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Evaluation of a national lung cancer symptom awareness campaign in Wales
BACKGROUND: Lung cancer is the leading cause of cancer mortality in Wales. We conducted a before- and after- study to evaluate the impact of a four-week mass-media campaign on awareness, presentation behaviour and lung cancer outcomes. METHODS: Population-representative samples were surveyed for cou...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Nature Publishing Group UK
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7029011/ https://www.ncbi.nlm.nih.gov/pubmed/31839675 http://dx.doi.org/10.1038/s41416-019-0676-2 |
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author | McCutchan, Grace Smits, Stephanie Ironmonger, Lucy Slyne, Ciarán Boughey, Amanda Moffat, Jodie Thomas, Rebecca Huws, Dyfed Wyn Brain, Kate |
author_facet | McCutchan, Grace Smits, Stephanie Ironmonger, Lucy Slyne, Ciarán Boughey, Amanda Moffat, Jodie Thomas, Rebecca Huws, Dyfed Wyn Brain, Kate |
author_sort | McCutchan, Grace |
collection | PubMed |
description | BACKGROUND: Lung cancer is the leading cause of cancer mortality in Wales. We conducted a before- and after- study to evaluate the impact of a four-week mass-media campaign on awareness, presentation behaviour and lung cancer outcomes. METHODS: Population-representative samples were surveyed for cough symptom recall/recognition and worry about wasting doctors’ time pre-campaign (June 2016; n = 1001) and post-campaign (September 2016; n = 1013). GP cough symptom visits, urgent suspected cancer (USC) referrals, GP-ordered radiology, new lung cancer diagnoses and stage at diagnosis were compared using routine data during the campaign (July–August 2016) and corresponding control (July–August 2015) periods. RESULTS: Increased cough symptom recall (p < 0.001), recognition (p < 0.001) and decreased worry (p < 0.001) were observed. GP visits for cough increased by 29% in the target 50+ age-group during the campaign (p < 0.001) and GP-ordered chest X-rays increased by 23% (p < 0.001). There was no statistically significant change in USC referrals (p = 0.82), new (p = 0.70) or early stage (p = 0.27) diagnoses, or in routes to diagnosis. CONCLUSIONS: Symptom awareness, presentation and GP-ordered chest X-rays increased during the campaign but did not translate into increased USC referrals or clinical outcomes changes. Short campaign duration and follow-up, and the small number of new lung cancer cases observed may have hampered detection effects. |
format | Online Article Text |
id | pubmed-7029011 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Nature Publishing Group UK |
record_format | MEDLINE/PubMed |
spelling | pubmed-70290112020-12-16 Evaluation of a national lung cancer symptom awareness campaign in Wales McCutchan, Grace Smits, Stephanie Ironmonger, Lucy Slyne, Ciarán Boughey, Amanda Moffat, Jodie Thomas, Rebecca Huws, Dyfed Wyn Brain, Kate Br J Cancer Article BACKGROUND: Lung cancer is the leading cause of cancer mortality in Wales. We conducted a before- and after- study to evaluate the impact of a four-week mass-media campaign on awareness, presentation behaviour and lung cancer outcomes. METHODS: Population-representative samples were surveyed for cough symptom recall/recognition and worry about wasting doctors’ time pre-campaign (June 2016; n = 1001) and post-campaign (September 2016; n = 1013). GP cough symptom visits, urgent suspected cancer (USC) referrals, GP-ordered radiology, new lung cancer diagnoses and stage at diagnosis were compared using routine data during the campaign (July–August 2016) and corresponding control (July–August 2015) periods. RESULTS: Increased cough symptom recall (p < 0.001), recognition (p < 0.001) and decreased worry (p < 0.001) were observed. GP visits for cough increased by 29% in the target 50+ age-group during the campaign (p < 0.001) and GP-ordered chest X-rays increased by 23% (p < 0.001). There was no statistically significant change in USC referrals (p = 0.82), new (p = 0.70) or early stage (p = 0.27) diagnoses, or in routes to diagnosis. CONCLUSIONS: Symptom awareness, presentation and GP-ordered chest X-rays increased during the campaign but did not translate into increased USC referrals or clinical outcomes changes. Short campaign duration and follow-up, and the small number of new lung cancer cases observed may have hampered detection effects. Nature Publishing Group UK 2019-12-16 2020-02-18 /pmc/articles/PMC7029011/ /pubmed/31839675 http://dx.doi.org/10.1038/s41416-019-0676-2 Text en © The Author(s), under exclusive licence to Cancer Research UK 2019 https://creativecommons.org/licenses/by/4.0/Note This work is published under the standard license to publish agreement. After 12 months the work will become freely available and the license terms will switch to a Creative Commons Attribution 4.0 International (CC BY 4.0). |
spellingShingle | Article McCutchan, Grace Smits, Stephanie Ironmonger, Lucy Slyne, Ciarán Boughey, Amanda Moffat, Jodie Thomas, Rebecca Huws, Dyfed Wyn Brain, Kate Evaluation of a national lung cancer symptom awareness campaign in Wales |
title | Evaluation of a national lung cancer symptom awareness campaign in Wales |
title_full | Evaluation of a national lung cancer symptom awareness campaign in Wales |
title_fullStr | Evaluation of a national lung cancer symptom awareness campaign in Wales |
title_full_unstemmed | Evaluation of a national lung cancer symptom awareness campaign in Wales |
title_short | Evaluation of a national lung cancer symptom awareness campaign in Wales |
title_sort | evaluation of a national lung cancer symptom awareness campaign in wales |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7029011/ https://www.ncbi.nlm.nih.gov/pubmed/31839675 http://dx.doi.org/10.1038/s41416-019-0676-2 |
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