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Using a participant-completed questionnaire to identify symptoms that predict chest and respiratory disease (IPCARD): a feasibility study

Using a participant-completed questionnaire to identify symptoms that predict chest and respiratory disease (IPCARD): a feasibility study
Using a participant-completed questionnaire to identify symptoms that predict chest and respiratory disease (IPCARD): a feasibility study
Most of those with lung cancer are diagnosed at a late stage when curative treatment is not possible. It is known that there are both patient and GP delays in detecting lung cancer in the UK. Government guidelines recommend referral for chest Xray if any 1 of 10 possible lung cancer symptoms is unexplained or present for more than 3 weeks. However, these symptoms often have other causes and some are very common. There is a pressing need for information about symptoms that will help GPs distinguish between patients with minor illness or chronic respiratory disease and those who may have lung cancer. The absence of evidence about symptoms reflects the cost and size of the studies required to calculate the likelihood that someone reporting a symptom (or group of symptoms) to their doctor has lung cancer. This research aims to generate evidence needed to improve earlier detection of lung cancer in 2 ways: i. By developing and validating a patient completed symptom questionnaire. This would reduce the costs of future large scale studies. These future studies would identify how likely it is that someone experiencing a particular symptom has lung cancer. ii. To inform the design and demonstrate the feasibility of a future study involving those referred by their GP for a chest Xray. This future study with chest Xray attendees would provide a cost effective means of evaluating the use of a symptom based risk score to identify those at high risk of lung cancer. If successful, the study with chest Xray attendees would provide evidence in support of the development of a symptom risk score to support GPs referral decisions and identify those in the general population at high risk of lung cancer
NSPCR
Brindle, L.
17158264-2a99-4786-afc0-30990240436c
Dowswell, G.
ab167410-ce1e-43a7-99df-556273a1b249
James, E.P.
b7e90b5a-da45-4459-ae84-150adc07e988
Clifford, S.
961223c4-4c6d-4601-a012-3888614c1fc3
Ocansey, L.
900e3781-c6d2-4b72-9bb6-0a802b6ae80a
Hamilton, W.
8739428e-d582-496a-b915-80f1c98afaef
Banerjee, A.
f91ff521-cfee-4015-992a-4166aad74d3a
Brindle, L.
17158264-2a99-4786-afc0-30990240436c
Dowswell, G.
ab167410-ce1e-43a7-99df-556273a1b249
James, E.P.
b7e90b5a-da45-4459-ae84-150adc07e988
Clifford, S.
961223c4-4c6d-4601-a012-3888614c1fc3
Ocansey, L.
900e3781-c6d2-4b72-9bb6-0a802b6ae80a
Hamilton, W.
8739428e-d582-496a-b915-80f1c98afaef
Banerjee, A.
f91ff521-cfee-4015-992a-4166aad74d3a

Brindle, L., Dowswell, G., James, E.P., Clifford, S., Ocansey, L., Hamilton, W. and Banerjee, A. (2015) Using a participant-completed questionnaire to identify symptoms that predict chest and respiratory disease (IPCARD): a feasibility study NSPCR (Submitted)

Record type: Monograph (Project Report)

Abstract

Most of those with lung cancer are diagnosed at a late stage when curative treatment is not possible. It is known that there are both patient and GP delays in detecting lung cancer in the UK. Government guidelines recommend referral for chest Xray if any 1 of 10 possible lung cancer symptoms is unexplained or present for more than 3 weeks. However, these symptoms often have other causes and some are very common. There is a pressing need for information about symptoms that will help GPs distinguish between patients with minor illness or chronic respiratory disease and those who may have lung cancer. The absence of evidence about symptoms reflects the cost and size of the studies required to calculate the likelihood that someone reporting a symptom (or group of symptoms) to their doctor has lung cancer. This research aims to generate evidence needed to improve earlier detection of lung cancer in 2 ways: i. By developing and validating a patient completed symptom questionnaire. This would reduce the costs of future large scale studies. These future studies would identify how likely it is that someone experiencing a particular symptom has lung cancer. ii. To inform the design and demonstrate the feasibility of a future study involving those referred by their GP for a chest Xray. This future study with chest Xray attendees would provide a cost effective means of evaluating the use of a symptom based risk score to identify those at high risk of lung cancer. If successful, the study with chest Xray attendees would provide evidence in support of the development of a symptom risk score to support GPs referral decisions and identify those in the general population at high risk of lung cancer

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More information

Submitted date: 2015
Organisations: Faculty of Health Sciences

Identifiers

Local EPrints ID: 378960
URI: http://eprints.soton.ac.uk/id/eprint/378960
PURE UUID: 80ed80b0-a1c7-4ee2-bdf2-acbe16721b86
ORCID for L. Brindle: ORCID iD orcid.org/0000-0002-8933-3754
ORCID for E.P. James: ORCID iD orcid.org/0000-0001-9355-0295

Catalogue record

Date deposited: 17 Jul 2015 13:16
Last modified: 27 Apr 2024 01:43

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Contributors

Author: L. Brindle ORCID iD
Author: G. Dowswell
Author: E.P. James ORCID iD
Author: S. Clifford
Author: L. Ocansey
Author: W. Hamilton
Author: A. Banerjee

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