BIROn - Birkbeck Institutional Research Online

    Patient experience and perceived acceptability of whole body magnetic resonance imaging for staging colorectal and lung cancer compared with current staging scans: a qualitative study

    Evans, R.E.C. and Taylor, S.A. and Janes, S. and Halligan, S. and Morton, A. and Navani, N. and Oliver, A. and Rockall, A. and Teague, J. and Miles, Anne (2017) Patient experience and perceived acceptability of whole body magnetic resonance imaging for staging colorectal and lung cancer compared with current staging scans: a qualitative study. BMJ Open 7 (9), ISSN 2044-6055.

    [img] Text
    19060.pdf - Author's Accepted Manuscript
    Restricted to Repository staff only

    Download (750kB)
    [img]
    Preview
    Text
    19060A.pdf - Published Version of Record
    Available under License Creative Commons Attribution.

    Download (525kB) | Preview

    Abstract

    Objective: To describe the experience and acceptability of whole body magnetic resonance imaging (WB-MRI) staging compared with standard scans among patients with highly suspected or known colorectal or lung cancer. Design: Qualitative study using one-to-one interviews with thematic analysis. Setting: Patients recruited from 10 hospitals in London, East and South East England between March 2013 and July 2014. Participants:51 patients (31 male, age range 40 to 89 years), with varying levels of social deprivation were recruited consecutively from two parallel clinical trials comparing the diagnostic accuracy and cost-effectiveness of WB-MRI with standard scans for staging colorectal and lung cancer (‘Streamline- C’ and ‘Streamline-L’). WB-MRI was offered as an additional scan as part of the trials. Results: In general WB-MRI presented a greater challenge than standard scans, although all but 4 patients completed the WB-MRI. Key challenges were: enclosed space, noise and scan duration; reduced patient tolerance was associated with claustrophobia, pulmonary symptoms and existing co-morbidities. Coping strategies facilitated scan tolerance and were grouped into 1) those intended to help with physical and emotional challenges, and 2) those focused on motivation to complete the scan e.g. focusing on health benefit. Our study suggests that good staff communication could reduce anxiety and boost coping strategies. Conclusions: Although WB-MRI was perceived as more challenging than standard scans, it was sufficiently acceptable and tolerated by most patients to potentially replace them if appropriate.

    Metadata

    Item Type: Article
    School: Birkbeck Schools and Departments > School of Science > Psychological Sciences
    Depositing User: Anne Miles
    Date Deposited: 27 Jun 2017 09:32
    Last Modified: 02 Mar 2018 13:36
    URI: http://eprints.bbk.ac.uk/id/eprint/19060

    Statistics

    Downloads
    Activity Overview
    49Downloads
    100Hits

    Additional statistics are available via IRStats2.

    Archive Staff Only (login required)

    Edit/View Item Edit/View Item