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Call to compensate GPs for smoking workoad

Professor Debbie Sharp has raised doubts about the UK's lung cancer referral guidelines after finding many 'indicator' symptoms were more often associated with other serious conditions.

Professor Sharp, head of the department of primary care at the University of Bristol and a GP in the city, found three of the nine symptoms listed as requiring urgent investigation were questionable and only weakly evidence-based.

She said: 'We found that dyspnoea, hoarseness and cervical lymphadenopathy were not particularly informative. Little research has been done in primary care and predictive values for most symptoms are unknown.'

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