<?xml version="1.0" encoding="UTF-8"?><?xml-stylesheet type="text/xsl" href="static/style.xsl"?><OAI-PMH xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/ http://www.openarchives.org/OAI/2.0/OAI-PMH.xsd"><responseDate>2026-04-13T02:24:12Z</responseDate><request verb="GetRecord" identifier="oai:www.recercat.cat:2445/228618" metadataPrefix="qdc">https://recercat.cat/oai/request</request><GetRecord><record><header><identifier>oai:recercat.cat:2445/228618</identifier><datestamp>2026-04-08T14:07:39Z</datestamp><setSpec>com_2072_1057</setSpec><setSpec>col_2072_478798</setSpec><setSpec>col_2072_478916</setSpec><setSpec>col_2072_478917</setSpec></header><metadata><qdc:qualifieddc xmlns:qdc="http://dspace.org/qualifieddc/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:doc="http://www.lyncode.com/xoai" xsi:schemaLocation="http://purl.org/dc/elements/1.1/ http://dublincore.org/schemas/xmls/qdc/2006/01/06/dc.xsd http://purl.org/dc/terms/ http://dublincore.org/schemas/xmls/qdc/2006/01/06/dcterms.xsd http://dspace.org/qualifieddc/ http://www.ukoln.ac.uk/metadata/dcmi/xmlschema/qualifieddc.xsd">
   <dc:title>Women's experiences along the ovarian cancer diganostic pathway in Catalonia: A qualitative study</dc:title>
   <dc:creator>Vela Vallespín, Carmen</dc:creator>
   <dc:creator>Medina Perucha, Laura</dc:creator>
   <dc:creator>Jacques Aviñó, Constanza</dc:creator>
   <dc:creator>Codern Bové, Núria</dc:creator>
   <dc:creator>Harris, Meggan</dc:creator>
   <dc:creator>Borràs Andrés, Josep Maria</dc:creator>
   <dc:creator>Marzo Castillejo, Mercè</dc:creator>
   <dc:subject>Càncer d'ovari</dc:subject>
   <dc:subject>Malalties de l'ovari</dc:subject>
   <dc:subject>Patòlogues</dc:subject>
   <dc:subject>Ginecologia</dc:subject>
   <dc:subject>Ovarian cancer</dc:subject>
   <dc:subject>Ovary diseases</dc:subject>
   <dc:subject>Women pathologists</dc:subject>
   <dc:subject>Gynecology</dc:subject>
   <dcterms:abstract>Background

Early detection of symptoms and prompt diagnosis of ovarian cancer are considered important avenues for improving patient experiences and outcomes.
Methods

This qualitative study used a phenomenological approach to perform patient interviews, collecting individual accounts of the prediagnostic phase in women diagnosed and treated for ovarian cancer in 2016–2017. Purposive sampling was used to obtain a diverse sample of 24 participants, while thematic content analysis was used to extract themes and subthemes from interview data.
Results

Three themes and nine subthemes were identified. The first theme was women's delay in recognizing symptoms and seeking care, with subthemes on the lack of knowledge about early signs of ovarian cancer, gender-related barriers and false reassurance from negative test results. A second theme was missed opportunities during healthcare encounters, due to misattribution of women's symptoms by their physicians, underestimation of symptom severity and need for mediation and inadequate tests and/or false negative results. Finally, interviews highlighted the use of resources and alternative healthcare pathways, including complementary/alternative medicines, access to private health care and women's capacity for action and decision-making (agency) about their health.</dcterms:abstract>
   <dcterms:issued>2026-03-30T17:35:36Z</dcterms:issued>
   <dcterms:issued>2026-03-30T17:35:36Z</dcterms:issued>
   <dcterms:issued>2023</dcterms:issued>
   <dcterms:issued>2026-03-30T17:35:37Z</dcterms:issued>
   <dc:type>info:eu-repo/semantics/article</dc:type>
   <dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
   <dc:relation>Reproducció del document publicat a: https://doi.org/10.1111/hex.13681</dc:relation>
   <dc:relation>Health Expectations, 2023, vol. 26, num.1, p. 476-487</dc:relation>
   <dc:relation>https://doi.org/10.1111/hex.13681</dc:relation>
   <dc:rights>cc-by (c) Vela Vallespín, Carmen et al., 2023</dc:rights>
   <dc:rights>https://creativecommons.org/licenses/by/4.0/</dc:rights>
   <dc:rights>info:eu-repo/semantics/openAccess</dc:rights>
   <dc:publisher>John Wiley &amp; Sons</dc:publisher>
   <dc:source>Articles publicats en revistes (Ciències Clíniques)</dc:source>
</qdc:qualifieddc></metadata></record></GetRecord></OAI-PMH>