ArticleBritish journal of cancer2015
Cancer-specific variation in emergency presentation by sex, age and deprivation across 27 common and rarer cancers.
Article in British journal of cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 75 papers, 2 of them syntheses that pooled it.
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Who cites it
75 citing papers in PubMed, 2 syntheses or guidelines 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
- Emergency diagnosis of multiple myeloma: a SEER-Medicare study.Cancer causes & control : CCC · 2026Article
- Article
- Clinical spotlight review: best practices for the management of colorectal cancer in the emergency and acute care setting.Surgical endoscopy · 2026Review
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- Article
- Cancer stage at diagnosis by duration of pre-existing chronic analgesic use and anxiety or depression.Nature communications · 2025Article
- Social deprivation and morbidity and mortality after surgery: a UK national observational cohort study.British journal of anaesthesia · 2025Observational
- Letter to the Editor in response to "Application of a digital quality measure for cancer diagnosis in Epic Cosmos".Journal of the American Medical Informatics Association : JAMIA · 2025Article
- Cancer Incidence and Survival after Emergency Department Care in the U.S. Midwest: An Opportunity for Cancer Interception.Cancer prevention research (Philadelphia, Pa.) · 2025Article
- Emergency Department Use Prior to Cancer Diagnosis and Mortality.JAMA network open · 2025Article
- Routes to Diagnosis in Lung Cancer-Do Socio-Demographics Matter? An English Population-Based Study.Cancers · 2025Article
- Diagnostic Window Prior to a Haematological Cancer Diagnosis and the Association With Patient Pathways: A Nationwide Register-Based Cohort Study on Healthcare Utilization in Denmark.European journal of haematology · 2025Article
- Application of a digital quality measure for cancer diagnosis in Epic Cosmos.Journal of the American Medical Informatics Association : JAMIA · 2025Article
- Improving Cancer Diagnosis in Alberta, Canada: A Qualitative Study of Emergency Department Healthcare Providers' Perspectives on Diagnosing Cancer in the Emergency Setting.Current oncology (Toronto, Ont.) · 2024Article
- Article
- Emergency department use before cancer diagnosis in Ontario, Canada: a population-based study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2024Article
- Improving colorectal cancer in Alberta, Canada: a qualitative study of patients and close contacts' perceptions on diagnosis following an emergency department presentation.BMC health services research · 2024Article
- Multiple myeloma: unplanned diagnostic pathways and association with risk factors and survival - a nationwide register-based cohort study in Denmark.BMC cancer · 2024Article
15 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
5 authors.
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Abstract
backgroundAlthough overall sociodemographic and cancer site variation in the risk of cancer diagnosis through emergency presentation has been previously described, relatively little is known about how this risk may vary differentially by sex, age and deprivation group between patients with a given cancer.
methodsData from the Routes to Diagnosis project on 749,645 patients (2006-2010) with any of 27 cancers that can occur in either sex were analysed. Crude proportions and crude and adjusted odds ratios were calculated for emergency presentation, and interactions between sex, age and deprivation with cancer were examined.
resultsThe overall proportion of patients diagnosed through emergency presentation varied greatly by cancer. Compared with men, women were at greater risk for emergency presentation for bladder, brain, rectal, liver, stomach, colon and lung cancer (e.g., bladder cancer-specific odds ratio for women vs men, 1.50; 95% CI 1.39-1.60), whereas the opposite was true for oral/oropharyngeal cancer, lymphomas and melanoma (e.g., oropharyngeal cancer-specific odds ratio for women vs men, 0.49; 95% CI 0.32-0.73). Similarly, younger patients were at higher risk for emergency presentation for acute leukaemia, colon, stomach and oesophageal cancer (e.g., colon cancer-specific odds ratio in 35-44- vs 65-74-year-olds, 2.01; 95% CI 1.76-2.30) and older patients for laryngeal, melanoma, thyroid, oral and Hodgkin's lymphoma (e.g., melanoma specific odds ratio in 35-44- vs 65-74-year-olds, 0.20; 95% CI 0.12-0.33). Inequalities in the risk of emergency presentation by deprivation group were greatest for oral/oropharyngeal, anal, laryngeal and small intestine cancers.
conclusionsAmong patients with the same cancer, the risk for emergency presentation varies notably by sex, age and deprivation group. The findings suggest that, beyond tumour biology, diagnosis through an emergency route may be associated both with psychosocial processes, which can delay seeking of medical help, and with difficulties in suspecting the diagnosis of cancer after presentation.
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