Conceptual Framework to Guide Early Diagnosis Programs for Symptomatic Cancer as Part of Global Cancer Control

LATEST ARTICLES
SEARCH INDEX
SUGGEST ARTICLE
THE OSI COLLECTIONS
AUDIOGRAM SERIES
ABOUT THE OSI
2020 SUMMARY

OSI STATISTICS

Open access articles:
1008
Annotations added:
3
Countries represented:
109
No. of contributors:
13
Bookmarks made:
22

Conceptual Framework to Guide Early Diagnosis Programs for Symptomatic Cancer as Part of Global Cancer Control


JournalJCO Global Oncology
Article typeJournal research article – Clinical research
Publication date – Jan – 2021
Authors – Minjoung Monica Koo, Karla Unger-Saldaña, Amos D. Mwaka, Marilys Corbex, Ophira Ginsburg, Fiona M. Walter MBBChir, Natalia Calanzani, Jennifer Moodley, Greg P. Rubin and Georgios Lyratzopoulos
KeywordsDiagnosing cancer, health system, Symptomatic Cancer
Open access – Yes
SpecialityGeneral surgery, Health policy, Surgical oncology
World region Global

Language – English
Submitted to the One Surgery Index on January 17, 2021 at 7:33 am
Abstract:

Diagnosing cancer earlier can enable timely treatment and optimize outcomes. Worldwide, national cancer control plans increasingly encompass early diagnosis programs for symptomatic patients, commonly comprising awareness campaigns to encourage prompt help-seeking for possible cancer symptoms and health system policies to support prompt diagnostic assessment and access to treatment. By their nature, early diagnosis programs involve complex public health interventions aiming to address unmet health needs by acting on patient, clinical, and system factors. However, there is uncertainty regarding how to optimize the design and evaluation of such interventions. We propose that decisions about early diagnosis programs should consider four interrelated components: first, the conduct of a needs assessment (based on cancer-site–specific statistics) to identify the cancers that may benefit most from early diagnosis in the target population; second, the consideration of symptom epidemiology to inform prioritization within an intervention; third, the identification of factors influencing prompt help-seeking at individual and system level to support the design and evaluation of interventions; and finally, the evaluation of factors influencing the health systems’ capacity to promptly assess patients. This conceptual framework can be used by public health researchers and policy makers to identify the greatest evidence gaps and guide the design and evaluation of local early diagnosis programs as part of broader cancer control strategies.

OSI Number – 20876

Public annotations on this article:
No public annotations yet