Diagnosis of cancer in primary care: the value of the intuition of the family doctor. (Q3150753): Difference between revisions

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(‎Removed claim: summary (P836): bjetive: The diagnostic value of the hunchs in general, as well as the diagnostic value of the (especially predictive values and probability coefficients) for predicting cancer in the clinical consultations of the family doctor. Secondary objectives: 1) Estimate the prevalence of ‘hearted’ in family medicine consultations. 2.1) Estimate the relationship of ‘hearts’ (feeling of alarm or feeling of security) with the request for complementary t...)
Property / summary
bjetive: The diagnostic value of the hunchs in general, as well as the diagnostic value of the (especially predictive values and probability coefficients) for predicting cancer in the clinical consultations of the family doctor. Secondary objectives: 1) Estimate the prevalence of ‘hearted’ in family medicine consultations. 2.1) Estimate the relationship of ‘hearts’ (feeling of alarm or feeling of security) with the request for complementary tests and referrals to specialist consultations. 2.2) Estimate the relationship of the ‘hearted’ with the characteristics of the patient (sociodemographic and clinical) and with the characteristics of the professional (sex, experience, type of practice, context in which the consultation takes place and knowledge of the patient). Scope: Health Area of Mallorca, and health sector of Zaragoza Material and methods: Prospective observational study of diagnostic validity. Sample: 2966 patients who come to the clinic. Variables: patient (sociodemographic data, type of visit, date), doctor (age, sex, teaching, environment, years experience, scale of practice style, consultation (cancer-related symptoms, Gut Feelings questionnaire). Follow-up outcome variables at 6-12 months: cancer incident diagnoses, request for tests, referrals, visits. Analysis: Main objective: VPP and VPN, sensitivity, specificity, accuracy, LR+ and LR- of alarm and security sensations. Secondary objectives: Descriptive analysis of the estimation of the prevalence of hunchs, of feeling of alarm and security. Bivariate analysis with main variables of request for diagnostic testing and referral, patient and professional characteristics and their relationship with hunchs. Multivariate analysis of logistic regression. (English)
 
Property / summary: bjetive: The diagnostic value of the hunchs in general, as well as the diagnostic value of the (especially predictive values and probability coefficients) for predicting cancer in the clinical consultations of the family doctor. Secondary objectives: 1) Estimate the prevalence of ‘hearted’ in family medicine consultations. 2.1) Estimate the relationship of ‘hearts’ (feeling of alarm or feeling of security) with the request for complementary tests and referrals to specialist consultations. 2.2) Estimate the relationship of the ‘hearted’ with the characteristics of the patient (sociodemographic and clinical) and with the characteristics of the professional (sex, experience, type of practice, context in which the consultation takes place and knowledge of the patient). Scope: Health Area of Mallorca, and health sector of Zaragoza Material and methods: Prospective observational study of diagnostic validity. Sample: 2966 patients who come to the clinic. Variables: patient (sociodemographic data, type of visit, date), doctor (age, sex, teaching, environment, years experience, scale of practice style, consultation (cancer-related symptoms, Gut Feelings questionnaire). Follow-up outcome variables at 6-12 months: cancer incident diagnoses, request for tests, referrals, visits. Analysis: Main objective: VPP and VPN, sensitivity, specificity, accuracy, LR+ and LR- of alarm and security sensations. Secondary objectives: Descriptive analysis of the estimation of the prevalence of hunchs, of feeling of alarm and security. Bivariate analysis with main variables of request for diagnostic testing and referral, patient and professional characteristics and their relationship with hunchs. Multivariate analysis of logistic regression. (English) / rank
Normal rank
 
