Emergency diagnosis of cancer and previous general practice consultations: insights from linked patient survey data

Emergency diagnosis of cancer is common and aetiologically complex. The proportion of emergency presenters who have consulted previously with relevant symptoms is uncertain. To examine how many patients with cancer, who were diagnosed as emergencies, have had previous primary care consultations with...

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Bibliographic Details
Published in:British journal of general practice 2017-06, Vol.67 (659), p.e377-e387
Main Authors: Abel, Gary A, Mendonca, Silvia C, McPhail, Sean, Zhou, Yin, Elliss-Brookes, Lucy, Lyratzopoulos, Georgios
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age Factors
Aged
Aged, 80 and over
Data Collection
Delayed Diagnosis - statistics & numerical data
Early Detection of Cancer - statistics & numerical data
Emergencies
Emergency Treatment
England
Ethnicity
Female
General Practice
Health Care Surveys
Humans
Male
Middle Aged
Neoplasms - diagnosis
Patient Acceptance of Health Care
Practice Patterns, Physicians
Referral and Consultation - statistics & numerical data
Young Adult
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Summary:Emergency diagnosis of cancer is common and aetiologically complex. The proportion of emergency presenters who have consulted previously with relevant symptoms is uncertain. To examine how many patients with cancer, who were diagnosed as emergencies, have had previous primary care consultations with relevant symptoms; and among those, to examine how many had multiple consultations. Secondary analysis of patient survey data from the 2010 English Cancer Patient Experience Survey (CPES), previously linked to population-based data on diagnostic route. For emergency presenters with 18 different cancers, associations were examined for two outcomes (prior GP consultation status; and 'three or more consultations' among prior consultees) using logistic regression. Among 4647 emergency presenters, 1349 (29%) reported no prior consultations, being more common in males (32% versus 25% in females,
ISSN:0960-1643
1478-5242
DOI:10.3399/bjgp17X690869