Clinical decision-making on lung cancer investigations in primary care: a vignette study.

ABSTRACT: To investigate the role of comorbid chronic obstructive pulmonary disease (COPD) and symptom type on general practitioners' (GP's) symptom attribution and clinical decision-making in relation to lung cancer diagnosis. Vignette survey with a 2×2 mixed factorial design. A nationwide online survey exploring clinical decision-making in primary care. 109 GPs based in the United Kingdom (UK) who were registered as responders on Dynata (an online survey platform). GPs were presented with four vignettes which described a patient aged 75 with a smoking history presenting with worsening symptoms (either general or respiratory) and with or without a pre-existing diagnosis of COPD. GPs indicated the three most likely diagnoses (free-text) and selected four management approaches (20 pre-coded options).

SUBMITTER: Mitchinson L 

PROVIDER: S-EPMC11340710 | biostudies-literature | 2024 Aug

REPOSITORIES: biostudies-literature