{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T19:33:25Z","timestamp":1757619205048,"version":"3.44.0"},"reference-count":12,"publisher":"BMJ","issue":"4","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Frontline Gastroenterol"],"accepted":{"date-parts":[[2017,5,6]]},"published-print":{"date-parts":[[2017,10]]},"abstract":"<jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To assess the impact of the upper gastrointestinal \u2018Be Clear on Cancer\u2019 campaign launched by Public Health England between January and February 2015 on open-access gastroscopy referrals, incidence of target diagnoses (oesophagogastric cancer and Barrett\u2019s oesophagus), cancer staging at presentation, 1-year survival and cost per additional diagnosis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Design<\/jats:title>\n                  <jats:p>We performed a retrospective study of patients referred for 2-week-wait (2WW), open-access endoscopy 3 months following the campaign with diagnoses, endoscopic findings, staging and 12-month survival compared with data from corresponding months in 2014.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Setting<\/jats:title>\n                  <jats:p>Three adjacent National Health Service trusts in the West Midlands with a combined population of 1.34 million in 2015.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>2WW open-access referrals increased by 48% (95% CI 1.35 to 1.61, p&lt;0.001). The proportion of target diagnoses fell from 6.7% to 6.1% (p=0.62). There were no significant overall increases in target diagnoses (OR 1.35, 95%\u2009CI 0.95 to 1.92, p=0.11) or cancer (OR 1.30, 95% CI 0.80 to 2.07, p=0.36). There was no change in tumour, node, metastasis (TNM) staging for oesophageal or gastric cancer. Overall 1-year survival did not alter significantly (HR 1.10, 95%\u2009CI 0.56 to 2.19, p=0.76).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>The \u2018Be Clear on Cancer\u2019 campaign led to a 48% increase in demand for 2WW gastroscopies but did not significantly affect the incidence of target diagnoses, cancer staging or 1-year survival.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/flgastro-2017-100820","type":"journal-article","created":{"date-parts":[[2017,6,29]],"date-time":"2017-06-29T20:40:47Z","timestamp":1498768847000},"page":"284-289","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["The 2015 upper gastrointestinal \u201cBe Clear on Cancer\u201d campaign: its impact on gastroenterology services and malignant and premalignant diagnoses"],"prefix":"10.1136","volume":"8","author":[{"given":"Keith","family":"Siau","sequence":"first","affiliation":[{"name":"Department of Gastroenterology, Russell\u2019s Hall Hospital, Dudley, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew Chong","family":"Yew","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, New Cross Hospital, Wolverhampton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samantha","family":"Hingley","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Russell\u2019s Hall Hospital, Dudley, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Rees","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Sandwell and West Birmingham Hospitals NHS Trust, Lyndon, West Bromwich, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nigel John","family":"Trudgill","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Sandwell and West Birmingham Hospitals NHS Trust, Lyndon, West Bromwich, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew M","family":"Veitch","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, New Cross Hospital, Wolverhampton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neil C","family":"Fisher","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Russell\u2019s Hall Hospital, Dudley, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,6,29]]},"reference":[{"key":"2025090708060566000_8.4.284.1","unstructured":"Cancer Research UK. Oesophago-gastric cancers campaign: overview. http:\/\/www.cancerresearchuk.org\/health-professional\/early-diagnosis-activities\/be-clear-on-cancer\/oesophago-gastric-cancers-campaign\/campaign-overview (accessed 24 Oct 2016)."