Electronic clinical decision support tool for assessing stomach symptoms in primary care (ECASS): a feasibility study
Greg Rubin, Fiona M Walter, Jon Emery, Willie Hamilton, Zoe Hoare, Jenny Howse, Catherine Nixon, Tushar Srivastava, Chloe Thomas, Obioha C Ukoumunne, Juliet A Usher-Smith, Sophie Whyte, Richard D Neal
BMJ OPEN | BMJ PUBLISHING GROUP | Published : 2021
OBJECTIVE: To determine the feasibility of a definitive trial in primary care of electronic clinical decision support (eCDS) for possible oesophago-gastric (O-G) cancer. DESIGN AND SETTING: Feasibility study in 42 general practices in two regions of England, cluster randomised controlled trial design without blinding, nested qualitative and health economic evaluation. PARTICIPANTS: Patients aged 55 years or older, presenting to their general practitioner (GP) with symptoms associated with O-G cancer. 530 patients (mean age 68 years, 58% female) participated. INTERVENTION: Practices randomised 1:1 to usual care (control) or to receive a previously piloted eCDS tool for suspected cancer (inter..View full abstract
Awarded by Cancer Research UK
Awarded by Policy Research Unit for Cancer Awareness, Screening and Early Diagnosis, Policy Research Programme
This study was supported by Cancer Research UK (reference number c6971/A17940) and the Policy Research Unit for Cancer Awareness, Screening and Early Diagnosis, Policy Research Programme 106/0001. This research arises from the CanTest Collaborative, which is funded by Cancer Research UK (C8640/A23385), of which FMW and WH are directors and GR, JE and RDN are associate directors. Sponsor: Durham University (protocol V.4.0 dated 13 July 2015).