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Improving identification of cancer in young people: a scoping review

Gibson, Faith, Pearce, S, Fern, L, Martins, A and Kelly, D (2017) Improving identification of cancer in young people: a scoping review Expert Review of Quality of Life in Cancer Care, 2 (2). pp. 87-101.

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Abstract

Introduction: The challenges of achieving timely cancer diagnosis in adolescents and young adults are recognised. However, contributing factors and associated clinical and psychosocial outcomes are poorly understood. Areas covered: We present a scoping review of existing evidence into time intervals to diagnosis and potential mechanisms influencing the identification of cancer symptoms and impact on a timely diagnosis. Charting data using Walters ‘pathways to treatment’ we summarise the diagnostic pathway into four interval categories: appraisal, help-seeking, diagnostic, and pre-treatment, and illustrate where evidence exists and where unanswered questions remain. Expert commentary: Whilst the research base has expanded over the last decade in cancer care there continues to be limited research that reveals the complexity of the timeliness of diagnosis in this population. There are unique issues facing this age group in terms of rarity of cancer, complexity of symptoms and problems with healthcare system access that create a constellation of challenges. We offer explanations for diagnostic difficulties in this age group, and explain how, with the limited available evidence, we are still seeking solutions to what is a uniquely complex problem.

Item Type: Article
Subjects : Health Sciences
Divisions : Faculty of Health and Medical Sciences > School of Health Sciences
Authors :
NameEmailORCID
Gibson, Faithf.gibson@surrey.ac.ukUNSPECIFIED
Pearce, SUNSPECIFIEDUNSPECIFIED
Fern, LUNSPECIFIEDUNSPECIFIED
Martins, AUNSPECIFIEDUNSPECIFIED
Kelly, DUNSPECIFIEDUNSPECIFIED
Date : 30 March 2017
Identification Number : 10.1080/23809000.2017.1307089
Copyright Disclaimer : This is an Accepted Manuscript of an article published by Taylor & Francis in Expert Review of Quality of Life in Cancer Care on 30 March 2017, available online: http://www.tandfonline.com/10.1080/23809000.2017.1307089
Uncontrolled Keywords : Teenagers; adolescents; young adults; timeliness of a cancer diagnosis; pathways to treatment; scoping review
Related URLs :
Depositing User : Symplectic Elements
Date Deposited : 09 May 2017 14:18
Last Modified : 12 Jul 2017 13:19
URI: http://epubs.surrey.ac.uk/id/eprint/814132

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