ArticleBritish journal of cancer2014
Comparing primary and secondary health-care use between diagnostic routes before a colorectal cancer diagnosis: cohort study using linked data.
Article in British journal of cancer, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Physician associate/assistant contributions to cancer diagnosis in primary care: a rapid systematic review.BMC health services research · 2021Pooled it
- Prediagnostic primary care consultations and imaging in emergency-diagnosed versus referred patients with lung cancer: a population-based linked data study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026Article
- Geographic and Socioeconomic Disparities in Emergency Presentations Among Colorectal Cancer Patients in Victoria, Australia.Cancer medicine · 2025Article
- Learning from new colorectal cancers: a qualitative synthesis of significant event reports.BJGP open · 2024Article
- Socioeconomic disparities and health literacy: Unraveling the impact on diagnostic and cancer care in Uruguay.Journal of cancer policy · 2024Article
- Diagnosis of cancer in the Emergency Department: A scoping review.Cancer medicine · 2023Article
- Article
- 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
- Article
- Contrasting effects of comorbidities on emergency colon cancer diagnosis: a longitudinal data-linkage study in England.BMC health services research · 2019Article
- Opportunities for reducing emergency diagnoses of colon cancer in women and men: A data-linkage study on pre-diagnostic symptomatic presentations and benign diagnoses.European journal of cancer care · 2019Article
- Article
- Emergency presentation of colorectal patients in Spain.PloS one · 2018Article
- 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
- Diagnosis of cancer as an emergency: a critical review of current evidence.Nature reviews. Clinical oncology · 2017Review
- Do colorectal cancer patients diagnosed as an emergency differ from non-emergency patients in their consultation patterns and symptoms? A longitudinal data-linkage study in England.British journal of cancer · 2016Article
- Factors associated with late stage at diagnosis among Puerto Rico's government health plan colorectal cancer patients: a cross-sectional study.BMC health services research · 2016Article
- Cancer-specific variation in emergency presentation by sex, age and deprivation across 27 common and rarer cancers.British journal of cancer · 2015Article
- The role of primary care in cancer diagnosis via emergency presentation: qualitative synthesis of significant event reports.British journal of cancer · 2015Article
- Patients' Experiences of Cancer Diagnosis as a Result of an Emergency Presentation: A Qualitative Study.PloS one · 2015Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSurvival in cancer patients diagnosed following emergency presentations is poorer than those diagnosed through other routes. To identify points for intervention to improve survival, a better understanding of patients' primary and secondary health-care use before diagnosis is needed. Our aim was to compare colorectal cancer patients' health-care use by diagnostic route.
methodsCohort study of colorectal cancers using linked primary and secondary care and cancer registry data (2009-2011) from four London boroughs. The prevalence of all and relevant GP consultations and rates of primary and secondary care use up to 21 months before diagnosis were compared across diagnostic routes (emergency, GP-referred and consultant/other).
resultsThe data set comprised 943 colorectal cancers with 24% diagnosed through emergency routes. Most (84%) emergency patients saw their GP 6 months before diagnosis but their symptom profile was distinct; fewer had symptoms meeting urgent referral criteria than GP-referred patients. Compared with GP-referred, emergency patients used primary care less (IRR: 0.85 (95% CI 0.78-0.93)) and urgent care more frequently (IRR: 1.56 (95% CI 1.12; 2.17)).
conclusionsDistinct patterns of health-care use in patients diagnosed through emergency routes were identified in this cohort. Such analyses using linked data can inform strategies for improving early diagnosis of colorectal cancer.
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