Clinical features of kidney cancer in primary care: a case-control study using primary care records

Kidney cancer accounts for over 4000 UK deaths annually, and is one of the cancer sites with a poor mortality record compared with Europe. To identify and quantify all clinical features of kidney cancer in primary care. Case-control study, using General Practice Research Database records. A total of...

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Bibliographic Details
Published in:British journal of general practice 2013-04, Vol.63 (609), p.e250-e255
Main Authors: Shephard, Elizabeth, Neal, Richard, Rose, Peter, Walter, Fiona, Hamilton, William T
Format: Article
Language:English
Subjects:
Abdominal Pain - epidemiology
Aged
Back Pain
Case-Control Studies
Female
General Practice
Hematuria - epidemiology
Humans
Inflammation - epidemiology
Kidney Neoplasms - complications
Kidney Neoplasms - diagnosis
Kidney Neoplasms - epidemiology
Kidney Neoplasms - pathology
Male
Medical Records
Middle Aged
Nausea - epidemiology
Odds Ratio
Predictive Value of Tests
Primary Health Care
Referral and Consultation
United Kingdom - epidemiology
Urinary Tract Infections - epidemiology
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Summary:Kidney cancer accounts for over 4000 UK deaths annually, and is one of the cancer sites with a poor mortality record compared with Europe. To identify and quantify all clinical features of kidney cancer in primary care. Case-control study, using General Practice Research Database records. A total of 3149 patients aged ≥40 years, diagnosed with kidney cancer between 2000 and 2009, and 14 091 age, sex and practice-matched controls, were selected. Clinical features associated with kidney cancer were identified, and analysed using conditional logistic regression. Positive predictive values for features of kidney cancer were estimated. Cases consulted more frequently than controls in the year before diagnosis: median 16 consultations (interquartile range 10-25) versus 8 (4-15): P
ISSN:0960-1643
1478-5242
DOI:10.3399/bjgp13X665215