Diagnosing Cancer In Primary Care
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Diagnosing Cancer In Primary Care
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Author : Nicholas Summerton
language : en
Publisher: Radcliffe Publishing
Release Date : 1999
Diagnosing Cancer In Primary Care written by Nicholas Summerton and has been published by Radcliffe Publishing this book supported file pdf, txt, epub, kindle and other format this book has been release on 1999 with Medical categories.
A concise primary-care guide which outlines the epidemiological data, risk factors, symptoms and signs of the more common cancers, along with the place and value of investigations.
Cancer Diagnosis In Primary Care
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Author : William Hamilton
language : en
Publisher: Elsevier Health Sciences
Release Date : 2007-01-01
Cancer Diagnosis In Primary Care written by William Hamilton and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2007-01-01 with Medical categories.
One quarter of UK deaths are from cancer, and the large majority of these tumours initially present to primary care. The aim of the book is to inform primary care clinicians about the way cancer presents to primary care, and how they can select patients for investigation. It includes chapters on screening, systemic symptoms (which may be present with a number of cancers), and the terms used in cancer epidemiology. A final section of 'case-studies' offers an important opportunity for teaching or self-assessment. Co-edited by an academic GP and a primary care methodologist, thus ensuring it is perfectly tailored to primary care Multi-contributor in nature, ensuring that the most up-to-date information on each cancer is accurately provided Includes latest research findings Discusses reorganisation of cancer diagnostics Explores changes in cancer screening Clarifies everyday diagnostic difficulties, lessening the chance of GPs missing a malignancy Improves appropriateness of patient care Improves risk management skills Gives 'spin free' facts in an accessible, easy writing style Avoids unnecessary jargon Gives guidance on the NICE guidelines Covers all of the major cancers Case studies included which can be used for CME/revalidation
Multi Cancer Early Detection
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Author : Candace Westgate, DO, MPH, FACOG
language : en
Publisher: Integritas Communications
Release Date : 2024-07-02
Multi Cancer Early Detection written by Candace Westgate, DO, MPH, FACOG and has been published by Integritas Communications this book supported file pdf, txt, epub, kindle and other format this book has been release on 2024-07-02 with Medical categories.
This multimedia educational activity has been designed to help primary care clinicians—the most important facilitators of preventive health care and cancer screening—understand the science behind MCED tests, interpret trial data, and explore the potential role for MCED testing in the routine cancer screening paradigm. The activity will also address the incorporation of MCED testing into primary care practice, including the use of shared decision-making to determine patient eligibility and appropriate diagnostic follow-up in response to a positive test.
Defining Lung Cancer Pre Diagnostic Pathways In Primary Care
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Author : Satya Khare
language : en
Publisher:
Release Date : 2021
Defining Lung Cancer Pre Diagnostic Pathways In Primary Care written by Satya Khare and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2021 with categories.
"Lung cancer is the most common cancer diagnosed in Canada and the leading cause of cancer-related deaths. Lung cancer survival is highly associated with the stage at which it is diagnosed. The cumulative probability that lung cancer patients survive at least three years (i.e. 3-year net survival) is 71% for those diagnosed at the earliest stage (stage 1) and 5% for those diagnosed at the latest stage (stage 4). In Canada, about 70% of lung cancer patients are diagnosed with late stage disease (stages 3 and 4) emphasizing a need to detect lung cancer earlier. Studies investigating delays in lung cancer diagnosis have shown delays in primary care largely contribute to overall diagnostic delays. In Canada, there is a poor understanding of what transpires in primary care from first patient presentation with signs and symptoms suggestive of lung cancer to referral to a respiratory specialist – otherwise known as the primary care interval. Furthermore, Québec has been shown to have the highest lung cancer mortality rate across Canada yet there are no studies focused in primary care in Québec. In order to reduce unnecessary diagnostic delays in lung cancer, a solid understanding of the primary care interval is needed to inform targeted improvement strategies. The overall objective of my thesis was to gain an in-depth understanding of the primary care interval of the lung cancer diagnostic pathway (first presentation to referral), referred to as pre-diagnostic pathways, to inform potential improvement strategies aligned with sources of unnecessary delay in the local context of Québec. This was accomplished in five specific objectives – one methods objective (objective 1) and four study objectives (objectives 2-5) – described in four manuscripts. In the first manuscript (objective 1, Chapter 3), I identified strategies to reduce recall bias in patients’ self-reported healthcare utilization in primary care. In the second manuscript, I identified the different lung cancer pre-diagnostic pathways in primary care (objective 2, Chapter 4) based on healthcare utilization