What factors empower general practitioners for early cancer diagnosis? A 20-country European Delphi Study

Funding Information: The publication of the article in OA mode was financially supported by HEAL-Link. Publisher Copyright: © The Author(s), 2022.Background: Some symptoms are recognised as red flags for cancer, causing the General Practitioner (GP) to refer the patient for investigation without delay. However, many early symptoms of cancer are vague and unspecific, and in these cases, a delay in referral risks a diagnosis of cancer that is too late. Empowering GPs in their management of patients that may have cancer is likely to lead to more timely cancer diagnoses. Aim: To identify the factors that affect European GPs' empowerment in making an early diagnosis of cancer. Methods: This was a Delphi study involving GPs in 20 European countries. We presented GPs with 52 statements representing factors that could empower GPs to increase the number of early cancer diagnoses. Over three Delphi rounds, we asked GPs to indicate the clinical relevance of each statement on a Likert scale. The final list of statements indicated those that were considered by consensus to be the most relevant. Results: In total, 53 GPs from 20 European countries completed the Delphi process, out of the 68 GPs who completed round one. Twelve statements satisfied the pre-defined criteria for relevance. Five of the statements related to screening and four to the primary/secondary care interface. The other selected statements concerned information technology (IT) and GPs' working conditions. Statements relating to training, skills and working efficiency were not considered priority areas. Conclusion: GPs consider that system factors relating to screening, the primary-secondary care interface, IT and their working conditions are key to enhancing their empowerment in patients that could have cancer. These findings provide the basis for seeking actions and policies that will support GPs in their efforts to achieve timely cancer diagnosis.publishersversionPeer reviewe

What factors empower general practitioners for early cancer diagnosis? A 20-country European Delphi Study.

BACKGROUND Some symptoms are recognised as red flags for cancer, causing the General Practitioner (GP) to refer the patient for investigation without delay. However, many early symptoms of cancer are vague and unspecific, and in these cases, a delay in referral risks a diagnosis of cancer that is too late. Empowering GPs in their management of patients that may have cancer is likely to lead to more timely cancer diagnoses. AIM To identify the factors that affect European GPs' empowerment in making an early diagnosis of cancer. METHODS This was a Delphi study involving GPs in 20 European countries. We presented GPs with 52 statements representing factors that could empower GPs to increase the number of early cancer diagnoses. Over three Delphi rounds, we asked GPs to indicate the clinical relevance of each statement on a Likert scale.The final list of statements indicated those that were considered by consensus to be the most relevant. RESULTS In total, 53 GPs from 20 European countries completed the Delphi process, out of the 68 GPs who completed round one. Twelve statements satisfied the pre-defined criteria for relevance. Five of the statements related to screening and four to the primary/secondary care interface. The other selected statements concerned information technology (IT) and GPs' working conditions. Statements relating to training, skills and working efficiency were not considered priority areas. CONCLUSION GPs consider that system factors relating to screening, the primary-secondary care interface, IT and their working conditions are key to enhancing their empowerment in patients that could have cancer. These findings provide the basis for seeking actions and policies that will support GPs in their efforts to achieve timely cancer diagnosis

The prevalence of performance-related musculoskeletal disorders in fine arts faculty students and academics

WOS: 000565197700014PubMed: 32417820BACKGROUND: While professional musicians may have a high incidence of musculoskeletal pain, there are few studies on the performance-related musculoskeletal disorders (PRMD) in visual artists. OBJECTIVE: To assess the prevalence and probable risk factors of PRMD in visual artists. METHODS: the study population comprised the students and academics of fine arts faculty. the Rapid Entire Body Assessment (REBA) and the Cornell Musculoskeletal Discomfort Questionnaires were used to evaluate posture and pain, respectively. RESULTS: the study included 197 participants (140 women, 57 men). the mean REBA score was 5.2. the sculptors who worked in marble sculpting had the highest REBA scores. of the participants, 88.8% reported musculoskeletal pain. the pain severity of 64.0% of the participants was 3 (very uncomfortable with a reduction in activity) and/or 4 (pain interferes with the ability to work). the PRMD prevalence was 64.0%, and significantly higher in women than in men (p < 0.05). CONCLUSIONS: Musculoskeletal pain in visual artists is extremely prevalent. Mean REBA score of 5.2 corresponds to a medium risk assessment accompanied by guidance to "further investigate, change soon." the policy makers in fine arts faculties who are responsible for student and employee health should prioritize strategies to prevent and manage musculoskeletal pain