Facilitators of and obstacles to consultation in patients with advanced basal cell carcinoma: a French pilot study.
Aged
Aged, 80 and over
Carcinoma, Basal Cell
/ diagnosis
Delayed Diagnosis
/ psychology
Fear
Female
France
Humans
Male
Middle Aged
Neoplasm Staging
Patient Acceptance of Health Care
/ psychology
Pilot Projects
Prospective Studies
Qualitative Research
Referral and Consultation
/ statistics & numerical data
Skin Neoplasms
/ diagnosis
Surveys and Questionnaires
/ statistics & numerical data
Time-to-Treatment
/ statistics & numerical data
Advanced basal cell carcinoma
Delay in consultation
Perceptions
Psychosocial determinants
Symptoms and disease
Journal
Archives of dermatological research
ISSN: 1432-069X
Titre abrégé: Arch Dermatol Res
Pays: Germany
ID NLM: 8000462
Informations de publication
Date de publication:
Dec 2021
Dec 2021
Historique:
received:
30
08
2020
accepted:
07
12
2020
revised:
09
11
2020
pubmed:
13
1
2021
medline:
8
2
2022
entrez:
12
1
2021
Statut:
ppublish
Résumé
Basal cell carcinoma is the most common skin cancer for which surgery is usually the unique and definitive treatment. Advanced basal cell carcinoma is not eligible to surgery when underlying structures are destroyed. Delayed consultation is the principal cause of advanced basal cell carcinoma. It is questionable why some patients seek care only when the tumour is advanced. The objective of this study was to identify the psychosocial factors involved in delayed consultation. We used a qualitative approach, conducting semi-structured interviews with advanced basal cell carcinoma patients and the healthcare staff of a dermatology unit to explore why some patients consult only when basal cell carcinoma is advanced. We then put our findings into perspective and created a logical model for change. We interviewed 14 patients and 12 healthcare staff. The first lesion was associated with banalization. Then, denial and fear of diagnosis or treatment were post common. Finally, the advanced basal cell carcinoma's symptoms, along with social pressure, created the intention to seek medical help and improved disease awareness. We developed a logical model that summarizes these findings. In this pilot study, we modelled factors that delayed consultation. This will aid future research and targeted interventions reducing delay, in particular by improving knowledge and by using social pressure as facilitators. Trial registration: NCT04124796.
Identifiants
pubmed: 33433714
doi: 10.1007/s00403-020-02175-x
pii: 10.1007/s00403-020-02175-x
doi:
Banques de données
ClinicalTrials.gov
['NCT04124796']
Types de publication
Clinical Trial
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
829-835Subventions
Organisme : Société Française de Dermatologie et de Pathologie Sexuellement Transmissible
ID : 2017
Organisme : Ligue Contre le Cancer
ID : 2017
Informations de copyright
© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH, DE part of Springer Nature.
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