data collected from 50 structured patient interviews and chart reviews and analyzed using latent class analysis. I then described the pathways based on patient- and tumor-related characteristics, and sequence of healthcare utilization activities (objective 3, Chapter 4). In the third manuscript (objective 4, Chapter 5), I explored the role of factors that can influence the timeliness of cancer diagnosis – patient, disease, and system factors – on the pre-diagnostic pathways identified. Data was collected from 12 semi-structured patient interviews and analyzed using thematic analysis with a focus on similarities and differences between the pathways. In the fourth manuscript (objective 5, Chapter 6), I identified potential sources of pre-diagnostic delay based on merged findings from the previous two manuscripts. This resulted in supporting evidence for four sources of delay in primary care: missed opportunities for earlier referral, lack of integration between primary and secondary care, ineffectiveness of walk-in clinics, and lack of standardization in the pre-diagnostic process. Finally, I suggested the following coupled improvement strategies: significant event audits, a new diagnostic strategy focused on supporting FP access to respiratory specialists and diagnostic imaging, expansion of the primary care workforce with other healthcare professionals (e.g. nurse practitioners) who can provide care continuity, quality improvement programs at walk-in clinics focused on continuous evaluation of the patient experience, and standardized care pathways"--
Early Cancer Detection In Primary Care
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Author : Lincoln Nadauld, MD, PhD
language : en
Publisher: Integritas Communications
Release Date : 2022-04-19
Early Cancer Detection In Primary Care written by Lincoln Nadauld, MD, PhD and has been published by Integritas Communications this book supported file pdf, txt, epub, kindle and other format this book has been release on 2022-04-19 with Medical categories.
Despite significant advances in therapy, cancer continues to impose enormous medical, economic, and social burdens. Each year in the United States, approximately 1700 people die from cancer each day, making it the leading cause of mortality in people younger than 80 years old. The costs of treating cancer, including drugs, hospitalization, and ambulatory care, exceed $157 billion annually. Indirect costs, including lost productivity and absenteeism, add nearly another $100 billion to the tally. Early detection is an essential step in reducing the burdens of cancer. Identifying cancer at its earliest stages improves outcomes by allowing therapy to begin sooner, decreasing treatment costs and complexity, reducing morbidity and mortality, and improving quality of life. Liquid biopsy–based multi-cancer early detection (MCED) tests have been developed to support population-based screening of asymptomatic individuals for dozens of cancer types. This multimedia educational activity has been designed to help primary care clinicians—the most important facilitators of preventive healthcare and cancer screening—understand the technology behind MCED tests, interpret data from clinical trials, engage in shared decision-making to determine which patients should be tested, and plan for follow-up examinations in response to a positive test.
Primary Care Diagnostics
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Author : Nicholas Summerton
language : en
Publisher: CRC Press
Release Date : 2018-04-19
Primary Care Diagnostics written by Nicholas Summerton and has been published by CRC Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-04-19 with Medical categories.
Primary care diagnostics involves interpreting and applying information obtained directly from the patient. It re-emphasises the importance of the patient's input into the diagnostic process and of using investigations only after careful consideration has been given to the costs and benefits from both the patient's and the health service's perspectives. The first edition of this book, Patient-Centred Diagnosis, was acclaimed for returning the patient to the centre of diagnostic input and focusing on the interaction between doctor and patient. This revised and augmented new edition, Primary Care Diagnostics, expands on that success; it reflects the broader and equally important issues considered by clinicians or commissioners focusing on the diagnostic approach within primary care, and includes entirely new chapters on cancer and commissioning. Family doctors and other healthcare professionals in the primary care team will find this an enlightening guide. Private and commercial providers of primary care clinical assessment and diagnostic services will also find it of great interest, as will healthcare managers, as well as policy makers and shapers. From reviews of the First Edition: 'Even the more technical sections are expressed in a straightforward language. The style is clear, flowing and engaging. Useful.' THE BRITISH JOURNAL OF GENERAL PRACTICE 'Thought provoking. Clear, understandable and uses real examples from general practice. This is a book for GPs who wish to take a step back from daily practice and think about the reasons behind their actions.' PULSE
Cancer Screening
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Author : Khalid Aziz
language : en
Publisher: Springer Science & Business Media
Release Date : 2001-11-26
Cancer Screening written by Khalid Aziz and has been published by Springer Science & Business Media this book supported file pdf, txt, epub, kindle and other format this book has been release on 2001-11-26 with Medical categories.
