Publications by authors named "Dipesh P Gopal"

Background: The number of people who are living with and beyond cancer is increasing in England. Primary care delivers cancer care via structured proactive conversations which are incentivised through the Quality and Outcomes Framework (QoF): 'cancer care reviews' (CCRs). Declining workforce numbers, increasing patient demand, CCR policy changes in 2020 and the onset of the coronavirus disease 2019 (COVID-19) pandemic, highlight a need to explore how staff deliver CCRs.

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Background: People from ethnic minority groups are disproportionately affected by COVID-19, less likely to access primary health care, and have reported dissatisfaction with health care. Although the prevalence of long COVID in ethnic minority groups is unclear, such populations are underrepresented in long-COVID specialist clinics and long-COVID lived-experience research, which informed the original long-COVID healthcare guidelines.

Aim: To understand the lived experiences of long COVID in people from ethnic minority groups.

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Multimorbidity, the presence of a chronic condition in addition to cancer, is of particular importance to cancer survivors. It has an impact on the progression, stage at diagnosis, prognosis, and treatment of cancer patients. Evidence is scarce on the prevalence of specific comorbidities in survivors of different cancers to inform prevention and management of multimorbidity.

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Globally, both cancer incidence and survival are increasing. Early cancer detection and improved treatment means many people with cancer will survive for ten or more years following diagnosis. Multimorbidity, defined as two or more chronic conditions, is up to three times higher in people living with and beyond cancer (LWBC) compared to the general population.

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Article Synopsis
  • There is a prediction that by 2040, there will be 27.5 million new cancer cases each year, which is a big increase from 2018.
  • The study looked at many clinical trials about cancer screening, prevention, and early diagnosis from 2007 to 2020 to find out which areas need more research.
  • They found that most trials focused on colorectal, breast, and cervical cancers, while lung and liver cancers, which cause many deaths, were studied far less, especially in North America, Europe, and Asia.
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Article Synopsis
  • A "cancer care review" (CCR) is a meeting between patients who have just been diagnosed with cancer and their main doctors in the UK to discuss important health matters.
  • Researchers looked at many studies to find out how CCRs affect patients' lives and what people think about them.
  • They found that not many studies exist about CCRs, and some patients and doctors feel they aren't very helpful or well-organized, so more research is needed to improve them.
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Background: Older adults from minority ethnic backgrounds are at increased risk of contracting COVID-19 and developing severe infection and have increased risk of mortality. Whilst an age-based vaccination approach prioritising older groups is being implemented worldwide, vaccine hesitancy is high amongst minority ethnic groups.

Methods And Findings: We conducted a systematic review and convergent synthesis to systematically examine perceptions of vaccinations amongst older adults from minority ethnic backgrounds.

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Background: Physicians are at higher risk for burnout than workers in other fields. Burnout negatively impacts physician health, care delivery and healthcare cost. Existing studies quantify the workforce affected by burnout whilst qualitative studies use specific specialty groups limiting generalisability of solutions.

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Bias is the evaluation of something or someone that can be positive or negative, and implicit or unconscious bias is when the person is unaware of their evaluation. This is particularly relevant to policymaking during the coronavirus pandemic and racial inequality highlighted during the support for the Black Lives Matter movement. A literature review was performed to define bias, identify the impact of bias on clinical practice and research as well as clinical decision making (cognitive bias).

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