Projections of cancer prevalence in the United Kingdom, 2010–2040

Maddams, Jacob; Utley, Martin; Møller, Henrik

doi:10.1038/bjc.2012.366

Cited by 398 publications

(331 citation statements)

References 13 publications

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“…There are approximately 2.5 million people living with and beyond cancer in the UK [1], with this figure set to rise to 4 million by 2030 [1]. There is growing evidence to support the use of physical activity during and after treatment.…”

Section: Introductionmentioning

confidence: 99%

“…Those clinicians that favour exercise often have no suitable programmes to which referrals can be made and clinical trials are often restricted to specific cancer types. Thus, despite the known efficacy of exercise programmes to support the rehabilitation of cancer survivors [1,[12][13][14], the availability of community-based exercise programmes is sparse and the systematic translation of evidence into accepted practice has yet to occur at local, regional or national levels.…”

Section: Introductionmentioning

confidence: 99%

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Impact of an exercise programme on sustaining physical activity for recovering cancer patients: A qualitative study.

Queen

Cotton

Brown

et al. 2016

EJPCH

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Background Pedometers have been shown to improve adherence to exercise programmes. Evidence suggests that PA can improve physical function, wellbeing and reduce the negative impact of some cancer related side-effects. Yet, there are limited PA guidelines for cancer patients in the UK. The aim was to examine the impact of an 8-week exercise programme on sustaining physical activity (PA) at 3-month follow-up. Method A qualitative study with 12 mixed site cancer patients aged 43-70 (10 women, 2 men), involved in an 8-week exercise programme. The Programme took place at a University in the South West of England, UK. Semi-structured interviews with patients took place 3 times over 6 months. A grounded theory approach was used to analyse the data. Results We found that the number of patients perceived to be physically active prior to take-up of the physical activity programme were low (20%). At completion, most patients reported being physically active (84%), sustained but to a lesser extent (67%) at 3-month follow-up. Explanations for sustained PA at follow-up included application of knowledge gained from the Programme in relation to walking technique and use of pedometers and perceived health and fitness gains. Explanations for those not physically active included new diagnosis, reduced mobility following surgery and lack of clear exit route or progression to another structured opportunity. Conclusion Our study has provided valuable insight into how a supervised multi-modal physical activity programme can enable recovering cancer patients to develop a physically active lifestyle.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Impact of an exercise programme on sustaining physical activity for recovering cancer patients: A qualitative study.

Queen

Cotton

Brown

et al. 2016

EJPCH

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“…The number of people living with cancer in the UK is expected to rise from approximately 2.5 million to 4 million by 2030 [1]. A growing body of evidence exists showing that physical activity can reduce many of the effects of cancer-related treatments, including depression, anxiety, chronic fatigue and that it can improve physical and psychological health [2][3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Perceived changes to quality of life indicators following a physical activity intervention for recovering cancer patients: A qualitative study.

Queen

Cotton²,

Brown³

et al. 2016

EJPCH

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Aim:The aim of this study was to examine the perceived changes in quality of life (QoL) for a group of recovering cancer patients, following 6 months of physical activity. Background: Evidence suggests that physical activity can improve the QoL of recovering cancer patients, reducing many of the side-effects of cancer and its related treatments, including depression, anxiety, chronic fatigue, with an improvement in physical and psychological health. Method: A qualitative study with 14 mixed site cancer patients aged 43-70 (12 women, 2 men). The intervention was in 2 parts the first part was an 8-week physical activity programme, the second part related to a period of non-supervised, physical activity for 4 months (6 months in total). The programme took place at a University in the South West of England, UK. Semi-structured interviews with patients took place 3 times over 6 months. A grounded theory approach was used to analyse the data. Results: We found that prior to the 6-month physical activity intervention many of the patients were anxious about being able to complete the initial 8 week programme. Anxieties related to low self-esteem and the chronic fatigue resulting from their cancer treatment. Consequently, several patients expressed concerns about their ability to help themselves self-manage their recovery through physical activity. On completion of the intervention the majority of patients described improvements in their perceived QoL in terms of their ability to self-manage and to engage in their self-efficacy, reporting increased energy levels and decreases in chronic fatigue. Conclusion: Our study has provided valuable insights into how the perceived QoL of a group of recovering cancer patients can be improved through a combined 6-month period of supervised and independent physical activity. These findings serve as further evidence of the effectiveness of a person-centered healthcare approach for recovering cancer patients.

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“…We constructed two patient cases that depicted common cancers: one colorectal and the other lung. Colorectal and lung cancers are some of the most common cancers (Maddams, Utley, & Møller, 2012), and are often missed in their early stages of presentation (Rubin, McPhail, & Elliott, 2011). We avoided well-known methodological pitfalls.…”

Section: Present Researchmentioning

confidence: 99%

Prevalence and alternative explanations influence cancer diagnosis: An experimental study with physicians.

Sirota¹,

Kostopoulou²,

Round³

et al. 2017

Health Psychology

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Objective: Cancer causes death to millions of people worldwide. Early detection of cancer in primary care may enhance patients' chances of survival. However, physicians often miss early cancers, which tend to present with undifferentiated symptoms. Within a theoretical framework of the hypothesis generation (HyGene) model, together with psychological literature, we studied how 2 factors-cancer prevalence and an alternative explanation for the patient's symptoms-impede early cancer detection, as well as prompt patient management. Method: Three hundred family physicians diagnosed and managed 2 patient cases, where cancer was a possible diagnosis (one colorectal cancer, the other lung cancer). We employed a 2 (cancer prevalence: low vs. high) ϫ 2 (alternative explanation: present vs. absent) between-subjects design. Cancer prevalence was manipulated by changing either patient age or sex; the alternative explanation for the symptoms was manipulated by adding or removing a relevant clinical history. Each patient consulted twice. Results: In a series of random-intercept logistic models, both higher prevalence (OR ϭ 1.92, 95% confidence interval [CI 1.27, 2.92]) and absence of an alternative explanation (OR ϭ 1.70, 95% CI [1.11, 2.59]) increased the likelihood of a cancer diagnosis, which, in turn, increased the likelihood of prompt referral (OR ϭ 22.84, 95% CI [16.14, 32.32]). Conclusions: These findings confirm the probabilistic nature of the diagnosis generation process and validate the application of the HyGene model to early cancer detection. Increasing the salience of cancer-such as listing cancer as a diagnostic possibility-during the initial hypothesis generation phase may improve early cancer detection.

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Projections of cancer prevalence in the United Kingdom, 2010–2040

Cited by 398 publications

References 13 publications

Impact of an exercise programme on sustaining physical activity for recovering cancer patients: A qualitative study.

Impact of an exercise programme on sustaining physical activity for recovering cancer patients: A qualitative study.

Perceived changes to quality of life indicators following a physical activity intervention for recovering cancer patients: A qualitative study.

Prevalence and alternative explanations influence cancer diagnosis: An experimental study with physicians.

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