Suggestions(5)
Exact(2)
Lack of concern or failure to recognise a symptom as potentially indicative of ill health is a commonly reported explanation for people not consulting about symptoms associated with serious disease [ 26- 29].
This has some ecological validity in that it may be less important for people to be able to recall the nine warning signs than to recognise a symptom as serious once they notice it.
Similar(58)
Not recognising a symptom as suspicious is a common reason given by cancer patients for delayed help-seeking; but inevitably this is retrospective.
People reported the approximate time from first recognising a symptom to diagnosis as ranging from less than a month to several years (see table 1).
Not recognising a symptom as suspicious is one of the most common reasons given by patients with cancer for delays in seeking medical help [ 12, 13].
Studies in which cancer patients report retrospectively on the process of symptom appraisal indicate that not recognising a symptom as possibly due to cancer is an important determinant of delay in presentation [1 3].
Not recognising a symptom as suspicious is one of the commonest reasons given by cancer patients for delayed help-seeking (Chapple et al, 2004; Smith et al, 2005), and there is evidence of longer delay with ambiguous rather than classic (e.g. lump) symptoms (Macleod et al, 2009).
Using 'recognition' of warning signs as the indicator of awareness (rather than recall of warning signs) may overestimate awareness; but given that in everyday life, the challenge for the individual is to recognise that a symptom they are experiencing may be a sign of cancer, recognition has been argued to be the most appropriate measure (Waller et al, 2004).
In contrast, 65% of Bangladeshis recognised bleeding as a symptom of cancer, compared with just 45% of the African group.
There have been many advances in our understanding of fatigue over the years, starting initially with recognising it as a symptom associated with PBC, and then appreciating the scale of the problem 10 and the impact it has on the patient's quality of life.
But there is a way of at least managing the problem in a more orderly fashion in the long term – if we recognise that Calais is a symptom of a much bigger issue: a Europe-wide migration crisis, or even a worldwide one.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com