Abstract:
INTRODUCTION:Reducing the time between the onset of the first symptoms of cancer and the first consultation with a doctor (patient delay) is essential to improve the vital prognosis and quality of life of patients. Longer patient delay is linked to the already known sociodemographic, socioeconomic, socioeducational, sociocultural and socioprofessional factors. However, recent data suggest that some sociocognitive and emotional determinants may explain patient delay from a complementary point of view. The main objective of this study is to assess whether, in head and neck cancer, patient delay is linked to these sociocognitive and emotional factors, in addition to previously known factors. METHODS AND ANALYSIS:We intend to include in this study 400 patients with a not yet treated head and neck cancer diagnosed in one of six health centres in the North of France region. The main evaluation criterion is 'patient delay'. Sociocognitive, emotional, medical, sociodemographic, socioeconomic, educational, professional and geographic factors will be assessed by means of (1) a case report form, (2) a questionnaire completed by the clinical research associate together with the patient, (3) a questionnaire completed by the patient and (4) a recorded semidirective interview of the patient by a psychologist (for 80 patients only). The collected data will be analysed to underline the differences between patients who consulted a doctor earlier versus those who consulted later. ETHICS:The study has obtained all the relevant authorisations for the protection of patients enrolled in clinical trials (CCTIRS, CCP, CNIL), does not involve products mentioned in article L.5311-1 of the French Code of Public Health, and does not imply any changes in the medical care received by the patients. The study began in October 2012 and will end in June 2015. TRIAL REGISTRATION:ID-RCB 2012-A00005-38.
journal_name
BMJ Openjournal_title
BMJ openauthors
Christophe V,Leroy T,Seillier M,Duthilleul C,Julieron M,Clisant S,Foncel J,Vallet F,Lefebvre JLdoi
10.1136/bmjopen-2014-005286subject
Has Abstractpub_date
2014-07-25 00:00:00pages
e005286issue
7issn
2044-6055pii
bmjopen-2014-005286journal_volume
4pub_type
杂志文章,多中心研究相关文献
BMJ Open文献大全abstract:OBJECTIVE:To explore how three indicators of social capital (ie, group membership, social support and cognitive social capital and specific types within each type) are associated with infant birth weight. STUDY DESIGN AND SETTINGS:Cross-sectional analyses of the first wave of Young Lives Survey data collected in 2002 ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-024769
更新日期:2019-10-09 00:00:00
abstract:INTRODUCTION:Multimorbidity is a major challenge for current healthcare systems and professionals. From the different approaches that have been proposed to analyse this issue, the hypothesis of the existence of association patterns of different chronic conditions is gaining visibility. In addition, multimorbidity can b...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2019-033322
更新日期:2020-01-26 00:00:00
abstract:OBJECTIVES:There currently exists no reliable or validated tool for the assessment of exercise-related injuries in older adults. The purpose was to develop and evaluate the psychometric properties of a questionnaire to measure exercise-related injury in older adults participating in supervised exercise programmes. DES...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2012-001777
更新日期:2012-11-22 00:00:00
abstract:INTRODUCTION:Cancer is one of the leading causes of death globally and many jurisdictions have developed population-based cancer screening programmes to reduce the public health burden of disease. However, screening participation remains suboptimal. Social media and other mobile health (mHealth) technologies are increa...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-035411
更新日期:2020-02-05 00:00:00
abstract:OBJECTIVE:To identify components of a proposed blood-borne virus (BBV) population screening programme and its associated consent procedure that both the public and health practitioners (HPs) would find acceptable. The proposed BBV screening system would aim to reduce late diagnosis of BBVs and be used in patients under...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-015373
更新日期:2017-05-29 00:00:00
abstract:OBJECTIVES:With a marginally effective vaccine and no significant breakthroughs in new treatments, a sensitive and specific method to distinguish active tuberculosis from latent tuberculosis infection (LTBI) would allow for early diagnosis and limit the spread of the pathogen. The analysis of multiple cytokine profiles...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-039501
更新日期:2020-10-07 00:00:00
abstract:OBJECTIVE:To explore the barriers faced by healthcare professionals (HCPs) in managing falls among older people (aged above 60 years) who have a high risk of falling. RESEARCH DESIGN:The study used a qualitative methodology, comprising 10 in-depth interviews and two focus group discussions. A semistructured topic guid...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-008460
更新日期:2015-11-05 00:00:00
abstract:OBJECTIVE:In October 2013, the South Korean government introduced an incentive programme to increase the availability of Saturday treatment at clinics, hoping to increase the role of primary care providers as gatekeepers to medical care. To the best of our knowledge, no one has yet investigated this programme's effect ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-011248
更新日期:2016-06-09 00:00:00
abstract:INTRODUCTION:The proportion of elderly people is steadily rising worldwide, especially in low-income and middle-income countries, including China. Chronic kidney disease (CKD) is a common disorder in older people. However, little is known about the epidemiology of CKD and its consequences among the elderly. Improvement...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2017-019457
更新日期:2018-02-24 00:00:00
abstract:OBJECTIVES:Malignant melanoma has high morbidity and mortality rates. Early diagnosis improves prognosis. Clinical prediction rules (CPRs) can be used to stratify patients with symptoms of suspected malignant melanoma to improve early diagnosis. We conducted a systematic review of CPRs for melanoma diagnosis in ambulat...
