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A differentiated approach to referrals from general practice to support early cancer diagnosis - the Danish three-legged strategy.

Vedsted P, Olesen F - Br. J. Cancer (2015)

Bottom Line: Symptom epidemiology has consequences for how the health-care system might best be organised.The organisation of the health-care system must reflect the reality of symptoms presented in primary care.The organisational change is evaluated and monitored with a comprehensive research agenda, data infrastructure and education.

View Article: PubMed Central - PubMed

Affiliation: Research Unit for General Practice, The Research Centre for Cancer Diagnosis in Primary Care (CaP), Institute of Public Health, Aarhus University, Bartholins Alle 2, 8000 Aarhus C, Denmark.

ABSTRACT
When aiming to provide more expedited cancer diagnosis and treatment of cancer at an earlier stage, it is important to take into account the symptom epidemiology throughout the pathway, from first bodily sensation until the start of cancer treatment. This has implications for how primary-care providers interpret the presentation and decisions around patient management and investigation. Symptom epidemiology has consequences for how the health-care system might best be organised. This paper argues for and describes the organisation of the Danish three-legged strategy in diagnosing cancer, which includes urgent referral pathways for symptoms suspicious of a specific cancer, urgent referral to diagnostic centres when we need quick and profound evaluation of patients with nonspecific, serious symptoms and finally easy and fast access to 'No-Yes-Clinics' for cancer investigations for those patients with common symptoms in whom the diagnosis of cancer should not be missed. The organisation of the health-care system must reflect the reality of symptoms presented in primary care. The organisational change is evaluated and monitored with a comprehensive research agenda, data infrastructure and education.

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Related in: MedlinePlus

The structure of the Danish three-legged diagnostic strategy.
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Related In: Results  -  Collection

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fig3: The structure of the Danish three-legged diagnostic strategy.

Mentions: This led to the development of the three-legged cancer diagnosis strategy in Denmark (Figure 3). It acknowledges that we need diagnostic routes for what the GPs recognise as alarm symptoms (the obvious cancer suspicion), the nonspecific symptoms (the difficult diagnosis) and the vague symptoms (the common symptom).


A differentiated approach to referrals from general practice to support early cancer diagnosis - the Danish three-legged strategy.

Vedsted P, Olesen F - Br. J. Cancer (2015)

The structure of the Danish three-legged diagnostic strategy.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4385978&req=5

fig3: The structure of the Danish three-legged diagnostic strategy.
Mentions: This led to the development of the three-legged cancer diagnosis strategy in Denmark (Figure 3). It acknowledges that we need diagnostic routes for what the GPs recognise as alarm symptoms (the obvious cancer suspicion), the nonspecific symptoms (the difficult diagnosis) and the vague symptoms (the common symptom).

Bottom Line: Symptom epidemiology has consequences for how the health-care system might best be organised.The organisation of the health-care system must reflect the reality of symptoms presented in primary care.The organisational change is evaluated and monitored with a comprehensive research agenda, data infrastructure and education.

View Article: PubMed Central - PubMed

Affiliation: Research Unit for General Practice, The Research Centre for Cancer Diagnosis in Primary Care (CaP), Institute of Public Health, Aarhus University, Bartholins Alle 2, 8000 Aarhus C, Denmark.

ABSTRACT
When aiming to provide more expedited cancer diagnosis and treatment of cancer at an earlier stage, it is important to take into account the symptom epidemiology throughout the pathway, from first bodily sensation until the start of cancer treatment. This has implications for how primary-care providers interpret the presentation and decisions around patient management and investigation. Symptom epidemiology has consequences for how the health-care system might best be organised. This paper argues for and describes the organisation of the Danish three-legged strategy in diagnosing cancer, which includes urgent referral pathways for symptoms suspicious of a specific cancer, urgent referral to diagnostic centres when we need quick and profound evaluation of patients with nonspecific, serious symptoms and finally easy and fast access to 'No-Yes-Clinics' for cancer investigations for those patients with common symptoms in whom the diagnosis of cancer should not be missed. The organisation of the health-care system must reflect the reality of symptoms presented in primary care. The organisational change is evaluated and monitored with a comprehensive research agenda, data infrastructure and education.

Show MeSH
Related in: MedlinePlus