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. 2023 May 31;73(732):e502–e510. doi: 10.3399/BJGP.2022.0554

How this fits in

Most Black males with prostate cancer are diagnosed after presenting with symptoms to primary care, and — while unlikely to be the main explanation for the greater mortality in this group — an understanding of the events during this pathway could inform strategies to tackle inequalities in prostate cancer outcomes through earlier diagnosis. Existing evidence highlights the influence of symptom appraisal and help seeking in cancer diagnostics, although it is unclear how this applies to Black males in the UK with symptoms of possible prostate cancer. The present study gives clarity to this issue, highlighting the potential for improving early presentation in symptomatic Black males, while illustrating the role that GPs can play in facilitating early diagnosis.