Evidence map›Paper›PMID 37899144›Full record

ArticleBMJ open2023

Use of CT, ED presentation and hospitalisations 12 months before and after a diagnosis of cancer in Western Australia: a population-based retrospective cohort study.

Ninh Thi Ha, Sviatlana Kamarova, David Youens, Chau Ho, Max K Bulsara, Jenny Doust, Donald Mcrobbie, Peter O'Leary, Cameron Wright, Richard Trevithick and 1 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 30% of its field
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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Observational
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

11 authors at 7 institutions in 1 country.

Ninh Thi HaSchool of Population Health, Curtin University, Perth, Western Australia, Australia ninh.ha05@gmail.com.ORCID 0000-0002-2789-5604
Sviatlana KamarovaSchool of Population Health, Curtin University, Perth, Western Australia, Australia.ORCID 0000-0002-5271-8482
David YouensSchool of Population Health, Curtin University, Perth, Western Australia, Australia.ORCID 0000-0002-4296-4161
Chau HoSchool of Population Health, Curtin University, Perth, Western Australia, Australia.ORCID 0000-0002-4285-9409
Max K BulsaraCentre for Health Services Research, School of Population and Global Health, The University of Western Australia, Perth, Western Australia, Australia.ORCID 0000-0002-8033-6123
Jenny DoustAustralian Women and Girls' Health Research (AWaGHR) Centre, Faculty of Medicine, University of Queensland, Brisbane, Queensland, Australia.
Donald McrobbieSchool of Physical Sciences, University of Adelaide, Adelaide, South Australia, Australia.
Peter O'LearySchool of Population Health, Curtin University, Perth, Western Australia, Australia.
Cameron WrightSchool of Population Health, Curtin University, Perth, Western Australia, Australia.
Richard TrevithickWestern Australian Cancer Registry, Clinical Excellence Division, Department of Health, East Perth, Western Australia, Australia.
Rachael MoorinSchool of Population Health, Curtin University, Perth, Western Australia, Australia.ORCID 0000-0001-8742-7151
The University of Western Australia · AUCurtin University · AUGovernment of Western Australia Department of Health · AUThe University of Adelaide · AUThe University of Queensland · AUThe University of Sydney · AUUniversity of Tasmania · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo examine the use of CT, emergency department (ED)-presentation and hospitalisation and in 12 months before and after a diagnosis of cancer.

designPopulation-based retrospective cohort study.

settingWest Australian linked administrative records at individual level.

participants104 009 adults newly diagnosed with cancer in 2004-2014.

main outcome measuresCT use, ED presentations, hospitalisations.

resultsAs compared with the rates in the 12th month before diagnosis, the rate of CT scans started to increase from 2 months before diagnosis with an increase in both ED presentations and hospitalisation from 1 month before the diagnosis. These rates peaked in the month of diagnosis for CT scans (477 (95% CI 471 to 482) per 1000 patients), and for hospitalisations (910 (95% CI 902 to 919) per 1000 patients), and the month prior to diagnosis for ED (181 (95% CI 178 to 184) per 1000 patients) then rapidly reduced after diagnosis but remained high for the next 12 months. While the patterns of the health services used were similar between 2004 and 2014, the rate of the health services used during after diagnosis was higher in 2014 versus 2004 except for CT use in patients with lymphohaematopoietic cancer with a significant reduction.

conclusionOur results showed an increase in demand for health services from 2 months before diagnosis of cancer. Increasing use of health services during and post cancer diagnosis may warrant further investigation to identify factors driving this change.

Indexed as

HospitalizationNeoplasmsAdultAustraliaEmergency Service, HospitalHumansRetrospective StudiesTomography, X-Ray ComputedWestern Australiacomputed tomographyepidemiologyhealth policypublic healthquality in health care

Identifiers

PMID37899144
PMCPMC10619095
OpenAlexW4388010369

What OpenQuestion holds

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LicenceCC BY
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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.