journal_title:BMJ open
pub_type: 杂志文章,评审
doi:10.1136/bmjopen-2016-014096
更新日期:2017-03-06 00:00:00
abstract:OBJECTIVES:To evaluate patient experiences of specific aspects of haemodialysis care across several countries. DESIGN:Cross-sectional survey using the Choices for Healthy Outcomes in Caring for End-Stage Renal Disease (CHOICE) questionnaire. SETTING:Haemodialysis clinics within a single provider in Europe and South A...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-005020
更新日期:2014-05-19 00:00:00
abstract:OBJECTIVE:Multiple rib fractures (RFs) and pulmonary contusions (PCs), with resulting systemic lung inflammation, are the most common injuries caused by blunt chest trauma (BCT) in motor vehicle accidents. This study examined levels of the inflammation marker interleukin (IL)-6 and those of the acute-phase reactant sur...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-011797
更新日期:2016-10-12 00:00:00
abstract:OBJECTIVES:Dealing with multiple workflow interruptions is a major challenge in emergency department (ED) work. This study aimed to establish a taxonomy of workflow interruptions that takes into account the content and purpose of interruptive communication. It further aimed to identify associations of workflow interrup...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-019074
更新日期:2017-12-22 00:00:00
abstract:OBJECTIVE:Since most biomedical research focuses on a specific disease, evaluation of research output requires disease-specific bibliometric indicators. Currently used methods are insufficient. The aim of this study is to develop a method that enables detailed analysis of worldwide biomedical research output by disease...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-020818
更新日期:2018-06-04 00:00:00
abstract:INTRODUCTION:Unprecedented global efforts to prevent malaria morbidity and mortality in sub-Saharan Africa have saved hundreds of thousands of lives across the continent in the last two decades. This study aims to determine how the comparative efficacy and safety of available malaria control interventions intended to i...
journal_title:BMJ open
pub_type: 杂志文章,meta分析
doi:10.1136/bmjopen-2018-024313
更新日期:2019-02-22 00:00:00
abstract:OBJECTIVE:The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement has been developed as a guideline for reporting systematic reviews and meta-analyses. Despite the prevalent use of the PRISMA statement in medicine and nursing, no studies have examined authors' perception of it. The pur...
