ArticleBritish journal of cancer2012
Association between patient and general practice characteristics and unplanned first-time admissions for cancer: observational study.
Article in British journal of cancer, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
38 citing papers in PubMed.
- Trial
- Geographic and Socioeconomic Disparities in Emergency Presentations Among Colorectal Cancer Patients in Victoria, Australia.Cancer medicine · 2025Article
- Cancer diagnosis after emergency presentations in people with mental health and substance use conditions: a national cohort study.BMC cancer · 2024Article
- Rate, Timing, and Duration of Unplanned Readmissions Due to Cardiovascular Diseases among Hospitalized Patients with Cancer in the United States.Reviews in cardiovascular medicine · 2023Article
- Combined Serum DKK3 and Circulating CD133 Cells as Prognostic Biomarkers for Ovarian Cancer Patients.OncoTargets and therapy · 2021Article
- Delays in referral from primary care worsen survival for patients with colorectal cancer: a retrospective cohort study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2020Article
- Time Trends in the Diagnosis of Colorectal Cancer With Obstruction, Perforation, and Emergency Admission After the Introduction of Population-Based Organized Screening.JAMA network open · 2020Article
- Diagnostic and health service pathways to diagnosis of cancer-registry notified cancer of unknown primary site (CUP).PloS one · 2020Article
- Associations between general practice characteristics with use of urgent referrals for suspected cancer and endoscopies: a cross-sectional ecological study.Family practice · 2019Observational
- Response to "Identification of appropriate and potentially avoidable emergency department referrals in a tertiary cancer care center" by Duflos et al.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2018Article
- Persistent inequalities in unplanned hospitalisation among colon cancer patients across critical phases of their care pathway, England, 2011-13.British journal of cancer · 2018Article
- Readmission Patterns After GI Cancer Hospitalizations: The Medical Versus Surgical Patient.Journal of oncology practice · 2018Article
- Emergency presentation of colorectal patients in Spain.PloS one · 2018Article
- The route to diagnosis: emergency presentation of lung cancer.Lung cancer management · 2017Review
- Emergency diagnosis of cancer and previous general practice consultations: insights from linked patient survey data.The British journal of general practice : the journal of the Royal College of General Practitioners · 2017Article
- Extended opening hours and patient experience of general practice in England: multilevel regression analysis of a national patient survey.BMJ quality & safety · 2017Article
- Does emergency presentation of cancer represent poor performance in primary care? Insights from a novel analysis of linked primary and secondary care data.British journal of cancer · 2017Article
- Diagnosis of cancer as an emergency: a critical review of current evidence.Nature reviews. Clinical oncology · 2017Review
- Associations between Extending Access to Primary Care and Emergency Department Visits: A Difference-In-Differences Analysis.PLoS medicine · 2016Article
- Emergency hospital admissions for asthma and access to primary care: cross-sectional analysis.The British journal of general practice : the journal of the Royal College of General Practitioners · 2016Article
Corrections and comments
- Commented on by
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo identify patient and general practice (GP) characteristics associated with emergency (unplanned) first admissions for cancer in secondary care.
methodsPatients who had a first-time admission with a primary diagnosis of cancer during 2007/08 to 2009/10 were identified from administrative hospital data. We modelled the associations between the odds of these admissions being unplanned and various patient and GP practice characteristics using national data sets, including the Quality and Outcomes Framework (QOF).
resultsThere were 639,064 patients with a first-time admission for cancer, with 139,351 unplanned, from 7957 GP practices. The unplanned proportion ranged from 13.9% (patients aged 15-44 years) to 44.9% (patients aged 85 years and older, P<0.0001), with large variation by ethnicity (highest in Asians), deprivation, rurality and cancer type. In unadjusted analyses, all included patient and practice-level variables were statistically significant predictors of the admissions being unplanned. After adjustment, patient area-level deprivation was a key factor (most deprived compared with least deprived quintile OR 1.36, 95% CI 1.32-1.40). Higher total QOF performance protected against unplanned admission (OR 0.94 per 100 points; 95% CI 0.91-0.97); having no GPs with a UK primary medical qualification (OR 1.08, 95% CI 1.04-1.11) and being less able to offer appointments within 48 h were associated with higher odds.
conclusionWe have identified some patient and practice characteristics associated with a first-time admission for cancer being unplanned. The former could be used to help identify patients at high risk, while the latter raise questions about the role of practice organisation and staff training.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.