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Cited by 8Esophageal Cancer Research and TreatmentCancer survivorship and carePatient-Provider Communication in Healthcare

The DOI matches its Crossref record; 39 of the 39 references it cites were found in a registry or an index.

Patient factors influencing symptom appraisal and subsequent adjustment to oesophageal cancer: A qualitative interview study

Open access
Lewis, Liane, Marcu, Afrodita, Whitaker, Katriina, Maguire, Roma·2018·European Journal of Cancer Care
DOI 10.1111/ecc.12745
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Abstract

Oesophageal cancer (EC) is characterised by vague symptoms and is often diagnosed at an advanced stage, leading to poor outcomes. Therefore, we aimed to investigate whether there might be any patient factors contributing to delay in EC diagnosis, and focused on the symptom appraisal and help-seeking strategies of people diagnosed with EC in the UK. Semi-structured interviews were conducted with 14 patients aged >18 years with localised EC at point of diagnosis. Purposive sampling was used to include patients from 1 to 9 months post-diagnosis. Analysis of the interviews identified three main themes: Interpreting symptoms, Triggers to seeking help and Making sense of an unfamiliar cancer. Findings suggested that participants normalised symptoms or used previous health experiences as a means to interpret their symptoms. The majority of participants were not alarmed by their symptoms, mainly because they had very little knowledge of EC specific symptoms. Lack of knowledge also influenced participants' sense-making of their diagnosis. The findings highlight that the process of symptom appraisal in EC is likely to be inaccurate, which may hinder early presentation and thus diagnosis. Public health campaigns communicating EC specific symptoms, however, could shorten the appraisal period and lead to earlier diagnosis.

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  • The delay in seeking help for upper chest pain among patients with chronic diseases may be due to confidence in self-perception and self-management, using familiar coping styles.

    “After reviewing the patient's description, this may be because of the patient's confdence in their self-perception and selfmanagement of their chronic diseases, choosing to dispose of the changes in common/familiar symptoms with a coping style they understand [34,35], which is inconsistent with Lewis' fndings [15].”

    From Symptom Experiences before Medical Help-Seeking and Psychosocial Responses of Patients with Esophageal Cancer: A Qualitative Study. (2023) · cites this paper as [15]

    The citation to Lewis is attached to the assertion that the proposed explanation is inconsistent with Lewis’ findings. Lewis reports the opposite in §3.1.2 and §3.3.1: patients interpreted symptoms through familiar conditions, and self-managing persistent symptoms could delay help-seeking. The paper does not specifically link that mechanism to upper chest pain, but its findings do not support calling the explanation inconsistent. (LLM, conf=0.83)

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  • Lewis et al. found that patients with esophageal cancer had little understanding of esophageal cancer and had a propensity to normalize their symptoms or misdiagnose them as other well-known disorders, and only contacted their general practitioner when symptoms changed or interfered with daily living.

    “Te fndings demonstrated that patients had little understanding of esophageal cancer and had a propensity to normalize their symptoms (e.g., fatigue as a sign of old age) or misdiagnose these symptoms as other well-known disorders.Patients only contacted their general practitioner when their symptoms changed or interfered with their daily living.”

    From Symptom Experiences before Medical Help-Seeking and Psychosocial Responses of Patients with Esophageal Cancer: A Qualitative Study. (2023) · cites this paper as [15]

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Research works printed but not linked: 1

  1. Haruma, 1988, Observations on the growth rate of polypoid type gastric cancers with doubling times based on a retrospective roentgenological study. Gan no rinsho, Japan Journal of Cancer Clinics, 34, 183

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Metadata

Authors
Lewis, L., Marcu, A., Whitaker, K., & Maguire, R.
Affiliations
University of Surrey (GB)
Corresponding author
Maguire, Roma
ORCID
Venue
European Journal of Cancer Care
Publisher
Wiley
Published
2017-08-31
Volume
27
Issue
1
Pages
e12745
ISSN
0961-5423 (ISSN-L)
DOI
10.1111/ecc.12745
OpenAlex
W2750862324
Cited by
8
References
39
Citations by year
2024: 2 · 2023: 1 · 2020: 3 · 2019: 2
FWCI
1.40
Type
journal article
Language
en
Open access
Licence
Locations
  • European Journal of Cancer Care (publishedVersion)
  • PubMed (publishedVersion)
  • Strathprints: The University of Strathclyde institutional repository (University of Strathclyde) (acceptedVersion)
  • Surrey Research Insight Open Access (The University of Surrey) (submittedVersion)
Funders
  • Wishaw General Hospital
  • NHS Lanarkshire
Topics
  • Health Sciences › Medicine › Surgery › Esophageal Cancer Research and Treatment
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
  • Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
Keywords
esophageal cancer, symptom appraisal, help-seeking, delayed diagnosis, early presentation, public health campaigns
MeSH terms
Adaptation, Psychological, Adenocarcinoma, Adult, Aged, Carcinoma, Squamous Cell, Chest Pain, Deglutition Disorders, Esophageal Neoplasms, Female, Gastroesophageal Reflux, Humans, Health Knowledge, Attitudes, Practice, Male, Middle Aged, Patient Acceptance of Health Care, Pharyngitis, Qualitative Research, Delayed Diagnosis, Symptom Assessment

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