ReviewJournal of epidemiology and community health2019
Are inequalities in cancer diagnosis through emergency presentation narrowing, widening or remaining unchanged? Longitudinal analysis of English population-based data 2006-2013.
Review in Journal of epidemiology and community health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed, 27 citations in OpenAlex.
- Emergency diagnosis of multiple myeloma: a SEER-Medicare study.Cancer causes & control : CCC · 2026Article
- Prevalence and Outcomes of Emergency Presentations of Colorectal Cancer in Veterans Affairs Health Care System.Digestive diseases and sciences · 2025Article
- Application of a digital quality measure for cancer diagnosis in Epic Cosmos.Journal of the American Medical Informatics Association : JAMIA · 2025Article
- 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
- Emergency department involvement in the diagnosis of cancer among older adults: a SEER-Medicare study.JNCI cancer spectrum · 2024Article
- Emergency Presentations Predict Worse Outcomes Among Patients with Pancreatic Cancer.Digestive diseases and sciences · 2024Article
- Inequalities in treatment among patients with colon and rectal cancer: a multistate survival model using data from England national cancer registry 2012-2016.British journal of cancer · 2024Article
- Deciphering the Relationship between SARS-CoV-2 and Cancer.International journal of molecular sciences · 2023Review
- Diagnosis of cancer in the Emergency Department: A scoping review.Cancer medicine · 2023Article
- Progress and priorities in reducing the time to cancer diagnosis.British journal of cancer · 2023Article
- Assessing how routes to diagnosis vary by the age of patients with cancer: a nationwide register-based cohort study in Denmark.BMC cancer · 2022Article
- An investigation of cancer survival inequalities associated with individual-level socio-economic status, area-level deprivation, and contextual effects, in a cancer patient cohort in England and Wales.BMC public health · 2022Article
- Does geodemographic segmentation explain differences in route of cancer diagnosis above and beyond person-level sociodemographic variables?Journal of public health (Oxford, England) · 2021Article
- Article
- Hodgkin lymphoma detection and survival: findings from the Haematological Malignancy Research Network.BJGP open · 2019Article
- Population trends in emergency cancer diagnoses: The role of changing patient case-mix.Cancer epidemiology · 2019Article
- New CT-based diagnoses of torso cancer is low in the emergency department setting.Emergency radiology · 2019Article
- Cancer diagnoses after emergency GP referral or A&E attendance in England: determinants and time trends in Routes to Diagnosis data, 2006-2015.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019Article
- Disparities, variations, inequalities or inequities: whatever you call them, we need data to monitor them.Israel journal of health policy research · 2019Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundDiagnosis of cancer through emergency presentation is associated with poorer prognosis. While reductions in emergency presentations have been described, whether known sociodemographic inequalities are changing is uncertain.
methodsWe analysed 'Routes to Diagnosis' data on patients aged ≥25 years diagnosed in England during 2006-2013 with any of 33 common or rarer cancers. Using binary logistic regression we determined time-trends in diagnosis through emergency presentation by age, deprivation and cancer site.
resultsOverall adjusted proportions of emergency presentations decreased during the study period (2006: 23%, 2013: 20%). Substantial baseline (2006) inequalities in emergency presentation risk by age and deprivation remained largely unchanged. There was evidence (p<0.05) of reductions in the risk of emergency presentations for most (28/33) cancer sites, without apparent associations between the size of reduction and baseline risk (p=0.26). If there had been modest reductions in age inequalities (ie, patients in each age group acquiring the same percentage of emergency presentations as the adjacent group with lower risk), in the last study year we could have expected around 11 000 fewer diagnoses through emergency presentation (ie, a nationwide percentage of 16% rather than the observed 20%). For similarly modest reductions in deprivation inequalities, we could have expected around 3000 fewer (ie, 19%).
conclusionThe proportion of cancer diagnoses through emergency presentation is decreasing but age and deprivation inequalities prevail, indicating untapped opportunities for further improvements by reducing these inequalities. The observed reductions in proportions across nearly all cancer sites are likely to reflect both earlier help-seeking and improvements in diagnostic healthcare pathways, across both easier-to-suspect and harder-to-suspect cancers.
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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.