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group interviews. In this session, the codes were grouped into categories and clustered into themes or domains. A summary of the analysis process is shown in figure 1. Study reporting was based on the Consolidated Criteria for Reporting Qualitative Health Research (COREQ).24 We provided a quantification to indicate whether the results have been obtained from few (1-3), some (4-7), many (8-11) or most (12 or more) participants.
Figure 1. Summary of analysis process
Results
Six focus groups were conducted, in which in total 23 women participated. The duration of the focus groups was between 66 and 97 minutes. Mean age of participants was 33.9 years (range 29-45). Mean time from start of symptoms to diagnosis was 101.7 months or 8.5 years (range 0-216 months, SD 81.3 months). Most of the delay consisted of the time from onset of symptoms to first visit to the general practitioner (33 months) and time between first general practitioner visit and referral to a gynaecologist (61
Strengths and weaknesses in the diagnostic process | 37