In Cancer Screening: A Practical Guide for Physicians, a panel of highly experienced clinicians and researchers from around the world present their up-to-date screening techniques for a wide variety of cancers. The techniques range from screening for breast, gynecological, and gastrointestinal cancers, to testing for urogenital, dermatological, and respiratory cancers. In addition to providing the busy practitioner with quick access to guidelines for particular cancers, the epidemiology and biology of the various cancers, as well as the sensitivity and specificity of the methods, are discussed in detail. Authoritative and physician-friendly, Cancer Screening: A Practical Guide for Physicians offers to all internists, oncologists, various subspecialists, and primary care physicians a concise practical review of cancer screening designed specifically for daily use in the consulting room.
Cancer In Primary Care
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Author : Martin E. Gore
language : en
Publisher: CRC Press
Release Date : 2003-09-26
Cancer In Primary Care written by Martin E. Gore and has been published by CRC Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2003-09-26 with Medical categories.
Edited by an expert in primary care and an expert in oncology, with input from specialists in oncology, surgery, and palliative care, Cancer in Primary Care profiles each of the major types of cancer in adults and children. Bringing together the different and complementary experiences of oncologists and primary care physicians, the book provides an up-to-date overview of the management of patients with cancer. Covering risk factors, epidemiology, and demographic data and including comments on diagnostic and screening issues, the book contains discussions of management options and reviews therapy choices along with their prognostic implications. Numerous tables, charts, and diagrams support the concise text, with key points summarized in highlighted panels, making the information easily accessible. Each section concludes with up-to-date information on current research, on-going trials, and contact details for support groups for patients and their families. This practical and easy to use resource supplies the information required for the day-to-day management of cancer patients.
Evidence Based Diagnosis In Primary Care
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Author : Paul Glasziou
language : en
Publisher: Elsevier Health Sciences
Release Date : 2012-01-04
Evidence Based Diagnosis In Primary Care written by Paul Glasziou and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-01-04 with Medical categories.
British Medical Association Book Awards 2009 - First Prize Winner, Primary Care Category Evidence-Based Diagnosis in Primary Care provides guidance on diagnosis in general practice, from the patient’s first presentation with a symptom to the final establishment of a diagnosis or referral for further investigation. The book is divided into two parts: • Symptoms; which details the steps necessary to reach a provisional diagnosis when a patient presents; and • Disorders; in which the more detailed assessment of that initial diagnosis is described. This is the first book to be written about diagnosis in primary care that attempts to base its guidance on the research evidence. Enough information is provided on each symptom, or condition, to decide on the pre-test probability of each possible disorder, and how the symptoms, signs and investigations alter those probabilities to allow a conclusion to be reached about the most likely diagnosis. Evidence-Based Diagnosis in Primary Care also explains the principles of evidence-based diagnosis – with special emphasis on the issues raised by attempting an evidence-based approach in primary care – and clearly demonstrates the power, and the difficulties, of an evidence-based approach. Many chapters also feature ‘red flags’ – elements of the history or examination that should alert the practitioner to the possibility of serious disease, which is vital for general practice.
Suspected Cancer
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Author :
language : en
Publisher:
Release Date : 2015
Suspected Cancer written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015 with categories.
Cancer is an important condition, both in terms of the number of people affected and the impacts on those people and the people close to them. Around one third of a million new cancers are diagnosed annually in the UK, across over 200 different cancer types. Each of these cancer types has different presenting features, though there may be overlap. More than one third of the population will develop a cancer in their lifetime. Although there have been large advances in treatment and survival, with a half of cancer sufferers now living at least ten years after diagnosis, it remains the case that more than a quarter of all people alive now will die of cancer. It is generally believed that early diagnosis of cancer is beneficial. However, this is quite difficult to prove scientifically, in part because the natural course of cancer, and of its symptoms, is imperfectly understood. The benefit from earlier diagnosis is usually thought of in terms of survival - with most people considering the chance of surviving their cancer to be higher the earlier it is diagnosed, as the cancer will have had less time to spread. There may be other benefits from expediting diagnosis, such as relief of symptoms. These factors have underpinned many initiatives in the UK and other countries aimed at improving cancer diagnosis. These include awareness campaigns, cancer screening, and better diagnosis of symptomatic cancer. There is also unwarranted variation in referral rates, investigation rates and clinical outcomes. This guideline, on the symptoms of possible cancer, seeks to improve cancer diagnosis. This guideline is about people with symptoms, rather than about people in whom cancer is already suspected. It is increasingly recognised that selection of patients whose symptoms suggest cancer should be considered a primary care task, as the large majority of such patients present to a primary care clinician. As consideration of possible cancer typically occurs in primary care, evidence from primary care must inform the identification process. Previous approaches have relied mostly on evidence from secondary care, partly because evidence from primary care was lacking. More primary care evidence is now available.