

Background The early detection and diagnosis of cancer to reduce avoidable mortality and morbidity is a challenging task in primary health care. There is a growing evidence base on how to enable earlier cancer diagnosis, but well-recognised gaps and delays exist around the translation of new researc...

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Vydáno v:BMC health services research Ročník 23; číslo 1; s. 1 - 8
Hlavní autoři: Willis, Thomas A, Neal, Richard D, Walter, Fiona M, Foy, Robbie
Médium: Journal Article
Jazyk:angličtina
Vydáno: London BioMed Central 27.11.2023
BioMed Central Ltd
Springer Nature B.V
BMC
Témata:
Cancer
Clinical medicine
Consensus
Diagnosis
Early diagnosis
Expert panel
Health Administration
Health aspects
Health Informatics
Medical diagnosis
Medical personnel
Medical referrals
Medical research
Medicine
Medicine & Public Health
Mortality
Nursing Research
Oncology, Experimental
Patient education
Patient safety
Physicians
Primary care
Primary health care
Public Health
Questionnaires
Ratings & rankings
Research priorities
United Kingdom
United Kingdom
United Kingdom > UK
Early diagnosis
Expert panel
Primary care
Research priorities
Consensus
Cancer
ISSN:1472-6963, 1472-6963
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Shrnutí:Background The early detection and diagnosis of cancer to reduce avoidable mortality and morbidity is a challenging task in primary health care. There is a growing evidence base on how to enable earlier cancer diagnosis, but well-recognised gaps and delays exist around the translation of new research findings into routine clinical practice. Implementation research aims to accelerate the uptake of evidence by health care systems and professionals. We aimed to identify priorities for implementation research in early cancer diagnosis in primary care. Methods We used a RAND/UCLA modified Delphi consensus process to identify and rank research priorities. We asked primary care physicians, patients and researchers to complete an online survey suggesting priorities for implementation research in cancer detection and diagnosis. We summarised and presented these suggestions to an 11-member consensus panel comprising nine primary care physicians and two patients. Panellists independently rated the importance of suggestions on a 1–9 scale (9 = very high priority; 1 = very low priority) before and after a structured group discussion. We ranked suggestions using median ratings. Results We received a total of 115 suggested priorities for implementation research from 32 survey respondents (including 16 primary care professionals, 11 researchers, and 4 patient and public representatives; 88% of respondents were UK-based). After removing duplicates and ineligible suggestions, we presented 37 suggestions grouped within 17 categories to the consensus panel. Following two rounds of rating, 27 suggestions were highly supported (median rating 7–9). The most highly rated suggestions concerned diagnostic support (e.g., access to imaging) interventions (e.g., professional or patient education), organisation of the delivery of care (e.g., communication within and between teams) and understanding variations in care and outcomes. Conclusions We have identified a set of priorities for implementation research on the early diagnosis of cancer, ranked in importance by primary care physicians and patients. We suggest that researchers and research funders consider these in directing further efforts and resources to improve population outcomes.
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ISSN:1472-6963
1472-6963
DOI:10.1186/s12913-023-10330-z