Patients’ experiences of a standardized care pathway for suspected bladder cancer due to macroscopic hematuria

Abstract Objective To explore patients’ experiences navigating the Standardized Care Pathway (SCP) for macroscopic hematuria through semi-structured interviews. Methods and materials An interview study was conducted to explore patients’ experiences of SCP for macroscopic hematuria. The study employe...

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Main Authors: Lisa Karlsson, Anette Ek-Steinum, Viola Nyman, Suleiman Abuhasanein
Format: Article
Language:English
Published: BMC 2025-08-01
Series:BMC Urology
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Online Access:https://doi.org/10.1186/s12894-025-01898-1
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author Lisa Karlsson
Anette Ek-Steinum
Viola Nyman
Suleiman Abuhasanein
author_facet Lisa Karlsson
Anette Ek-Steinum
Viola Nyman
Suleiman Abuhasanein
author_sort Lisa Karlsson
collection DOAJ
description Abstract Objective To explore patients’ experiences navigating the Standardized Care Pathway (SCP) for macroscopic hematuria through semi-structured interviews. Methods and materials An interview study was conducted to explore patients’ experiences of SCP for macroscopic hematuria. The study employed content analysis with an inductive approach, as described by Lundman and Graneheim, to explore both explicit and implicit patterns in the data. Informants were recruited from an outpatient clinic for investigation of macroscopic hematuria, with interview questions derived from literature and clinical experience. Researchers immersed themselves in the data through repeated readings of transcripts, identifying meaning units that were coded and analyzed to develop subcategories reflecting similarities and differences. Results Twelve patients, with a median age of 71 years (58% women), participated in the study. Among them, one was diagnosed with urinary bladder cancer (UBC). The findings highlight a mix of appreciation and questioning associated with the SCP process, as patients valued the efficiency of one stop policy for testing but also experienced heightened anxiety. A lack of detailed and patient-centred communication emerged as a key issue, with primary care centers providing insufficient information. Conclusions Although SCP is effective, it prompts consideration of whether it is suitable for all patients. A more individually tailored approach might be more appropriate, prioritizing rapid evaluation for those with a high likelihood of cancer while directing others to a standard diagnostic route. Continuing the one-stop policy was seen as beneficial.
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spelling doaj-art-262ab083159a4f93ad14be7a46efafae2025-08-24T11:53:08ZengBMCBMC Urology1471-24902025-08-012511910.1186/s12894-025-01898-1Patients’ experiences of a standardized care pathway for suspected bladder cancer due to macroscopic hematuriaLisa Karlsson0Anette Ek-Steinum1Viola Nyman2Suleiman Abuhasanein3Department of Surgery, Urology section, NU Hospital Group, Region Västra GötalandDepartment of Surgery, Urology section, NU Hospital Group, Region Västra GötalandDepartment of Health Sciences, University WestDepartment of Surgery, Urology section, NU Hospital Group, Region Västra GötalandAbstract Objective To explore patients’ experiences navigating the Standardized Care Pathway (SCP) for macroscopic hematuria through semi-structured interviews. Methods and materials An interview study was conducted to explore patients’ experiences of SCP for macroscopic hematuria. The study employed content analysis with an inductive approach, as described by Lundman and Graneheim, to explore both explicit and implicit patterns in the data. Informants were recruited from an outpatient clinic for investigation of macroscopic hematuria, with interview questions derived from literature and clinical experience. Researchers immersed themselves in the data through repeated readings of transcripts, identifying meaning units that were coded and analyzed to develop subcategories reflecting similarities and differences. Results Twelve patients, with a median age of 71 years (58% women), participated in the study. Among them, one was diagnosed with urinary bladder cancer (UBC). The findings highlight a mix of appreciation and questioning associated with the SCP process, as patients valued the efficiency of one stop policy for testing but also experienced heightened anxiety. A lack of detailed and patient-centred communication emerged as a key issue, with primary care centers providing insufficient information. Conclusions Although SCP is effective, it prompts consideration of whether it is suitable for all patients. A more individually tailored approach might be more appropriate, prioritizing rapid evaluation for those with a high likelihood of cancer while directing others to a standard diagnostic route. Continuing the one-stop policy was seen as beneficial.https://doi.org/10.1186/s12894-025-01898-1HematuriaUrinary bladder cancerInterviewContent analysisPatients' experiences
spellingShingle Lisa Karlsson
Anette Ek-Steinum
Viola Nyman
Suleiman Abuhasanein
Patients’ experiences of a standardized care pathway for suspected bladder cancer due to macroscopic hematuria
BMC Urology
Hematuria
Urinary bladder cancer
Interview
Content analysis
Patients' experiences
title Patients’ experiences of a standardized care pathway for suspected bladder cancer due to macroscopic hematuria
title_full Patients’ experiences of a standardized care pathway for suspected bladder cancer due to macroscopic hematuria
title_fullStr Patients’ experiences of a standardized care pathway for suspected bladder cancer due to macroscopic hematuria
title_full_unstemmed Patients’ experiences of a standardized care pathway for suspected bladder cancer due to macroscopic hematuria
title_short Patients’ experiences of a standardized care pathway for suspected bladder cancer due to macroscopic hematuria
title_sort patients experiences of a standardized care pathway for suspected bladder cancer due to macroscopic hematuria
topic Hematuria
Urinary bladder cancer
Interview
Content analysis
Patients' experiences
url https://doi.org/10.1186/s12894-025-01898-1
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