eBangor

Measures of promptness of cancer diagnosis in primary care: secondary analysis of national audit data on patients with 18 common and rarer cancers

Lyratzopoulos, G. and Abel, G.A. and McPhail, S. and Neal, R.D. and Rubin, G.P. (2013) Measures of promptness of cancer diagnosis in primary care: secondary analysis of national audit data on patients with 18 common and rarer cancers. British Journal of Cancer (108). 686–690. DOI: 10.1038/bjc.2013.1

Full-text not available from this repository..

Abstract

Background: Evidence is needed about the promptness of cancer diagnosis and associations between its measures. Methods: We analysed data from the National Audit of Cancer Diagnosis in Primary Care 2009�10 exploring the association between the interval from first symptomatic presentation to specialist referral (the primary care interval, or �interval� hereafter) and the number of pre-referral consultations. Results: Among 13�035 patients with any of 18 different cancers, most (82%) were referred after 1 (58%) or 2 (25%) consultations (median intervals 0 and 15 days, respectively) while 9%, 4% and 5% patients required 3, 4 or 5+ consultations (median intervals 34, 47 and 97 days, respectively) (Spearman�s r=0.70). The association was at least moderate for any cancer (Spearman�s r range: 0.55 (prostate)�0.77 (brain)). Patients with cancers with a higher proportion of three or more pre-referral consultations typically also had longer median intervals (e.g., multiple myeloma) and vice versa (e.g., breast cancer). Conclusion: The number of pre-referral consultations has construct validity as a measure of the primary care interval. Developing interventions to reduce the number of pre-referral consultations can help improve the timeliness of cancer diagnosis, and constitutes a priority for early diagnosis initiatives and research.

Item Type: Article
Subjects: Research Publications
Departments: College of Health and Behavioural Sciences > North Wales Centre for Primary Care Research
Date Deposited: 09 Dec 2014 16:45
Last Modified: 23 Sep 2015 03:08
ISSN: 0007-0920
URI: http://e.bangor.ac.uk/id/eprint/965
Identification Number: DOI: 10.1038/bjc.2013.1
Administer Item Administer Item

eBangor is powered by EPrints 3 which is developed by the School of Electronics and Computer Science at the University of Southampton. More information and software credits.