Reviewing the impact of 11 national Be Clear on Cancer public awareness campaigns, England, 2012 to 2016: A synthesis of published evaluation results
Reviewing the impact of 11 national Be Clear on Cancer public awareness campaigns, England, 2012 to 2016: A synthesis of published evaluation results
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DOI：
10.1002/ijc.33277
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发表时间：
2020-11-07
影响因子：
6.4
通讯作者：
Gildea, Carolynn
中科院分区：
文献类型：
--
作者：
Lai, Jennifer;Mak, Vivian;Gildea, Carolynn
自2010年以来，“明确癌症”（BCoC）运动一直在英国开展。他们的目的是提高人们对可能的癌症症状的认识，鼓励人们咨询有这些症状的全科医生。我们的研究概述了11个国家运动对肠癌、肺癌、膀胱癌、肾癌、乳腺癌和食管癌的影响。我们综合了每个活动的现有结果，涵盖了从初级保健就诊到一年净生存率的患者途径的七个临床指标。对于每个指标，比较“之前”和“之后”时期，以评估与活动可能相关的变化。结果显示，10项运动中有9项运动的与癌症相关症状的初级保健就诊率有所增加，11项运动中有9项运动的疑似癌症相关紧急转诊率高于一般趋势。在11项运动中，有6项增加了诊断测试。在11项运动中，有7项运动的癌症诊断增加是由于对疑似癌症的紧急转诊。在10次运动中，有8次运动的癌症诊断率持续高于预期，在10次运动中，有4次运动的早期诊断率持续高于预期。对生存率无影响。总之，有证据表明，BCoC运动影响患者的求助和全科医生的转诊模式，对诊断（发病率和阶段）有一定的影响。没有明确的证据表明对生存率有影响。
The Be Clear on Cancer (BCoC) campaigns have run in England since 2010. They aim to raise awareness of possible cancer symptoms, encouraging people to consult a general practice with these symptoms. Our study provides an overview of the impact of 11 national campaigns, for bowel, lung, bladder and kidney, breast and oesophago-gastric cancers. We synthesised existing results for each campaign covering seven clinical metrics across the patient pathway from primary care attendances to one-year net survival. For each metric, "before" and "after" periods were compared to assess change potentially related to the campaign. Results show that primary care attendances for campaign-related symptoms increased for 9 of 10 campaigns and relevant urgent referrals for suspected cancer increased above general trends for 9 of 11 campaigns. Diagnostic tests increased for 6 of 11 campaigns. For 7 of 11 campaigns, there were increases in cancer diagnoses resulting from an urgent referral for suspected cancer. There were sustained periods where more cancers were diagnosed than expected for 8 of 10 campaigns, with higher than expected proportions diagnosed at an early stage for sustained periods for 4 of 10 campaigns. There was no impact on survival. In summary, there is evidence that the BCoC campaigns impact help-seeking by patients and referral patterns by general practitioners, with some impact on diagnosis (incidence and stage). There was no clear evidence of impact on survival.