Property / summary: bjetive: The diagnostic value of the hunchs in general, as well as the diagnostic value of the (especially predictive values and probability coefficients) for predicting cancer in the clinical consultations of the family doctor. Secondary objectives: 1) Estimate the prevalence of ‘hearted’ in family medicine consultations. 2.1) Estimate the relationship of ‘hearts’ (feeling of alarm or feeling of security) with the request for complementary tests and referrals to specialist consultations. 2.2) Estimate the relationship of the ‘hearted’ with the characteristics of the patient (sociodemographic and clinical) and with the characteristics of the professional (sex, experience, type of practice, context in which the consultation takes place and knowledge of the patient). Scope: Health Area of Mallorca, and health sector of Zaragoza Material and methods: Prospective observational study of diagnostic validity. Sample: 2966 patients who come to the clinic. Variables: patient (sociodemographic data, type of visit, date), doctor (age, sex, teaching, environment, years experience, scale of practice style, consultation (cancer-related symptoms, Gut Feelings questionnaire). Follow-up outcome variables at 6-12 months: cancer incident diagnoses, request for tests, referrals, visits. Analysis: Main objective: VPP and VPN, sensitivity, specificity, accuracy, LR+ and LR- of alarm and security sensations. Secondary objectives: Descriptive analysis of the estimation of the prevalence of hunchs, of feeling of alarm and security. Bivariate analysis with main variables of request for diagnostic testing and referral, patient and professional characteristics and their relationship with hunchs. Multivariate analysis of logistic regression. (English) / qualifier
point in time: 12 October 2021
Timestamp+2021-10-12T00:00:00Z
Timezone+00:00
CalendarGregorian
Precision1 day
Before0
After0
 

Revision as of 15:20, 12 October 2021

Project Q3150753 in Spain
Language Label Description Also known as
English
Diagnosis of cancer in primary care: the value of the intuition of the family doctor.
Project Q3150753 in Spain

    Statements

    country
    Spain
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    EU contribution
    16,300.0 Euro
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    budget
    32,600.0 Euro
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    co-financing rate
    50.0 percent
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    start time
    1 January 2019
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    end time
    31 March 2022
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    beneficiary name (string)
    FUNDACION DE INVESTIGACION SANITARIA DE LAS ISLAS BALEARES RAMON LLULL
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    beneficiary
    Q3138752
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    coordinate location

    39°34'10.49"N, 2°39'0.25"E
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    postal code
    07040
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    summary
    bjetivo principal:Evaluar el valor diagnóstico de las corazonadas en general, así como el valor diagnóstico de la (especialmente valores predictivos y coeficientes de probabilidad) para predecir el cáncer en las consultas clínicas del médico de familia. Objetivos secundarios: 1) Estimar la prevalencia de `corazonadas' en las consultas de medicina de familia. 2.1) Estimar la relación de las `corazonadas' (sensación de alarma o sensación de seguridad) con la solicitud de pruebas complementarias y derivaciones a consultas de especialista. 2.2) Estimar la relación de las `corazonadas' con las características del paciente (sociodemográficas y clínicas) y con las características del profesional (sexo, experiencia, tipo de práctica, contexto en que se desarrolla la consulta y conocimiento del paciente). Ámbito: Area Sanitaria de Mallorca, y sector sanitario de Zaragoza Material y métodos: Estudio prospectivo observacional de validez diagnóstica. Muestra: 2966 pacientes que acudan a consulta. Variables: paciente (datos sociodemográficos, tipo de visita, fecha), médico (edad, sexo, docencia, entorno, años experiencia, escala estilo de práctica, consulta (síntomas relacionados con cáncer, cuestionario de Gut Feelings). Variables de resultado de seguimiento a 6-12 meses: diagnósticos incidentes de cáncer, solicitud de pruebas, derivaciones, visitas. Análisis: Objetivo principal: VPP y VPN, sensibilidad, especificidad, exactitud, LR+ y LR- de las sensaciones de alarma y de seguridad. Objetivos secundarios: Análisis descriptivo de estimación de prevalencia de corazonadas, de sensación de alarma y seguridad. Análisis bivariantes con variables principales de solicitud de prueba diagnóstica y derivación, características del paciente y profesional y su relación con las corazonadas. Análisis multivariante de regresión logística. (Spanish)
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    location (string)
    Palma de Mallorca
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    Identifiers

    Spanish Kohesio ID
    PI18_01462
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