},{"key":"2025090708060566000_8.4.284.2","unstructured":"Cancer Research UK. Oesophago-gastric Campaign: information to help you prepare. https:\/\/www.cancerresearchuk.org\/sites\/default\/files\/cruk_bcoc_ogover_final.pdf (accessed 24 Oct 2016)."},{"key":"2025090708060566000_8.4.284.3","unstructured":"Cancer Research UK. Improving the early diagnosis of oesophago-gastric cancers; findings from seven local be clear on Cancer pilots. http:\/\/www.cancerresearchuk.org\/sites\/default\/files\/poster_og.pdf (accessed 24 Oct 2016)."},{"key":"2025090708060566000_8.4.284.4","unstructured":"Monitor and NHS England. The NHS payment system: documents and guidance - NHS national tariff payment system for 2014\/15. https:\/\/www.gov.uk\/government\/consultations\/nhs-national-tariff-payment-system-for-2014-to-2015 (accessed 24 Oct 2016)."},{"key":"2025090708060566000_8.4.284.5","doi-asserted-by":"publisher","DOI":"10.1510\/icvts.2010.247213"},{"key":"2025090708060566000_8.4.284.6","unstructured":"Department for Communities and Local Government. English indices of deprivation. 2015 https:\/\/www.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/465791\/English_Indices_of_Deprivation_2015_-_Statistical_Release.pdf (accessed 26 Oct \u00a02016)."},{"key":"2025090708060566000_8.4.284.7","doi-asserted-by":"publisher","DOI":"10.1136\/gutjnl-2013-305372"},{"key":"2025090708060566000_8.4.284.8","unstructured":"Cancer Research UK. Oesophageal cancer survival statistics. http:\/\/www.cancerresearchuk.org\/health-professional\/cancer-statistics\/statistics-by-cancer-type\/oesophageal-cancer\/survival (accessed 26 Oct 2016)."},{"key":"2025090708060566000_8.4.284.9","unstructured":"Cancer Research UK. Stomach cancer survival statistics. http:\/\/www.cancerresearchuk.org\/health-professional\/cancer-statistics\/statistics-by-cancer-type\/stomach-cancer\/survival (accessed 26 Oct 2016)."},{"key":"2025090708060566000_8.4.284.10","doi-asserted-by":"crossref","first-page":"A135.2","DOI":"10.1136\/gutjnl-2016-312388.244","article-title":"PTU-159\u2005The Clinical and Service Impact of The National Oesophago-Gastric Cancer Awareness Campaign: A Locality Analysis from County Durham","volume":"65","author":"Koo","year":"2016","journal-title":"Gut"},{"key":"2025090708060566000_8.4.284.11","doi-asserted-by":"crossref","first-page":"A207.3","DOI":"10.1136\/gutjnl-2016-312388.386","article-title":"PWE-141\u2005Impact of The \u2018Be Clear On Cancer\u2019 National Oesophago-Gastric Cancer Awareness Campaign on Endoscopy Services and Cancer Diagnosis Rates and Outcomes","volume":"65","author":"Kabir","year":"2016","journal-title":"Gut"},{"key":"2025090708060566000_8.4.284.12","doi-asserted-by":"crossref","first-page":"A293.1","DOI":"10.1136\/gutjnl-2016-312388.553","article-title":"PTH-150\u2005Improving Early Diagnosis of Oesophago-Gastric Cancers; A DGH Experience Pre and Post \u2018Be Clear On Cancer\u2019 Campaign","volume":"65","author":"Alam","year":"2016","journal-title":"Gut"}],"container-title":["Frontline Gastroenterology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/flgastro-2017-100820","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,7]],"date-time":"2025-09-07T15:06:15Z","timestamp":1757257575000},"score":1,"resource":{"primary":{"URL":"https:\/\/fg.bmj.com\/lookup\/doi\/10.1136\/flgastro-2017-100820"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,6,29]]},"references-count":12,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2017,9,11]]},"published-print":{"date-parts":[[2017,10]]}},"alternative-id":["10.1136\/flgastro-2017-100820"],"URL":"https:\/\/doi.org\/10.1136\/flgastro-2017-100820","relation":{},"ISSN":["2041-4137","2041-4145"],"issn-type":[{"type":"print","value":"2041-4137"},{"type":"electronic","value":"2041-4145"}],"subject":[],"published":{"date-parts":[[2017,6,29]]}}}