The complexity of diagnosing sarcoma in a timely manner: Perspectives of health professionals, patients, and carers in Australia
Background: Prolonged diagnosis intervals occur more often in rare cancers, such as sarcoma. Patients with a delayed diagnosis may require more radical surgery and have a reduced chance of survival. Previous research has focused on quantifying the time taken to achieve a diagnosis without exploring...
| Main Authors: | , , , |
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| Format: | Journal Article |
| Language: | English |
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BMC
2020
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| Subjects: | |
| Online Access: | http://hdl.handle.net/20.500.11937/86688 |
| _version_ | 1848764854712664064 |
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| author | Weaver, Rhys O'Connor, Moira Carey Smith, R. Halkett, Georgia |
| author_facet | Weaver, Rhys O'Connor, Moira Carey Smith, R. Halkett, Georgia |
| author_sort | Weaver, Rhys |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Background: Prolonged diagnosis intervals occur more often in rare cancers, such as sarcoma. Patients with a delayed diagnosis may require more radical surgery and have a reduced chance of survival. Previous research has focused on quantifying the time taken to achieve a diagnosis without exploring the reasons for potential delays. The aim of this study was to explore patients', carers', and health professionals' perceived barriers to timely diagnosis and referral for treatment for sarcoma.
Methods: Semi-structured interviews were conducted with: health professionals working with sarcoma (n = 21); patients who have been diagnosed with sarcoma (n = 22); and carers of patients diagnosed with sarcoma (n = 17). Interview transcripts were analysed using thematic analysis.
Results: Four overarching themes were identified: patient perception of symptoms, difficulties of diagnosis, lack of experience, and availability of health services. Diagnosis was prolonged by the limited availability of health services, lack of prompt referrals to a sarcoma specialist centre, and diagnostic challenges. Intervals also occurred when patients underestimated the severity of their symptoms and did not seek prompt medical consultation.
Conclusions: Patients with a potential sarcoma need to be promptly referred to a sarcoma specialist centre and additional diagnosis pathways need to be developed to reduce the rate of patients being referred to wrong specialists. Sarcoma education must be embedded in medical courses and professional development curricula. A public health approach should be taken to improve sarcoma knowledge and health seeking behaviours in the community. |
| first_indexed | 2025-11-14T11:25:58Z |
| format | Journal Article |
| id | curtin-20.500.11937-86688 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-14T11:25:58Z |
| publishDate | 2020 |
| publisher | BMC |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-866882021-12-07T04:18:59Z The complexity of diagnosing sarcoma in a timely manner: Perspectives of health professionals, patients, and carers in Australia Weaver, Rhys O'Connor, Moira Carey Smith, R. Halkett, Georgia Science & Technology Life Sciences & Biomedicine Health Care Sciences & Services Sarcoma Qualitative research Interviews Patients Carers Thematic analysis SOFT-TISSUE SARCOMAS YOUNG-ADULTS CANCER BONE SYMPTOMS DELAY INTERVIEWS Background: Prolonged diagnosis intervals occur more often in rare cancers, such as sarcoma. Patients with a delayed diagnosis may require more radical surgery and have a reduced chance of survival. Previous research has focused on quantifying the time taken to achieve a diagnosis without exploring the reasons for potential delays. The aim of this study was to explore patients', carers', and health professionals' perceived barriers to timely diagnosis and referral for treatment for sarcoma. Methods: Semi-structured interviews were conducted with: health professionals working with sarcoma (n = 21); patients who have been diagnosed with sarcoma (n = 22); and carers of patients diagnosed with sarcoma (n = 17). Interview transcripts were analysed using thematic analysis. Results: Four overarching themes were identified: patient perception of symptoms, difficulties of diagnosis, lack of experience, and availability of health services. Diagnosis was prolonged by the limited availability of health services, lack of prompt referrals to a sarcoma specialist centre, and diagnostic challenges. Intervals also occurred when patients underestimated the severity of their symptoms and did not seek prompt medical consultation. Conclusions: Patients with a potential sarcoma need to be promptly referred to a sarcoma specialist centre and additional diagnosis pathways need to be developed to reduce the rate of patients being referred to wrong specialists. Sarcoma education must be embedded in medical courses and professional development curricula. A public health approach should be taken to improve sarcoma knowledge and health seeking behaviours in the community. 2020 Journal Article http://hdl.handle.net/20.500.11937/86688 10.1186/s12913-020-05532-8 English http://creativecommons.org/licenses/by/4.0/ BMC fulltext |
| spellingShingle | Science & Technology Life Sciences & Biomedicine Health Care Sciences & Services Sarcoma Qualitative research Interviews Patients Carers Thematic analysis SOFT-TISSUE SARCOMAS YOUNG-ADULTS CANCER BONE SYMPTOMS DELAY INTERVIEWS Weaver, Rhys O'Connor, Moira Carey Smith, R. Halkett, Georgia The complexity of diagnosing sarcoma in a timely manner: Perspectives of health professionals, patients, and carers in Australia |
| title | The complexity of diagnosing sarcoma in a timely manner: Perspectives of health professionals, patients, and carers in Australia |
| title_full | The complexity of diagnosing sarcoma in a timely manner: Perspectives of health professionals, patients, and carers in Australia |
| title_fullStr | The complexity of diagnosing sarcoma in a timely manner: Perspectives of health professionals, patients, and carers in Australia |
| title_full_unstemmed | The complexity of diagnosing sarcoma in a timely manner: Perspectives of health professionals, patients, and carers in Australia |
| title_short | The complexity of diagnosing sarcoma in a timely manner: Perspectives of health professionals, patients, and carers in Australia |
| title_sort | complexity of diagnosing sarcoma in a timely manner: perspectives of health professionals, patients, and carers in australia |
| topic | Science & Technology Life Sciences & Biomedicine Health Care Sciences & Services Sarcoma Qualitative research Interviews Patients Carers Thematic analysis SOFT-TISSUE SARCOMAS YOUNG-ADULTS CANCER BONE SYMPTOMS DELAY INTERVIEWS |
| url | http://hdl.handle.net/20.500.11937/86688 |