Article Figures & Data
Figures
- Figure 1
Recruitment to the randomised trial and parallel qualitative study.
- Figure 2
Trial profile.
Tables
Characteristic Intervention (n = 106) Control (n = 106), n (%) Practice A, n (%) 51 (48) 51 (48) Practice B, n (%) 55 (52) 55 (52) Male, n (%) 61 (58) 64 (61) Mean age, years (SD) 64.2 (6.0) 64.6 (7.0) Current smoker, n (%) 45 (42) 55 (52) Chronic obstructive pulmonary disease, n (%) 30/102 (29) 23/104 (22) MRC dyspnoea grade, n (%) 0: no shortness of breath 9 (8) 7 (7) 1: only on strenuous exercise 21 (20) 29 (27) 2: on hurrying or walking up slight hill 42 (40) 32 (30) 3: makes walking slower or with stops 16 (15) 8 (8) 4: stops after 100 yards on level 16 (15) 28 (26) 5: housebound with breathlessness 2 (2) 2 (2) Employment, n (%) Full time 17 (17) 16 (15) Part-time work 9 (9) 10 (10) Unemployed 4 (4) 4 (4) Retired 58 (58) 56 (54) Other, such as invalid/disabled/carer 12 (12) 18 (17) Missing 6 2 Highest educational qualification, n (%) School leaving certificate to A level 28 (29) 33 (31) Vocational/technical qualifications 21 (21)) 20 (19) University degree 5 (5) 4 (4) Other 9 (9) 10 (10) None of these 35 (34) 38 (36) Missing 8 1 Scottish Index of Multiple Deprivation, n (%) 1: most deprived 23 (22) 20 (19) 2 27 (25) 38 (36) 3 23 (22) 23 (22) 4 16 (15) 10 (9) 5: least deprived 17 (16) 15 (14) Home ownership, n (%) Own home 66 (65) 59 (59) Rent home 31 (31) 41 (41) Other 4 (4) 6 (6) Missing 5 (5) – Living arrangements, n (%) Alone 30 (29) 37 (35) With spouse/partner 62 (60) 67 (63) With other family 7 (7) 2 (2) Other 4 (4) 0 (0) Missing 3 (3) – MRC = Medical Research Council. SD = standard deviation.
- Table 2
Consultation rates during the year before and after the nurse consultation or matched control date
Intervention (n = 102) Control (n = 104) Adjusted analysisa General practice consultations Consultations, n Consulters, n (%) Consultations, n Consulters, n (%) Unadjusted RR ratio (95% CI) RR (95% CI) P-value New chest symptom Year before 98 45 (44) 118 55 (53) Year after 138 56 (55) 112 53 (51) 1.26 (0.98 to 1.61) 1.19 (0.92 to 1.53) 0.18 Any chest symptom Year before 137 45 (44) 145 55 (53) Year after 188 56 (55) 139 54 (52) 1.38 (1.11 to 1.72) 1.20 (0.96 to 1.51) 0.11 Anxiety or depression Year before 22 8 (8) 27 15 (14) Year after 22 13 (13) 33 14 (13) 0.68 (0.40 to 1.17) 0.51 (0.27 to 0.93) 0.029 Median (IQR) Median (IQR) Any reason Year before 745 6 (4–10) 851 7 (5–10.5) Year after 833 8 (4–11) 787 7 (4–10) 1.08 (0.98 to 1.19) 1.15 (1.04 to 1.27) 0.005 IQR = interquartile range. RR = rate ratio
↵a Adjusted analysis included age, sex, and practice.
- Table 3.
