Parent's perspectives of the pathway to diagnosis of childhood cancer: a matter of diagnostic triage

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

Standard

Parent's perspectives of the pathway to diagnosis of childhood cancer : a matter of diagnostic triage. / Pedersen, Line Hjøllund; Wahlberg, Ayo; Cordt, Marie; Schmiegelow, Kjeld; Dalton, Susanne Oksbjerg; Larsen, Hanne Bækgaard.

I: B M C Health Services Research, Bind 20, 969, 22.10.2020.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

Harvard

Pedersen, LH, Wahlberg, A, Cordt, M, Schmiegelow, K, Dalton, SO & Larsen, HB 2020, 'Parent's perspectives of the pathway to diagnosis of childhood cancer: a matter of diagnostic triage', B M C Health Services Research, bind 20, 969.

APA

Pedersen, L. H., Wahlberg, A., Cordt, M., Schmiegelow, K., Dalton, S. O., & Larsen, H. B. (2020). Parent's perspectives of the pathway to diagnosis of childhood cancer: a matter of diagnostic triage. B M C Health Services Research, 20, [969].

Vancouver

Pedersen LH, Wahlberg A, Cordt M, Schmiegelow K, Dalton SO, Larsen HB. Parent's perspectives of the pathway to diagnosis of childhood cancer: a matter of diagnostic triage. B M C Health Services Research. 2020 okt 22;20. 969.

Author

Pedersen, Line Hjøllund ; Wahlberg, Ayo ; Cordt, Marie ; Schmiegelow, Kjeld ; Dalton, Susanne Oksbjerg ; Larsen, Hanne Bækgaard. / Parent's perspectives of the pathway to diagnosis of childhood cancer : a matter of diagnostic triage. I: B M C Health Services Research. 2020 ; Bind 20.

Bibtex

@article{f68230a5fa79406b905f6f2f50b8b4b6,
title = "Parent's perspectives of the pathway to diagnosis of childhood cancer: a matter of diagnostic triage",
abstract = "BackgroundEarly diagnosis is crucial for the treatment of childhood cancer as it in some cases can prevent progression of disease and improve prognoses. However, childhood cancer can be difficult to diagnose and barriers to early diagnosis are multifactorial. New knowledge about factors influencing the pathway to diagnosis contribute to a deeper understanding of the mechanisms that influence this time span. Qualitative research in the field is sparse but can be expected to lead to additional useful insights that could contribute to efforts shorten time to diagnosis. The purpose of this study was to explore parents’ experiences of the pathway to diagnosis in the time between their noticing bodily or behavioural changes and their child’s diagnosis.MethodsThe study is a qualitative interview study carried out in large Danish hospital. Thirty-two interviews with a total of 46 parents of children with cancer were included for analysis. The children were diagnosed with haematological cancers (n = 17), solid tumours (n = 9) or brain tumours (n = 6). Data were analysed applying the theoretical model of pathways to treatment and an inductive-deductive approach. A revised ‘diagnostic triage’ model was developed and validated by member checking.ResultsThe pathway to diagnosis was influenced by various factors which we present as consistent parts of a new diagnostic triage model. Each factor impacts the level of urgency assigned to bodily and behavioural changes by parents, general practitioners and specialists. The model of diagnostic triage was developed and validated to understand mechanisms influencing time from the point parents notice changes in their child to diagnosis. The model identifies dynamic movement between parental triage in everyday life and professional triage in a healthcare system, both affecting appraisal and case escalation according to: 1) the nature of bodily and behavioural changes, 2) parental intuition, 3) social relations, 4) professional-child-parent interaction, and 5) specialist-child-parent interaction.ConclusionsDiagnostic triage is a model which explains mechanisms that shape the pathway to diagnosis. It is a contribution aimed at supporting the clinical diagnostic process, that ultimately could ensure more timely testing, referral and diagnosis, and also a novel theoretical framework for future research on diagnostic pathways.",
keywords = "Faculty of Social Sciences, early diagnosis, diagnostic pathway, childhood cancer, parent, primary care, secondary care, triage, qualitative research, theory development, model",
author = "Pedersen, {Line Hj{\o}llund} and Ayo Wahlberg and Marie Cordt and Kjeld Schmiegelow and Dalton, {Susanne Oksbjerg} and Larsen, {Hanne B{\ae}kgaard}",
year = "2020",
month = "10",
day = "22",
language = "English",
volume = "20",
journal = "B M C Health Services Research",
issn = "1472-6963",
publisher = "BioMed Central Ltd.",

