Early diagnosis improves outcomes, but system-level patterns of pre-diagnostic care are rarely examined in ways that reveal actionable opportunities.
I enabled a clinician-led retrospective cohort study of clinical activity in general practice before sarcoma diagnosis, clearing the cross-organisational ethics and data-linkage pathway that connected hospital registry and primary care data, and co-authored the paper. The work identified a six-month diagnostic window where GP imaging requests increased progressively before diagnosis, signalling potential opportunities for earlier detection.
The study informed national discussions on optimising investigation of bone pain and soft tissue lumps in primary care and was published in the British Journal of General Practice.