Evidence map›Paper›PMID 31740459›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2019

Factors affecting use of unscheduled care for people with advanced cancer: a retrospective cohort study in Scotland.

Sarah Mills, Deans Buchanan, Bruce Guthrie, Peter Donnan, Blair Smith

Abstract read
In one paragraph

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 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Free-text analysis of general practice out-of-hours (GPOOH) use by people with advanced cancer: an analysis of coded and uncoded free-text data.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023
    Article
  10. Use of scheduled and unscheduled health services by cancer survivors and their caregivers.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Article
  11. Article
  12. Article
  13. Review
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Sarah MillsPopulation Health and Genomics Division, University of Dundee Medical School, Ninewells Hospital and Medical School, Dundee.
Deans BuchananNHS Tayside, Dundee.
Bruce GuthrieUsher Institute of Population Health Sciences and Informatics, College of Medicine and Veterinary Medicine, University of Edinburgh, Edinburgh.
Peter DonnanPopulation Health and Genomics Division, University of Dundee Medical School, Ninewells Hospital and Medical School, Dundee.
Blair SmithPopulation Health and Genomics Division, University of Dundee Medical School, Ninewells Hospital and Medical School, Dundee.

Funding

Chief Scientist Office CAF/17/06
6 · The paper itself

Abstract

backgroundPeople with advanced cancer frequently attend unscheduled care, but little is known about the factors influencing presentations. Most research focuses on accident and emergency (A&E) and does not consider GP out-of-hours (GPOOH).

aimTo describe the frequency and patterns of unscheduled care use by people with cancer in their last year of life and to examine the associations of demographic and clinical factors with unscheduled care attendance. DESIGN AND

settingRetrospective cohort study of all 2443 people who died from cancer in Tayside, Scotland, during 2012-2015. Clinical population datasets were linked to routinely collected clinical data using the Community Health Index (CHI) number.

methodAnonymised CHI-linked data were analysed in SafeHaven, with descriptive analysis, using binary logistic regression for adjusted associations.

resultsOf the people who died from cancer, 77.9% (

conclusionUnscheduled care attendance by people with advanced cancer was substantially higher than previously reported, increased dramatically towards the end of life, was largely independent of demographic factors and cancer type, and was commonly for pain and palliative care.

Indexed as

General PracticeAfter-Hours CareAgedAged, 80 and overBreast NeoplasmsCancer PainCohort StudiesEmergency Service, HospitalFemaleGastrointestinal NeoplasmsHealth Services AccessibilityHematologic NeoplasmsHumansInformation Storage and RetrievalLung NeoplasmsMaleafter-hours careemergency servicelung cancerpainterminal care

Identifiers

PMID31740459
PMCPMC6863679

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.