journal_title:BMJ open
pub_type: 杂志文章,meta分析
doi:10.1136/bmjopen-2018-026271
更新日期:2019-04-20 00:00:00
abstract:OBJECTIVE:We aimed to estimate the gender-specific prevalence and associated factors of hypertension among elderly people in Bangladesh. DESIGN AND METHOD:We analysed data from the food security and nutrition surveillance round 2018-2019. The multistage cluster sampling method was used to select the study population. ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-038326
更新日期:2021-01-21 00:00:00
abstract:OBJECTIVES:In many current guidelines, blood pressure (BP)-lowering drug treatment for primary prevention of cardiovascular disease (CVD) is based on absolute risk. However, in clinical practice, therapeutic decisions are often based on BP levels alone. We sought to investigate which approach was superior by conducting...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1136/bmjopen-2017-017723
更新日期:2018-03-19 00:00:00
abstract:OBJECTIVES:To evaluate the implementation of a new procedure for screening and treatment of malnutrition for older people in community settings and to identify factors promoting or inhibiting its implementation as a routine aspect of care. DESIGN:Prospective process evaluation using mixed methods with pre/post-impleme...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-025966
更新日期:2019-08-10 00:00:00
abstract:OBJECTIVES:To estimate hepatitis B vaccination (HBVc) coverage, and knowledge and sociodemographic determinants of full dose uptake in Federal Road Safety Corps (FRSC) members, Kaduna State, Nigeria, to inform relevant targeted vaccination policies. DESIGN:A cross sectional survey of FRSC members, Kaduna Sector Comman...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-015845
更新日期:2017-06-02 00:00:00
abstract:BACKGROUND:Mentoring is frequently suggested as an intervention to address gender inequalities in the workplace. OBJECTIVES:To systematically review evidence published since a definitive review in 2006 on the effectiveness of mentoring interventions aimed at achieving gender equality in academic medicine. DESIGN:Syst...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-040355
更新日期:2021-01-26 00:00:00
abstract:OBJECTIVES:To use wrist-actrigrphy to collect objective measures of sleep and to characterise actigraphy-measured sleep patterns among children with disabilities. We also assessed the extent to which, if at all, caregivers' education is associated with children's sleep disturbances. DESIGN:Cross-sectional study. SETT...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-008589
更新日期:2015-12-07 00:00:00
abstract:INTRODUCTION:In current practice, probands are asked to inform relatives about the possibility of predictive DNA testing when a pathogenic variant causing an inherited cardiac condition (ICC) is identified. Previous research on the uptake of genetic counselling and predictive DNA testing in relatives suggests that not ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-025660
更新日期:2019-07-09 00:00:00
abstract:OBJECTIVE:Concerns have been raised regarding the quality and completeness of abstract reporting in evidence reviews, but this had not been evaluated in meta-analyses of diagnostic accuracy. Our objective was to evaluate reporting quality and completeness in abstracts of systematic reviews with meta-analyses of depress...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-012867
更新日期:2016-11-18 00:00:00
abstract:OBJECTIVE:The International Agency for Research on Cancer classifies hexavalent chromium (Cr(VI)) as a human carcinogen. As reported, cancer mortality was higher in Cr(VI)-contaminated areas. Scientists have recommended studying its health impact on people living in contaminated areas. This study aims to evaluate the h...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-021470
更新日期:2018-06-27 00:00:00
abstract:OBJECTIVE:To assess the effectiveness of an improvement programme to reduce the number of interruptions during the medication administration process in a paediatric hospital. DESIGN AND METHODS:A prestudy-post study design was used to monitor nursing interruptions during medication cycles in a paediatric hospital. Int...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-013285
更新日期:2017-01-06 00:00:00
abstract:OBJECTIVES:We examined the level of agreement between biomedical and self-reported measurements of hypertension and diabetes in a Chinese national community sample, and explored associations of the agreement and possible contextual effects among provinces and geographic regions in China. DESIGN:Secondary analysis of a...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-009836
更新日期:2016-01-04 00:00:00
abstract:INTRODUCTION:Labour induction in women with a previous caesarean delivery currently uses vaginal prostaglandin E2 (PGE2), which carries the risks of uterine hyperstimulation and scar rupture. We aim to compare the efficacy of mechanical labour induction using a transcervically applied Foley catheter balloon (FCB) with ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-028896
更新日期:2019-11-06 00:00:00
abstract:OBJECTIVES:Low-income and middle-income countries are undergoing epidemiological transition, however, progression is varied. Bangladesh is simultaneously experiencing continuing burden of communicable diseases and emerging burden of non-communicable diseases (NCDs). For effective use of limited resources, an increased ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-026722
更新日期:2019-10-28 00:00:00
abstract:OBJECTIVE:Frequent users of healthcare services are a vulnerable population, often socioeconomically disadvantaged, who can present multiple chronic conditions as well as mental health problems. Case management (CM) is the most frequently performed intervention to reduce healthcare use and cost. This study aimed to exa...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-012353
更新日期:2016-09-29 00:00:00