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Rapid diagnostic pathways for prostate cancer: A realist synthesis

Katie Jones, Arya Chandran, Jaynie Rance Orcid Logo

Journal of Cancer Policy, Volume: 42, Start page: 100514

Swansea University Authors: Katie Jones, Jaynie Rance Orcid Logo

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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...

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Published in: Journal of Cancer Policy
ISSN: 2213-5383
Published: Elsevier BV 2024
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URI: https://cronfa.swan.ac.uk/Record/cronfa68291
first_indexed 2024-11-25T14:21:48Z
last_indexed 2025-01-15T14:38:28Z
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spelling 2025-01-15T11:04:34.5394745 v2 68291 2024-11-19 Rapid diagnostic pathways for prostate cancer: A realist synthesis c0f2b73bae9ddb83529aecd6a191a7a4 Katie Jones Katie Jones true false 14360f4993b452995fbc22db857cabf7 0000-0002-9504-0675 Jaynie Rance Jaynie Rance true false 2024-11-19 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. Journal Article Journal of Cancer Policy 42 100514 Elsevier BV 2213-5383 Cancer; Health service evaluation; Prostate cancer; Diagnostic pathways; Realist; Review; Cancer diagnosis 1 12 2024 2024-12-01 10.1016/j.jcpo.2024.100514 COLLEGE NANME COLLEGE CODE Swansea University 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. 2025-01-15T11:04:34.5394745 2024-11-19T09:18:20.1078365 Faculty of Medicine, Health and Life Sciences School of Psychology Katie Jones 1 Arya Chandran 2 Jaynie Rance 0000-0002-9504-0675 3
title Rapid diagnostic pathways for prostate cancer: A realist synthesis
spellingShingle Rapid diagnostic pathways for prostate cancer: A realist synthesis
Katie Jones
Jaynie Rance
title_short Rapid diagnostic pathways for prostate cancer: A realist synthesis
title_full Rapid diagnostic pathways for prostate cancer: A realist synthesis
title_fullStr Rapid diagnostic pathways for prostate cancer: A realist synthesis
title_full_unstemmed Rapid diagnostic pathways for prostate cancer: A realist synthesis
title_sort Rapid diagnostic pathways for prostate cancer: A realist synthesis
author_id_str_mv c0f2b73bae9ddb83529aecd6a191a7a4
14360f4993b452995fbc22db857cabf7
author_id_fullname_str_mv c0f2b73bae9ddb83529aecd6a191a7a4_***_Katie Jones
14360f4993b452995fbc22db857cabf7_***_Jaynie Rance
author Katie Jones
Jaynie Rance
author2 Katie Jones
Arya Chandran
Jaynie Rance
format Journal article
container_title Journal of Cancer Policy
container_volume 42
container_start_page 100514
publishDate 2024
institution Swansea University
issn 2213-5383
doi_str_mv 10.1016/j.jcpo.2024.100514
publisher Elsevier BV
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Psychology{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Psychology
document_store_str 0
active_str 0
description 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.
published_date 2024-12-01T14:38:28Z
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score 11.047913

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