Are There Ethnic Differences in Recorded Features among Patients Subsequently Diagnosed with Cancer? An English Longitudinal Data-Linked Study
dc.contributor.author | Martins, T | |
dc.contributor.author | Ukoumunne, OC | |
dc.contributor.author | Lyratzopoulos, G | |
dc.contributor.author | Hamilton, W | |
dc.contributor.author | Abel, G | |
dc.date.accessioned | 2023-06-13T09:10:51Z | |
dc.date.issued | 2023-06-07 | |
dc.date.updated | 2023-06-13T01:57:20Z | |
dc.description.abstract | We investigated ethnic differences in the presenting features recorded in primary care before cancer diagnosis. Methods: English population-based cancer-registry-linked primary care data were analysed. We identified the coded features of six cancers (breast, lung, prostate, colorectal, oesophagogastric, and myeloma) in the year pre-diagnosis. Logistic regression models investigated ethnic differences in first-incident cancer features, adjusted for age, sex, smoking status, deprivation, and comorbidity. Results: Of 130,944 patients, 92% were White. In total, 188,487 incident features were recorded in the year pre-diagnosis, with 48% (89,531) as sole features. Compared with White patients, Asian and Black patients with breast, colorectal, and prostate cancer were more likely than White patients to have multiple features; the opposite was seen for the Black and Other ethnic groups with lung or prostate cancer. The proportion with relevant recorded features was broadly similar by ethnicity, with notable cancer-specific exceptions. Asian and Black patients were more likely to have low-risk features (e.g., cough, upper abdominal pain) recorded. Non-White patients were less likely to have alarm features. Conclusion: The degree to which these differences reflect disease, patient or healthcare factors is unclear. Further research examining the predictive value of cancer features in ethnic minority groups and their association with cancer outcomes is needed. | en_GB |
dc.description.sponsorship | Cancer Research UK | en_GB |
dc.description.sponsorship | National Institute for Health and Care Research (NIHR) | en_GB |
dc.description.sponsorship | Cancer Research UK | en_GB |
dc.format.extent | 3100-3100 | |
dc.identifier.citation | Vol. 15(12), article 3100 | en_GB |
dc.identifier.doi | https://doi.org/10.3390/cancers15123100 | |
dc.identifier.grantnumber | C56361/A26124 | en_GB |
dc.identifier.grantnumber | FR5/604 | en_GB |
dc.identifier.grantnumber | C8640/A23385 | en_GB |
dc.identifier.grantnumber | C18081/A18180 | en_GB |
dc.identifier.grantnumber | PRU-1217-21601 | en_GB |
dc.identifier.uri | http://hdl.handle.net/10871/133366 | |
dc.identifier | ORCID: 0000-0001-5226-4073 (Martins, Tanimola) | |
dc.identifier | ORCID: 0000-0002-0551-9157 (Ukoumunne, Obioha C) | |
dc.identifier | ORCID: 0000-0003-1611-1373 (Hamilton, Willie) | |
dc.identifier | ScopusID: 55031252700 | 57209301809 (Hamilton, Willie) | |
dc.identifier | ResearcherID: G-8612-2014 (Hamilton, Willie) | |
dc.identifier | ORCID: 0000-0003-2231-5161 (Abel, Gary) | |
dc.identifier | ScopusID: 57202757335 (Abel, Gary) | |
dc.language.iso | en | en_GB |
dc.publisher | MDPI | en_GB |
dc.rights | © 2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). | en_GB |
dc.subject | ethnic inequalities | en_GB |
dc.subject | cancer symptoms | en_GB |
dc.subject | cancer diagnosis | en_GB |
dc.subject | primary care | en_GB |
dc.subject | diagnostic pathway | en_GB |
dc.subject | symptomatic cancer | en_GB |
dc.title | Are There Ethnic Differences in Recorded Features among Patients Subsequently Diagnosed with Cancer? An English Longitudinal Data-Linked Study | en_GB |
dc.type | Article | en_GB |
dc.date.available | 2023-06-13T09:10:51Z | |
dc.description | This is the final version. Available on open access from MDPI via the DOI in this record | en_GB |
dc.description | Data Availability Statement: This study used CPRD-linked data, access to which is subject to protocol approval by an Independent Scientific Advisory Committee, and under which conditions data cannot be shared directly. | en_GB |
dc.identifier.eissn | 2072-6694 | |
dc.identifier.journal | Cancers | en_GB |
dc.relation.ispartof | Cancers, 15(12) | |
dc.rights.uri | https://creativecommons.org/licenses/by/4.0/ | en_GB |
dcterms.dateAccepted | 2023-06-02 | |
rioxxterms.version | VoR | en_GB |
rioxxterms.licenseref.startdate | 2023-06-07 | |
rioxxterms.type | Journal Article/Review | en_GB |
refterms.dateFCD | 2023-06-13T09:05:45Z | |
refterms.versionFCD | VoR | |
refterms.dateFOA | 2023-06-13T09:10:55Z | |
refterms.panel | A | en_GB |
refterms.dateFirstOnline | 2023-06-07 |
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Except where otherwise noted, this item's licence is described as © 2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).