ArticleBMJ open2017
Cancer-related hospitalisations and 'unknown' stage prostate cancer: a population-based record linkage study.
Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Health system costs and days in hospital for colorectal cancer patients in New South Wales, Australia.PloS one · 2021Article
- Improving Central Cancer Registry Surveillance through Interstate Data Exchange of Electronic Pathology Reports.Journal of registry management · 2021Article
- Prostate Cancer Incidence and Survival, by Stage and Race/Ethnicity - United States, 2001-2017.MMWR. Morbidity and mortality weekly report · 2020Article
- Assessing a modified-AJCC TNM staging system in the New South Wales Cancer Registry, Australia.BMC cancer · 2019Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo identify reasons for prostate cancer stage being recorded as 'unknown' in Australia's largest population-based cancer registry.
designProspective population-based cohort.
settingNew South Wales (NSW) is the most populous state in Australia, with almost one third of the total national population.
participantsNSW Cancer Registry (NSWCR) records for prostate cancer cases diagnosed in 2001-2009 were linked to the NSW Admitted Patient Data Collection (APDC) for 2000-2010. All patients in this study had a minimum of 12 months follow-up in the hospital episode records after their date of diagnosis as recorded by the NSWCR.
main outcome measuresIncidence of 'unknown' stage prostate cancer and cancer-specific survival.
resultsOf 50 597 prostate cancer cases, 39.9% were recorded as having 'unknown' stage. Up to 4 months after diagnosis, 77.2% of cases without a hospital-reported cancer diagnosis were recorded as having 'unknown' stage. Among those patients with a hospital-reported cancer diagnosis, stage was 'unknown' for 7.6% of cases who received a radical prostatectomy (RP) and for 34.0% of cases who had procedures other than RP. In the latter group, the factors that were related to having 'unknown' stage were living in disadvantaged areas (adjusted OR (aOR) range: 1.13 to 1.20), attending a private hospital (aOR range: 1.25 to 2.13), having day-only admission for care (aOR=1.23, 95% CI 1.11 to 1.36), or having procedures other than multiple procedures with imaging (eg, biopsy only, aOR range: 1.11 to 1.45).
conclusionsOver half of 'unknown' stage prostate cancer cases did not have a hospital-reported prostate cancer diagnosis within the 4 months after initial diagnosis. We identified differences in the likelihood of cases being recorded as 'unknown' stage based on socioeconomic status and facility type, which suggests that further investigation of reporting practices in relation to diagnostic and treatment pathways is required.
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