Journal article 60 views
Rapid diagnostic pathways for prostate cancer: A realist synthesis
Katie Jones,
Arya Chandran,
Jaynie Rance 
Journal of Cancer Policy, Volume: 42, Start page: 100514
Swansea University Authors:
Katie Jones, Jaynie Rance
Full text not available from this repository: check for access using links below.
DOI (Published version): 10.1016/j.jcpo.2024.100514
Abstract
The NHS Long-term Plan outlines a number of approaches to address delays and diagnose three out of four cancers at an early stage, and yet patients regularly experience delays to diagnosis. Attempts to address such delays include the implementation of a number of rapid diagnosis pathways (RDPs). Thi...
| Published in: | Journal of Cancer Policy |
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| ISSN: | 2213-5383 |
| Published: |
Elsevier BV
2024
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| Online Access: |
Check full text
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| URI: | https://cronfa.swan.ac.uk/Record/cronfa68291 |
| Abstract: |
The NHS Long-term Plan outlines a number of approaches to address delays and diagnose three out of four cancers at an early stage, and yet patients regularly experience delays to diagnosis. Attempts to address such delays include the implementation of a number of rapid diagnosis pathways (RDPs). This realist review explores rapid diagnosis pathways for prostate cancer, identifying approaches to RDPs, as well as generating theories regarding what works, for whom and under which circumstances.This is a realist evidence synthesis. The questions and approach are informed by patient and public involvement (PPI). We conducted a scoping review to generate initial programme theories and then refined these through further search processes. As a realist review, we do not focus on a specific data type or outcome, rather we include qualitative and quantitative data to inform theories comprised of contexts, mechanisms, and outcomes (CMO chains).Six studies were included in our scoping review; twenty studies were included in the second review. The studies include qualitative and quantitative data. We identified three broad themes: Primary care, organizational factors, and patient experience.We recommend the involvement of adjoining services (e.g. general practice and radiology) in the planning of prostate cancer RDPs and emphasize the importance of clear communication with patients. |
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| Keywords: |
Cancer; Health service evaluation; Prostate cancer; Diagnostic pathways; Realist; Review; Cancer diagnosis |
| College: |
Faculty of Medicine, Health and Life Sciences |
| Funders: |
This project is funded by CRUK as part of its Test, Evidence, Transition programme. Application Reference: PICATR-2022/100013 Funding Scheme: PIC - Commissioned Research - Ad Hoc Targeted. |
| Start Page: |
100514 |