Prevalence and diagnostic value of GPs' gut feelings for cancer and serious diseases: protocol for a prospective observational study of diagnostic validity

Introduction Cancer diagnosis in primary care is an important challenge for general practitioners (GPs) due to the relatively low frequency of any single type of cancer and the heterogeneous signs and symptoms that can be present. In addition to analytical reasoning, GPs may become aware of gut feel...

Descripción completa

Detalles Bibliográficos
Autores: Oliva-Fanlo, Bernardino, March, Sebastia, Medina, David, Martin-Rabadan Muro, Maria, Tamborero Cao, Gaspar, Stolper, Erik, Esteva, Magdalena
Tipo de recurso: artículo
Fecha de publicación:2019
País:España
Institución:Instituto de Salud Carlos III (ISCIII)
Repositorio:Repisalud
Idioma:inglés
OAI Identifier:oai:repisalud.isciii.es:20.500.12105/22672
Acceso en línea:https://hdl.handle.net/20.500.12105/22672
Access Level:acceso abierto
Palabra clave:Intuición
Reproducibilidad de los Resultados
Femenino
Toma de Decisiones Clínicas
Actitud del Personal de Salud
Adolescente
Masculino
Estudios de Seguimiento
Humanos
Persona de Mediana Edad
Neoplasias
Protocolos Clínicos
Estudios Prospectivos
Adulto Joven
Anciano
Anciano de 80 o más Años
Detección Precoz del Cáncer
Atención Primaria de Salud
Adulto
Médicos Generales
Sensibilidad y Especificidad
id ES_7172f616dc6ecfdf447f5d892e0ecb27
oai_identifier_str oai:repisalud.isciii.es:20.500.12105/22672
network_acronym_str ES
network_name_str España
repository_id_str
spelling Prevalence and diagnostic value of GPs' gut feelings for cancer and serious diseases: protocol for a prospective observational study of diagnostic validityOliva-Fanlo, BernardinoMarch, SebastiaMedina, DavidMartin-Rabadan Muro, MariaTamborero Cao, GasparStolper, ErikEsteva, MagdalenaIntuiciónReproducibilidad de los ResultadosFemeninoToma de Decisiones ClínicasActitud del Personal de SaludAdolescenteMasculinoEstudios de SeguimientoHumanosPersona de Mediana EdadNeoplasiasProtocolos ClínicosEstudios ProspectivosAdulto JovenAncianoAnciano de 80 o más AñosDetección Precoz del CáncerAtención Primaria de SaludAdultoMédicos GeneralesSensibilidad y EspecificidadIntroduction Cancer diagnosis in primary care is an important challenge for general practitioners (GPs) due to the relatively low frequency of any single type of cancer and the heterogeneous signs and symptoms that can be present. In addition to analytical reasoning, GPs may become aware of gut feelings (GFs) as they suspect that a patient may have cancer or another serious disease. We aimed to investigate the prevalence and the predictive value of GFs for the diagnosis of cancer and serious diseases. Methods and analysis Prospective observational study of diagnostic validity. Participation will be offered to GPs from Majorca and Zaragoza (Spain). They will recruit all patients with a new reason for encounter during one or two workdays. GPs will complete the Gut Feelings Questionnaire (GFQ). Variables regarding patient, GP and consultation will be collected. Two and 6 months after the first visit, incident diagnoses of cancer or other serious diseases, diagnostic tests performed, referrals and new visits will be recorded. Analysis will include a descriptive analysis of the variables and prevalence of GFs, and the sensitivity, specificity, predictive values and likelihood ratios of the GFs (sense of alarm and sense of reassurance) for diagnosing cancer and other serious diseases, as measured with the GFQ. Ethics and dissemination The study has obtained approval from the Majorcan Primary Care Research Committee and from the Balearic Islands Ethical Committee, with reference number IB 3210/16 PI. The results may help GPs to make more accurate decisions about which patients need further examinations to rule out or to confirm a diagnosis of cancer or a serious disease, and which ones do not. The results will be published as part of the PhD project of the first author and in open access journals, and will be presented at medical conferences.BMJ Publishing Group20242024-09-1020192019-10-0120192019-10-01research articlehttp://purl.org/coar/resource_type/c_2df8fbb1info:eu-repo/semantics/articlehttps://hdl.handle.net/20.500.12105/22672reponame:Repisaludinstname:Instituto de Salud Carlos III (ISCIII)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution-NonCommercial 4.0 Internationalhttp://creativecommons.org/licenses/by-nc/4.0/info:eu-repo/semantics/openAccessoai:repisalud.isciii.es:20.500.12105/226722026-06-12T12:43:37Z
dc.title.none.fl_str_mv Prevalence and diagnostic value of GPs' gut feelings for cancer and serious diseases: protocol for a prospective observational study of diagnostic validity
title Prevalence and diagnostic value of GPs' gut feelings for cancer and serious diseases: protocol for a prospective observational study of diagnostic validity
spellingShingle Prevalence and diagnostic value of GPs' gut feelings for cancer and serious diseases: protocol for a prospective observational study of diagnostic validity
Oliva-Fanlo, Bernardino
Intuición
Reproducibilidad de los Resultados
Femenino
Toma de Decisiones Clínicas
Actitud del Personal de Salud
Adolescente
Masculino
Estudios de Seguimiento
Humanos
Persona de Mediana Edad
