ArticleBMJ (Clinical research ed.)2010
Social variations in access to hospital care for patients with colorectal, breast, and lung cancer between 1999 and 2006: retrospective analysis of hospital episode statistics.
Article in BMJ (Clinical research ed.), 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 6 of them syntheses that pooled it.
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Who cites it
47 citing papers in PubMed, 6 syntheses or guidelines pooled it, 122 citations in OpenAlex.
- Pooled it
- Gender-specific differences in care-seeking behaviour among lung cancer patients: a systematic review.Journal of cancer research and clinical oncology · 2020Pooled it
- Pooled it
- Risk factors for emergency presentation with lung and colorectal cancers: a systematic review.BMJ open · 2015Pooled it
- Patterns of colorectal cancer care in Europe, Australia, and New Zealand.Journal of the National Cancer Institute. Monographs · 2013Pooled it
- Socioeconomic inequalities in lung cancer treatment: systematic review and meta-analysis.PLoS medicine · 2013Pooled it
- Sex-Based Disparities in Interval Time to Receipt of Surgical Treatment of Invasive Lung Cancer in Tennessee.Research square · 2026Article
- Geographic and Socioeconomic Disparities in Emergency Presentations Among Colorectal Cancer Patients in Victoria, Australia.Cancer medicine · 2025Article
- Socioeconomic inequalities in waiting times for breast cancer surgery.Health economics · 2025Article
- Investigating socioeconomic disparities in lung cancer diagnosis, treatment and mortality: an Italian cohort study.BMC public health · 2024Observational
- What can hospital emergency admissions prior to cancer diagnosis tell us about socio-economic inequalities in cancer diagnosis? Evidence from population-based data in England.British journal of cancer · 2024Article
- Within and across country variations in treatment of patients with heart failure and diabetes.Health services research · 2021Article
- Diagnosis Setting and Colorectal Cancer Outcomes: The Impact of Cancer Diagnosis in the Emergency Department.The Journal of surgical research · 2020Article
- Predictors of an early death in patients diagnosed with colon cancer: a retrospective case-control study in the UK.BMJ open · 2019Article
- Achieving Thoracic Oncology data collection in Europe: a precursor study in 35 Countries.BMC cancer · 2018Article
- Article
- Persistent inequalities in unplanned hospitalisation among colon cancer patients across critical phases of their care pathway, England, 2011-13.British journal of cancer · 2018Article
- Trends in lung cancer emergency presentation in England, 2006-2013: is there a pattern by general practice?BMC cancer · 2018Article
- Sociodemographic variation in the use of chemotherapy and radiotherapy in patients with stage IV lung, oesophageal, stomach and pancreatic cancer: evidence from population-based data in England during 2013-2014.British journal of cancer · 2018Article
- Mass media and risk factors for cancer: the under-representation of age.BMC public health · 2018Article
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo determine the extent to which type of hospital admission (emergency compared with elective) and surgical procedure varied by socioeconomic circumstances, age, sex, and year of admission for colorectal, breast, and lung cancer.
designRepeated cross sectional study with data from individual patients, 1 April 1999 to 31 March 2006.
settingHospital episode statistics (HES) dataset.
participants564 821 patients aged 50 and over admitted with a diagnosis of colorectal, breast, or lung cancer.
main outcome measuresProportion of patients admitted as emergencies, and the proportion receiving the recommended surgical treatment.
resultsPatients from deprived areas, older people, and women were more likely to be admitted as emergencies. For example, the adjusted odds ratio for patients with breast cancer in the least compared with most deprived fifth of deprivation was 0.63 (95% confidence interval 0.60 to 0.66) and the adjusted odds ratio for patients with lung cancer aged 80-89 compared with those aged 50-59 was 3.13 (2.93 to 3.34). There were some improvements in disparities between age groups but not for patients living in deprived areas over time. Patients from deprived areas were less likely to receive preferred procedures for rectal, breast, and lung cancer. These findings did not improve with time. For example, 67.4% (3529/5237) of patients in the most deprived fifth of deprivation had anterior resection for rectal cancer compared with 75.5% (4497/5959) of patients in the least deprived fifth (1.34, 1.22 to 1.47). Over half (54.0%, 11 256/20 849) of patients in the most deprived fifth of deprivation had breast conserving surgery compared with 63.7% (18 445/28 960) of patients in the least deprived fifth (1.21, 1.16 to 1.26). Men were less likely than women to undergo anterior resection and lung cancer resection and older people were less likely to receive breast conserving surgery and lung cancer resection. For example, the adjusted odds ratio for lung cancer patients aged 80-89 compared with those aged 50-59 was 0.52 (0.46 to 0.59). Conclusions Despite the implementation of the NHS Cancer Plan, social factors still strongly influence access to and the provision of care.
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