{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,14]],"date-time":"2026-03-14T09:18:50Z","timestamp":1773479930676,"version":"3.50.1"},"reference-count":26,"publisher":"BMJ","issue":"7","license":[{"start":{"date-parts":[[2022,7,26]],"date-time":"2022-07-26T00:00:00Z","timestamp":1658793600000},"content-version":"unspecified","delay-in-days":25,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000289","name":"Cancer Research UK","doi-asserted-by":"publisher","award":["C8640\/A23385"],"award-info":[{"award-number":["C8640\/A23385"]}],"id":[{"id":"10.13039\/501100000289","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100013342","name":"NIHR Imperial Biomedical Research Centre","doi-asserted-by":"publisher","award":["No grant\/award number"],"award-info":[{"award-number":["No grant\/award number"]}],"id":[{"id":"10.13039\/501100013342","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2022,7,13]]},"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study aimed to understand and explore patient and general practitioner (GP) experiences of \u2018traditional\u2019 and \u2018one-stop\u2019 prostate cancer diagnostic pathways in England.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Qualitative study using semi-structured interviews, analysed using inductive thematic analysis<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Patients were recruited from National Health Service (NHS) Trusts in London and in Devon; GPs were recruited via National Institute for Health Research (NIHR) Clinical Research Networks. Interviews were conducted in person or via telephone.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Patients who had undergone a MRI scan of the prostate as part of their diagnostic work-up for possible prostate cancer, and GPs who had referred at least one patient for possible prostate cancer in the preceding 12 months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      22 patients (aged 47\u201380 years) and 10 GPs (6 female, aged 38\u201358 years) were interviewed. Patients described three key themes:\n                      <jats:italic>cancer beliefs<\/jats:italic>\n                      in relation to patient\u2019s attitudes towards prostate cancer\n                      <jats:underline>;<\/jats:underline>\n                      <jats:italic>communication<\/jats:italic>\n                      with their GP and specialist having a significant impact on experience of the pathway and\n                      <jats:italic>pathway experience<\/jats:italic>\n                      being influenced by appointment and test burden. GP interview themes included: the challenges of dealing with\n                      <jats:italic>imperfect information<\/jats:italic>\n                      in the current pathway;\n                      <jats:italic>managing uncertainty<\/jats:italic>\n                      in identifying patients with possible prostate cancer and sharing this uncertainty with them, and other social, cultural and personal\n                      <jats:italic>contextual influences<\/jats:italic>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Patients and GPs reported a range of experiences and views of the current prostate cancer diagnostic pathways in England. Patients valued \u2018one-stop\u2019 pathways integrating prostate MRI and diagnostic consultations with specialists over the more traditional approach of several hospital appointments. GPs remain uncertain how best to identify patients needing referral for urgent prostate cancer testing due to the lack of accurate triage and risk assessment strategies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2021-054045","type":"journal-article","created":{"date-parts":[[2022,7,26]],"date-time":"2022-07-26T12:55:25Z","timestamp":1658840125000},"page":"e054045","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Experiences of \u2018traditional\u2019 and \u2018one-stop\u2019 MRI-based prostate cancer diagnostic pathways in England: a qualitative study with patients and GPs"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2919-9087","authenticated-orcid":false,"given":"Samuel William David","family":"Merriel","sequence":"first","affiliation":[{"name":"Institute of Health Research, University of Exeter, Exeter, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1349-7178","authenticated-orcid":false,"given":"Stephanie","family":"Archer","sequence":"additional","affiliation":[{"name":"Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK"},{"name":"Department of Psychology, University of Cambridge, Cambridge, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9933-7919","authenticated-orcid":false,"given":"Alice S","family":"Forster","sequence":"additional","affiliation":[{"name":"Department of Behavioural Science and Health, University College London, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Eldred-Evans","sequence":"additional","affiliation":[{"name":"Imperial Prostate, Imperial College London, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"McGrath","sequence":"additional","affiliation":[{"name":"Department of Urology, Royal Devon and Exeter NHS Foundation Trust, Exeter, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1674-6723","authenticated-orcid":false,"given":"Hashim Uddin","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Imperial Prostate, Imperial College London, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1611-1373","authenticated-orcid":false,"given":"Willie","family":"Hamilton","sequence":"additional","affiliation":[{"name":"Institute of Health Research, University of Exeter, Exeter, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7191-6476","authenticated-orcid":false,"given":"Fiona M","family":"Walter","sequence":"additional","affiliation":[{"name":"Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK"},{"name":"Wolfson Institute of Population Health, Queen Mary University of London, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2022,7,26]]},"reference":[{"key":"2025121512433028000_12.7.e054045.1","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1515\/dx-2020-0112","article-title":"Measuring patient experience of diagnostic care and acceptability of testing","volume":"8","author":"Forster","year":"2021","journal-title":"Diagnosis"},{"key":"2025121512433028000_12.7.e054045.2","unstructured":"NICE . 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