}

RIS

TY - JOUR

T1 - Parent's perspectives of the pathway to diagnosis of childhood cancer

T2 - a matter of diagnostic triage

AU - Pedersen, Line Hjøllund

AU - Wahlberg, Ayo

AU - Cordt, Marie

AU - Schmiegelow, Kjeld

AU - Dalton, Susanne Oksbjerg

AU - Larsen, Hanne Bækgaard

PY - 2020/10/22

Y1 - 2020/10/22

N2 - BackgroundEarly diagnosis is crucial for the treatment of childhood cancer as it in some cases can prevent progression of disease and improve prognoses. However, childhood cancer can be difficult to diagnose and barriers to early diagnosis are multifactorial. New knowledge about factors influencing the pathway to diagnosis contribute to a deeper understanding of the mechanisms that influence this time span. Qualitative research in the field is sparse but can be expected to lead to additional useful insights that could contribute to efforts shorten time to diagnosis. The purpose of this study was to explore parents’ experiences of the pathway to diagnosis in the time between their noticing bodily or behavioural changes and their child’s diagnosis.MethodsThe study is a qualitative interview study carried out in large Danish hospital. Thirty-two interviews with a total of 46 parents of children with cancer were included for analysis. The children were diagnosed with haematological cancers (n = 17), solid tumours (n = 9) or brain tumours (n = 6). Data were analysed applying the theoretical model of pathways to treatment and an inductive-deductive approach. A revised ‘diagnostic triage’ model was developed and validated by member checking.ResultsThe pathway to diagnosis was influenced by various factors which we present as consistent parts of a new diagnostic triage model. Each factor impacts the level of urgency assigned to bodily and behavioural changes by parents, general practitioners and specialists. The model of diagnostic triage was developed and validated to understand mechanisms influencing time from the point parents notice changes in their child to diagnosis. The model identifies dynamic movement between parental triage in everyday life and professional triage in a healthcare system, both affecting appraisal and case escalation according to: 1) the nature of bodily and behavioural changes, 2) parental intuition, 3) social relations, 4) professional-child-parent interaction, and 5) specialist-child-parent interaction.ConclusionsDiagnostic triage is a model which explains mechanisms that shape the pathway to diagnosis. It is a contribution aimed at supporting the clinical diagnostic process, that ultimately could ensure more timely testing, referral and diagnosis, and also a novel theoretical framework for future research on diagnostic pathways.

AB - BackgroundEarly diagnosis is crucial for the treatment of childhood cancer as it in some cases can prevent progression of disease and improve prognoses. However, childhood cancer can be difficult to diagnose and barriers to early diagnosis are multifactorial. New knowledge about factors influencing the pathway to diagnosis contribute to a deeper understanding of the mechanisms that influence this time span. Qualitative research in the field is sparse but can be expected to lead to additional useful insights that could contribute to efforts shorten time to diagnosis. The purpose of this study was to explore parents’ experiences of the pathway to diagnosis in the time between their noticing bodily or behavioural changes and their child’s diagnosis.MethodsThe study is a qualitative interview study carried out in large Danish hospital. Thirty-two interviews with a total of 46 parents of children with cancer were included for analysis. The children were diagnosed with haematological cancers (n = 17), solid tumours (n = 9) or brain tumours (n = 6). Data were analysed applying the theoretical model of pathways to treatment and an inductive-deductive approach. A revised ‘diagnostic triage’ model was developed and validated by member checking.ResultsThe pathway to diagnosis was influenced by various factors which we present as consistent parts of a new diagnostic triage model. Each factor impacts the level of urgency assigned to bodily and behavioural changes by parents, general practitioners and specialists. The model of diagnostic triage was developed and validated to understand mechanisms influencing time from the point parents notice changes in their child to diagnosis. The model identifies dynamic movement between parental triage in everyday life and professional triage in a healthcare system, both affecting appraisal and case escalation according to: 1) the nature of bodily and behavioural changes, 2) parental intuition, 3) social relations, 4) professional-child-parent interaction, and 5) specialist-child-parent interaction.ConclusionsDiagnostic triage is a model which explains mechanisms that shape the pathway to diagnosis. It is a contribution aimed at supporting the clinical diagnostic process, that ultimately could ensure more timely testing, referral and diagnosis, and also a novel theoretical framework for future research on diagnostic pathways.

KW - Faculty of Social Sciences

KW - early diagnosis

KW - diagnostic pathway

KW - childhood cancer

KW - parent

KW - primary care

KW - secondary care

KW - triage

KW - qualitative research

KW - theory development

KW - model

UR - https://doi.org/10.1186/s12913-020-05821-2

M3 - Journal article

VL - 20

JO - B M C Health Services Research

JF - B M C Health Services Research

SN - 1472-6963

M1 - 969

ER -

ID: 250215800