Cancer diagnosis in primary care
Around a quarter of those in the developed world die of cancer. Most cancers present to primary care with symptoms, even when there is a screening test for the particular cancer. However, the symptoms of cancer are also symptoms of benign disease, and the GP has to judge whether cancer is a possible...
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| Published in | British journal of general practice Vol. 60; no. 571; pp. 121 - 128 |
|---|---|
| Main Author | |
| Format | Journal Article |
| Language | English |
| Published |
England
Royal College of General Practitioners
01.02.2010
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0960-1643 1478-5242 1478-5242 |
| DOI | 10.3399/bjgp10X483175 |
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| Abstract | Around a quarter of those in the developed world die of cancer. Most cancers present to primary care with symptoms, even when there is a screening test for the particular cancer. However, the symptoms of cancer are also symptoms of benign disease, and the GP has to judge whether cancer is a possible explanation. Very little research examined this process until relatively recently. This review paper examines the process of primary care diagnosis, especially the selection of patients for rapid investigation. It concentrates on the four commonest UK cancers: breast, lung, colon, and prostate as these have been the subject of most recent studies. |
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| AbstractList | Around a quarter of those in the developed world die of cancer. Most cancers present to primary care with symptoms, even when there is a screening test for the particular cancer. However, the symptoms of cancer are also symptoms of benign disease, and the GP has to judge whether cancer is a possible explanation. Very little research examined this process until relatively recently. This review paper examines the process of primary care diagnosis, especially the selection of patients for rapid investigation. It concentrates on the four commonest UK cancers: breast, lung, colon, and prostate as these have been the subject of most recent studies. Around a quarter of those in the developed world die of cancer. Most cancers present to primary care with symptoms, even when there is a screening test for the particular cancer. However, the symptoms of cancer are also symptoms of benign disease, and the GP has to judge whether cancer is a possible explanation. Very little research examined this process until relatively recently. This review paper examines the process of primary care diagnosis, especially the selection of patients for rapid investigation. It concentrates on the four commonest UK cancers: breast, lung, colon, and prostate as these have been the subject of most recent studies.Around a quarter of those in the developed world die of cancer. Most cancers present to primary care with symptoms, even when there is a screening test for the particular cancer. However, the symptoms of cancer are also symptoms of benign disease, and the GP has to judge whether cancer is a possible explanation. Very little research examined this process until relatively recently. This review paper examines the process of primary care diagnosis, especially the selection of patients for rapid investigation. It concentrates on the four commonest UK cancers: breast, lung, colon, and prostate as these have been the subject of most recent studies. |
| Author | Hamilton, William |
| AuthorAffiliation | NIHR School for Primary Care Research, Department of Community Based Medicine, University of Bristol, Bristol |
| AuthorAffiliation_xml | – name: NIHR School for Primary Care Research, Department of Community Based Medicine, University of Bristol, Bristol |
| Author_xml | – sequence: 1 givenname: William surname: Hamilton fullname: Hamilton, William |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/20132704$$D View this record in MEDLINE/PubMed |
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321 2018072010582279000_60.571.121.46 2018072010582279000_60.571.121.2 2018072010582279000_60.571.121.49 2018072010582279000_60.571.121.3 2018072010582279000_60.571.121.48 Hamilton (2018072010582279000_60.571.121.70) 2009; 339 Tate (2018072010582279000_60.571.121.65) 2009; 9 2018072010582279000_60.571.121.1 Lovgren (2018072010582279000_60.571.121.30) 2008; 47 Speets (2018072010582279000_60.571.121.32) 2006; 56 Somasekar (2018072010582279000_60.571.121.47) 2009; 11 Fijten (2018072010582279000_60.571.121.76) 1988; 27 Weller (2018072010582279000_60.571.121.24) 2006; 15 Du Toit (2018072010582279000_60.571.121.44) 2006; 333 Ellis (2018072010582279000_60.571.121.45) 2005; 55 2018072010582279000_60.571.121.71 Neal (2018072010582279000_60.571.121.9) 2007; 57 2018072010582279000_60.571.121.73 2018072010582279000_60.571.121.31 Hamilton (2018072010582279000_60.571.121.69) 2009; 339 2018072010582279000_60.571.121.34 2018072010582279000_60.571.121.78 Reeve (2018072010582279000_60.571.121.12) 2009; 338 2018072010582279000_60.571.121.36 2018072010582279000_60.571.121.35 2018072010582279000_60.571.121.79 2018072010582279000_60.571.121.38 Crosland (2018072010582279000_60.571.121.13) 1995; 311 Barrett (2018072010582279000_60.571.121.37) 2008; 9 2018072010582279000_60.571.121.39 Stapley (2018072010582279000_60.571.121.33) 2006; 56 Hamilton (2018072010582279000_60.571.121.77) 2007; 57 Loktionov (2018072010582279000_60.571.121.51) 2009; 34 Hamilton (2018072010582279000_60.571.121.17) 2009; 7 2018072010582279000_60.571.121.61 2018072010582279000_60.571.121.63 2018072010582279000_60.571.121.62 2018072010582279000_60.571.121.20 Hamilton (2018072010582279000_60.571.121.58) 2006; 56 2018072010582279000_60.571.121.64 2018072010582279000_60.571.121.23 2018072010582279000_60.571.121.67 2018072010582279000_60.571.121.22 2018072010582279000_60.571.121.66 2018072010582279000_60.571.121.68 2018072010582279000_60.571.121.27 2018072010582279000_60.571.121.26 2018072010582279000_60.571.121.29 2018072010582279000_60.571.121.28 Rupassara (2018072010582279000_60.571.121.8) 2006; 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| SubjectTerms | Adult Breast Neoplasms - diagnosis Colonic Neoplasms - diagnosis Early Detection of Cancer Family Practice Female Humans Lung Neoplasms - diagnosis Male Middle Aged Neoplasms - diagnosis Ovarian Neoplasms - diagnosis Physician's Role Prostatic Neoplasms - diagnosis Review |
| Title | Cancer diagnosis in primary care |
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