Intention, self-efficacy, knowledge, and mood before intervention and 1 and 6 months afterwards
Intention to consult (days before consulting) Intervention Control Unadjusted model Adjusted modela n Mean (SD) n Mean (SD) DD (95% CI) DD (95% CI) P-value All four scenarios combined Baseline 102 124 (154) 101 118 (113) 1 month 86 66 (88) 89 102 (116) –31 (–62.6 to 0.65) –30.6 (–54.4 to –6.82) 0.012 6 months 89 70 (108) 83 94 (110) –26.8 (–59.2 to 5.53) –24.9 (48.3 to –1.47) 0.037 New persistent dry cough Baseline 105 33 (52) 104 33 (47) 1 month 88 18 (37) 89 24 (40) –3.73 (–15.1 to 7.60) –3.27 (–12.8 to 6.26) 0.50 6 months 89 21 (39) 86 26 (41) –4.80 (–16.5 to 6.95) –6.72 (–16.7 to 3.27) 0.19 Newly short of breath in day-to-day activities Baseline 104 35 (54) 104 27 (42) 1 month 87 16 (29) 89 23 (38) –4.85 (–14.9 to 5.18) –6.61 (–14.0 to 0.74) 0.078 6 months 89 17 (33) 84 21 (35) –5.05 (–15.2 to 5.08) –7.38 (–15.3 to 0.57) 0.069 Coughing up phlegm with signs of blood Baseline 104 7.4 (20) 103 5.5 (10) 1 month 89 3.6 (5.2) 89 4.4 (5.4) –6.61 (–14.0 to 0.74) 0.16 (–2.22 to 2.55) 0.89 6 months 90 5.5 (19) 84 4.0 (4.6) –7.38 (–15.3 to 0.57) 1.23 (–1.00 to 3.46) 0.28 Losing weight Baseline 105 48 (56) 103 56 (61) 1 month 88 30 (42) 89 51 (59) –21.1 (–36.2 to –6.00) –16.9 (–30.3 to3.53) 0.014 6 months 90 25 (36) 83 42 (50) –16.9 (–29.8 to –4.02) –11.5 (–22.6 to –0.50) 0.041 Self-efficacy (score from 10 to 100) Baseline 95 69.7 (23.7) 99 73.5 (19.0) 1 month 83 74.4 (22.0) 82 74.5 (16.8) –0.27 (–6.20 to 5.66 2.81 (–2.42 to 8.04) 0.29 6 months 86 71.5 (19.8) 76 76.8 (15.5) –4.00 (–9.43 to 1.44) –1.54 (–6.45 to 3.37) 0.54 Knowledge (% correct) Baseline 106 68.4 (22.2) 106 68.9 (24.0) 1 month 90 74.7 (17.4) 90 64.4 (20.4) 10.5 (4.90 to 16.0) 10.4 (5.32 to 15.6) <0.001 6 months 91 69.1 (18.0) 85 67.0 (23.2) 2.00 (–4.111 to 8.11) 2.03 (–3.86 to 7.92) 0.50 Perceived risk (score out of 5) Baseline 105 3.27 (1.01) 103 3.39 (0.89) 1 month 89 3.22 (1.04) 87 3.33 (0.95) –0.13 (–0.43 to 0.16) –0.05 (–0.28 to 0.18) 0.68 6 months 90 3.23 (0.98) 84 3.25 (0.86) 0.03 (–0.25 to 0.30) 0.07 (–0.15 to 0.30) 0.53 Cancer Worry Scale (score from 6 to 24) Baseline 106 8.38 (2.87) 104 8.84 (2.85) 1 month 90 9.56 (3.69) 88 9.93 (3.73) –0.39 (–1.47 to 0.68) –0.014 (–0.81 to 0.78) 0.97 6 months 89 9.52 (3.25) 84 9.14 (3.12) 0.38 (–0.55 to 1.31) 0.79 (0.16 to 1.41) 0.014 Anxiety (HADS score from 0 to 21) Baseline 104 4.63 (3.52) 104 5.69 (4.30) 1 month 89 5.11 (3.61) 90 5.96 (4.08) –0.68 (–1.81 to 0.44) 0.04 (–0.70 to 0.78) 0.92 6 months 89 5.29 (3.63) 85 5.72 (4.12) –0.44 (–1.57 to 0.69) 0.32 (–0.45 to 1.09) 0.41 Depression (HADS score from 0 to 21) Baseline 105 5.01 (3.44) 106 5.86 (4.06) 1 month 89 5.55 (3.61) 89 6.21 (3.81) –0.52 (–1.59 to 0.56) 0.06 (–0.67 to 0.80) 0.86 6 months 90 5.44 (3.45) 85 6.28 (3.89) 0.86 (–1.93 to 0.20) –0.19 (–0.89 to 0.51) 0.59 ↵a Adjusted analysis included baseline score, age group, sex, and practice. DD = days difference. HADS = Hospital Anxiety and Depression Scale.
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British Journal of General Practice
Reducing the time before consulting with symptoms of lung cancer: a randomised controlled trial in primary care
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