ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2019
Cancer diagnoses after emergency GP referral or A&E attendance in England: determinants and time trends in Routes to Diagnosis data, 2006-2015.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
What it found
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Who cites it
27 citing papers in PubMed.
- Article
- Mortality after emergency presentation: evidence from a cohort of 929 378 Medicare beneficiaries with common cancers diagnosed 2008-2017.Journal of the National Cancer Institute · 2026Article
- Article
- A digital quality measure for emergency presentation of pancreatic cancer.British journal of cancer · 2026Article
- Emergency cancer diagnosis in older adults: patterns, subgroups, and implications for health-care quality metrics.JNCI cancer spectrum · 2026Article
- Emergency cancer diagnosis in Paris: A cross-sectional study using AP-HP data.International journal of cancer · 2025Article
- Patients' perceptions on reasons for self-referring to the emergency department shortly before a cancer diagnosis: a qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025Article
- [Patients with cancer: a challenge for emergency departments].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2025Review
- A UK population-based case-control study of blood tests before cancer diagnosis in patients with non-specific abdominal symptoms.British journal of cancer · 2025Article
- Prevalence and Outcomes of Emergency Presentations of Colorectal Cancer in Veterans Affairs Health Care System.Digestive diseases and sciences · 2025Article
- Cancer diagnosis after emergency presentations in people with mental health and substance use conditions: a national cohort study.BMC cancer · 2024Article
- Conceptual framework for establishing twins prevention and continuous health promotion programme: a qualitative study.BMJ open · 2024Article
- [Cancer patients in the emergency department].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2024Review
- A taxonomy of early diagnosis research to guide study design and funding prioritisation.British journal of cancer · 2023Review
- Evaluation of treatment delays in hepatopancreatico-biliary surgery during the first COVID-19 wave.Annals of the Royal College of Surgeons of England · 2023Article
- Mobile Health Solutions for Prostate Cancer Diagnostics-A Systematic Review.Clinics and practice · 2023Review
- Retrospective study of cancer patients' predictive factors of care in a large, Hungarian tertiary care centre.BMJ open · 2023Observational
- Diagnosis of cancer in the Emergency Department: A scoping review.Cancer medicine · 2023Article
- Who Presents Where? A Population-Based Analysis of Socio-Demographic Inequalities in Head and Neck Cancer Patients' Referral Routes.International journal of environmental research and public health · 2022Article
- Measured weight loss as a precursor to cancer diagnosis: retrospective cohort analysis of 43 302 primary care patients.Journal of cachexia, sarcopenia and muscle · 2022Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundDiagnosis of cancer as an emergency is associated with poor outcomes but has a complex aetiology. Examining determinants and time trends in diagnostic routes can help to appreciate the critical role of general practice over time in diagnostic pathways for patients with cancer.
aimTo examine sociodemographic, cancer site, and temporal associations with type of presentation among patients with cancer diagnosed as emergencies. DESIGN AND
settingAnalysis of Routes to Diagnosis data, 2006-2015, for patients with cancer in England.
methodThe authors estimated adjusted proportions of emergency presentation after emergency GP referral (GP-EP) or presentation to accident and emergency (AE-EP), by patient sex, age, deprivation group, and year of diagnosis using multivariable regression.
resultsAmong 554 621 patients presenting as emergencies, 24% (
conclusionPatients presenting as emergencies with cancers characterised by symptoms/signs tolerable by patients but appropriately alarming to doctors (for example, pancreatic cancer manifesting as painless jaundice) are over-represented among cases whose emergency presentation involved GP referral. Reductions in diagnoses of cancer through an emergency presentation likely reflect both the continually increasing use of 2-week-wait GP referrals during the study period and reductions in emergency GP referrals.
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