Neoplasias
Protocolos Clínicos
Estudios Prospectivos
Adulto Joven
Anciano
Anciano de 80 o más Años
Detección Precoz del Cáncer
Atención Primaria de Salud
Adulto
Médicos Generales
Sensibilidad y Especificidad
title_short Prevalence and diagnostic value of GPs' gut feelings for cancer and serious diseases: protocol for a prospective observational study of diagnostic validity
title_full Prevalence and diagnostic value of GPs' gut feelings for cancer and serious diseases: protocol for a prospective observational study of diagnostic validity
title_fullStr Prevalence and diagnostic value of GPs' gut feelings for cancer and serious diseases: protocol for a prospective observational study of diagnostic validity
title_full_unstemmed Prevalence and diagnostic value of GPs' gut feelings for cancer and serious diseases: protocol for a prospective observational study of diagnostic validity
title_sort Prevalence and diagnostic value of GPs' gut feelings for cancer and serious diseases: protocol for a prospective observational study of diagnostic validity
dc.creator.none.fl_str_mv Oliva-Fanlo, Bernardino
March, Sebastia
Medina, David
Martin-Rabadan Muro, Maria
Tamborero Cao, Gaspar
Stolper, Erik
Esteva, Magdalena
author Oliva-Fanlo, Bernardino
author_facet Oliva-Fanlo, Bernardino
March, Sebastia
Medina, David
Martin-Rabadan Muro, Maria
Tamborero Cao, Gaspar
Stolper, Erik
Esteva, Magdalena
author_role author
author2 March, Sebastia
Medina, David
Martin-Rabadan Muro, Maria
Tamborero Cao, Gaspar
Stolper, Erik
Esteva, Magdalena
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv
dc.subject.none.fl_str_mv Intuición
Reproducibilidad de los Resultados
Femenino
Toma de Decisiones Clínicas
Actitud del Personal de Salud
Adolescente
Masculino
Estudios de Seguimiento
Humanos
Persona de Mediana Edad
Neoplasias
Protocolos Clínicos
Estudios Prospectivos
Adulto Joven
Anciano
Anciano de 80 o más Años
Detección Precoz del Cáncer
Atención Primaria de Salud
Adulto
Médicos Generales
Sensibilidad y Especificidad
topic Intuición
Reproducibilidad de los Resultados
Femenino
Toma de Decisiones Clínicas
Actitud del Personal de Salud
Adolescente
Masculino
Estudios de Seguimiento
Humanos
Persona de Mediana Edad
Neoplasias
Protocolos Clínicos
Estudios Prospectivos
Adulto Joven
Anciano
Anciano de 80 o más Años
Detección Precoz del Cáncer
Atención Primaria de Salud
Adulto
Médicos Generales
Sensibilidad y Especificidad
description Introduction Cancer diagnosis in primary care is an important challenge for general practitioners (GPs) due to the relatively low frequency of any single type of cancer and the heterogeneous signs and symptoms that can be present. In addition to analytical reasoning, GPs may become aware of gut feelings (GFs) as they suspect that a patient may have cancer or another serious disease. We aimed to investigate the prevalence and the predictive value of GFs for the diagnosis of cancer and serious diseases. Methods and analysis Prospective observational study of diagnostic validity. Participation will be offered to GPs from Majorca and Zaragoza (Spain). They will recruit all patients with a new reason for encounter during one or two workdays. GPs will complete the Gut Feelings Questionnaire (GFQ). Variables regarding patient, GP and consultation will be collected. Two and 6 months after the first visit, incident diagnoses of cancer or other serious diseases, diagnostic tests performed, referrals and new visits will be recorded. Analysis will include a descriptive analysis of the variables and prevalence of GFs, and the sensitivity, specificity, predictive values and likelihood ratios of the GFs (sense of alarm and sense of reassurance) for diagnosing cancer and other serious diseases, as measured with the GFQ. Ethics and dissemination The study has obtained approval from the Majorcan Primary Care Research Committee and from the Balearic Islands Ethical Committee, with reference number IB 3210/16 PI. The results may help GPs to make more accurate decisions about which patients need further examinations to rule out or to confirm a diagnosis of cancer or a serious disease, and which ones do not. The results will be published as part of the PhD project of the first author and in open access journals, and will be presented at medical conferences.
publishDate 2019
dc.date.none.fl_str_mv 2019
2019-10-01
2019
2019-10-01
2024
2024-09-10
dc.type.none.fl_str_mv research article
http://purl.org/coar/resource_type/c_2df8fbb1
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/20.500.12105/22672
url https://hdl.handle.net/20.500.12105/22672
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution-NonCommercial 4.0 International
http://creativecommons.org/licenses/by-nc/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution-NonCommercial 4.0 International
http://creativecommons.org/licenses/by-nc/4.0/
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv BMJ Publishing Group
publisher.none.fl_str_mv BMJ Publishing Group
dc.source.none.fl_str_mv reponame:Repisalud
instname:Instituto de Salud Carlos III (ISCIII)
instname_str Instituto de Salud Carlos III (ISCIII)
reponame_str Repisalud
collection Repisalud
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869410653264936960
score 15,812455

Similares en LA Referencia