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

Abel G, Mendonca S, McPhail S, Zhou Y, Elliss-Brookes L, Lyratzopoulos G ...see all

British Journal of General Practice, vol. 67, issue 659 (2017) pp. e377-e387 Published by Royal College of General Practitioners

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Abstract

Background Emergency diagnosis of cancer is common and aetiologically complex. The proportion of emergency presenters who have consulted previously with relevant symptoms is uncertain. Aim 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. Design and setting Secondary analysis of patient survey data from the 2010 English Cancer Patient Experience Survey (CPES), previously linked to population-based data on diagnostic route. Method 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. Results Among 4647 emergency presenters, 1349 (29%) reported no prior consultations, being more common in males (32% versus 25% in females, P

Author-supplied keywords

  • Cancer
  • Diagnosis
  • Emergency
  • Opportunities
  • Primary care

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Authors

  • Gary A. Abel

  • Silvia C. Mendonca

  • Sean McPhail

  • Yin Zhou

  • Lucy Elliss-Brookes

  • Georgios Lyratzopoulos

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