PDF(Pubmed)
Abstract：
UNASSIGNED: No standardised approach exists to provide advice after urgent suspected cancer (USC) referral when cancer is not found. This study aimed to assess preferences and acceptability of receiving advice after USC referral related to: 1) managing ongoing symptoms, 2) responding to early symptoms of other cancers, 3) cancer screening, 4) reducing risks of future cancer.
UNASSIGNED: 2,541 patients from two English NHS Trusts were mailed a survey 1-3 months after having no cancer found following urgent suspected gastrointestinal or head and neck cancer referral. Participants were asked about: willingness to receive advice; prospective acceptability; preferences related to mode, timing and who should provide advice; and previous advice receipt.
UNASSIGNED: 406 patients responded (16.0%) with 397 in the final analyses. Few participants had previously received advice, yet most were willing to. Willingness varied by type of advice: fewer were willing to receive advice about early symptoms of other cancers (88.9%) than advice related to ongoing symptoms (94.3%). Acceptability was relatively high for all advice types. Reducing the risk of future cancer advice was more acceptable. Acceptability was lower in those from ethnic minority groups, and with lower levels of education. Most participants preferred to receive advice from a doctor; with results or soon after; either face to face or via the telephone.
UNASSIGNED: There is a potential unmet need for advice after USC referral when no cancer is found. Equitable intervention design should focus on increasing acceptability for people from ethnic minority groups and those with lower levels of education.
UNASSIGNED: 2,541 patients from two English NHS Trusts were mailed a survey 1-3 months after having no cancer found following urgent suspected gastrointestinal or head and neck cancer referral. Participants were asked about: willingness to receive advice; prospective acceptability; preferences related to mode, timing and who should provide advice; and previous advice receipt.
UNASSIGNED: 406 patients responded (16.0%) with 397 in the final analyses. Few participants had previously received advice, yet most were willing to. Willingness varied by type of advice: fewer were willing to receive advice about early symptoms of other cancers (88.9%) than advice related to ongoing symptoms (94.3%). Acceptability was relatively high for all advice types. Reducing the risk of future cancer advice was more acceptable. Acceptability was lower in those from ethnic minority groups, and with lower levels of education. Most participants preferred to receive advice from a doctor; with results or soon after; either face to face or via the telephone.
UNASSIGNED: There is a potential unmet need for advice after USC referral when no cancer is found. Equitable intervention design should focus on increasing acceptability for people from ethnic minority groups and those with lower levels of education.
摘要：
■在未发现癌症的情况下，没有标准化方法可以在紧急疑似癌症（USC）转诊后提供建议。本研究旨在评估南加州大学转诊后接受建议的偏好和可接受性，涉及：1）管理持续症状，2）对其他癌症的早期症状作出反应，3）癌症筛查，4）降低未来癌症的风险。
■来自两个英国NHS信托基金的2,541名患者在紧急疑似胃肠道或头颈部癌症转诊后没有发现癌症1-3个月后邮寄了一项调查。参与者被问及：接受建议的意愿；预期可接受性；与模式相关的偏好，时间安排和谁应该提供建议；以及以前的建议收据。
■406名患者（16.0%）在最终分析中为397。很少有参与者以前收到过建议，但大多数人都愿意。意愿因建议类型而异：愿意接受其他癌症早期症状的建议（88.9％）少于与持续症状相关的建议（94.3％）。所有建议类型的可接受性相对较高。降低未来癌症风险的建议更容易接受。少数族裔群体的可接受性较低，教育水平较低。大多数参与者更愿意接受医生的建议;有结果或不久之后;面对面或通过电话。
■在未发现癌症的情况下，在USC转诊后可能存在未满足的建议需求。公平干预设计应侧重于提高少数民族和受教育程度较低的人的可接受性。
■来自两个英国NHS信托基金的2,541名患者在紧急疑似胃肠道或头颈部癌症转诊后没有发现癌症1-3个月后邮寄了一项调查。参与者被问及：接受建议的意愿；预期可接受性；与模式相关的偏好，时间安排和谁应该提供建议；以及以前的建议收据。
■406名患者（16.0%）在最终分析中为397。很少有参与者以前收到过建议，但大多数人都愿意。意愿因建议类型而异：愿意接受其他癌症早期症状的建议（88.9％）少于与持续症状相关的建议（94.3％）。所有建议类型的可接受性相对较高。降低未来癌症风险的建议更容易接受。少数族裔群体的可接受性较低，教育水平较低。大多数参与者更愿意接受医生的建议;有结果或不久之后;面对面或通过电话。
■在未发现癌症的情况下，在USC转诊后可能存在未满足的建议需求。公平干预设计应侧重于提高少数民族和受教育程度较低的人的可接受性。
