Tag Archives: Cancer

What explains variations between GP practices in endoscopy activity and urgent referral for suspected cancer? What can we learn from measures of patient experience?

Appropriately suspecting the diagnosis of cancer in primary care is important, but it is also hard. In this work, we looked into some of the factors that that may (or may not) influence decisions about referrals and endoscopic investigations. In our paper just published in the BJGP (British Journal of General Practice), we looked at …read more

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Process or Outcomes for Quality Measurement?

Whether quality measurement should focus on process or outcomes measures is a perennial dilemma for health policy and health services researchers. Our recent research provides new insights to this old age dilemma. How promptly cancer patients are diagnosed is a prevailing concern for UK population health and healthcare policy. This has led the development of …read more

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Who should have PSA testing for prostate cancer?

Doctors and patients are confused by PSA testing. In January 2016, the UK National Screening Committee recommendation concluded that “Evidence shows a benefit of prostate screening to reduce prostate cancer deaths by 21%. Despite this significant reduction, the major harms of treating men who incorrectly test positive still outweigh the benefits. A systematic population screening …read more

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Which cancers are more difficult to suspect in primary care?

Back in 2012 members of our team reported the proportion of multiple (three or more) pre-referral consultations for 24 cancer diagnoses (1). This previous work provided evidence of the variability in the diagnostic difficulty of different cancers in primary care, reflecting the cancer’s ‘symptom signature’. This work used patient self-reported data from one year of …read more

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Timely diagnosis of cancer matters for patient experience

In our recent paper we studied how pre-diagnosis experience affects subsequent care experience in cancer patients (1). Our findings suggest that patients who experienced more pre-referral consultations in primary care are more likely to be less satisfied with their care. As perhaps could have been expected, the associations found were stronger for questions involving primary care …read more

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How can we use patient experience surveys to improve care?

One new answer, for cancer patients, comes from our analysis of the National Cancer Patient Experience Survey, published this week in the European Journal of Cancer Care We found strong inequalities in experience between patients with different cancer diagnoses, and these were pretty consistent across the whole patient journey, from pre-diagnosis care to post hospital …read more

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Asking the right questions

One of the great things about Twitter is that you get to read other peoples’ takes on things. Matthew Hankins, for example, posts people’s interpretations of p-values (under the hashtag #stillnotsignificant), which are more entertaining than you might think. A few weeks ago he posted the conclusion from a paper which read: “we were quite …read more

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How long does it take patients with symptoms of cancer to present to their GP?

Today we welcome guest blogger Stuart Keeble, who completed his MPhil in Public Health in our Department in 2013, who relates the story behind his recent paper with CCHSR colleagues. Read more…

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Should you blame your patient case-mix for poor performance in patient experience surveys?

There is an unprecedented amount of publicly reported data about what patients think of their care experience in different NHS hospitals. But not uncommonly information on hospital performance in respect of patient experience fails to influence the behaviour of clinicians and managers responsible for improving care delivery.

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Changes over time in socio-economic inequalities in cancer survival. Can “Victora’s law” help us?

We are often pre-occupied with health care inequalities ‘here and now’. But how are such inequalities generated? And more importantly, what happens to them over time? The answer to these questions can help us to narrow inequalities faster. And in principle, it could even help us in preventing inequalities form occurring in the first place.

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  • The Cambridge Centre for Health Services Research (CCHSR) is a thriving collaboration between the University of Cambridge and RAND Europe. We aim to inform health policy and practice by conducting research and evaluation studies of organisation and delivery of healthcare, including safety, effectiveness, efficiency and patient experience.