Are inequalities in cancer diagnosis through emergency presentation narrowing, widening or remaining unchanged? Longitudinal analysis of English population-based data 2006-2013
Are inequalities in cancer diagnosis through emergency presentation narrowing, widening or remaining unchanged? Longitudinal analysis of English population-based data 2006-2013
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DOI：
10.1136/jech-2017-210371
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发表时间：
2019-01-01
影响因子：
6.3
通讯作者：
Lyratzopoulos, Georgios
中科院分区：
文献类型：
--
作者：
Herbert, Annie;Abel, Gary A.;Lyratzopoulos, Georgios
背景通过急诊诊断癌症与较差的预后相关。虽然已经描述了紧急情况的减少，但已知的社会人口不平等是否正在发生变化尚不确定。方法我们分析了2006-2013年期间在英格兰诊断出的年龄≥ 25岁的患者的“诊断途径”数据，这些患者患有33种常见或罕见癌症中的任何一种。使用二元逻辑回归，我们确定了诊断的时间趋势，通过急诊介绍的年龄，剥夺和癌症部位。结果在研究期间，急诊就诊的总体调整比例下降（2006年：23%，2013年：20%）。按年龄和贫困程度分列的紧急情况风险的实质性基线（2006年）不平等基本保持不变。有证据表明（P
Background Diagnosis 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. Methods We 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. Results Overall 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