Diagnostic route is associated with care satisfaction independently of tumour stage: Evidence from linked English Cancer Patient Experience Survey and cancer registration data
dc.contributor.author | Pham, TM | |
dc.contributor.author | Gomez-Cano, M | |
dc.contributor.author | Salika, T | |
dc.contributor.author | Jardel, D | |
dc.contributor.author | Abel, GA | |
dc.contributor.author | Lyratzopoulos, G | |
dc.date.accessioned | 2019-10-29T11:07:00Z | |
dc.date.issued | 2019-05-30 | |
dc.description.abstract | Background: Whether diagnostic route (e.g. emergency presentation) is associated with cancer care experience independently of tumour stage is unknown. Methods: We analysed data on 18 590 patients with breast, prostate, colon, lung, and rectal cancers who responded to the 2014 English Cancer Patient Experience Survey, linked to cancer registration data on diagnostic route and tumour stage at diagnosis. We estimated odds ratios (OR) of reporting a negative experience of overall cancer care by tumour stage and diagnostic route (crude and adjusted for patient characteristic and cancer site variables) and examined their interactions with cancer site. Results: After adjustment, the likelihood of reporting a negative experience was highest for emergency presenters and lowest for screening-detected patients with breast, colon, and rectal cancers (OR versus two-week-wait 1.51, 95% confidence interval [CI] 1.24–1.83; 0.88, 95% CI 0.75–1.03, respectively). Patients with the most advanced stage were more likely to report a negative experience (OR stage IV versus I 1.37, 95% CI 1.15–1.62) with little confounding between stage and route, and no evidence for cancer-stage or cancer-route interactions. Conclusions: Though the extent of disease is strongly associated with ratings of overall cancer care, diagnostic route (particularly emergency presentation or screening detection) exerts important independent effects. | en_GB |
dc.description.sponsorship | Macmillan Cancer Support | en_GB |
dc.description.sponsorship | Cancer Research UK | en_GB |
dc.identifier.citation | Vol. 61, pp. 70 - 78 | en_GB |
dc.identifier.doi | 10.1016/j.canep.2019.04.011 | |
dc.identifier.grantnumber | 5995414 | en_GB |
dc.identifier.grantnumber | C18081/A18180 | en_GB |
dc.identifier.uri | http://hdl.handle.net/10871/39364 | |
dc.language.iso | en | en_GB |
dc.publisher | Elsevier | en_GB |
dc.relation.url | https://data.gov.uk/dataset/7675d4a3-7aeb-47a6-b753-869cefe736e9/cancer-registration-national-cancer-patient-experience-survey-wave-4-by-patient-characteristics-and-route-to-diagnosis | en_GB |
dc.rights | © 2019 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/BY-NC-ND/4.0/). | en_GB |
dc.subject | Cancer | en_GB |
dc.subject | Disparities | en_GB |
dc.subject | Patient | en_GB |
dc.subject | Survey | en_GB |
dc.subject | Diagnosis | en_GB |
dc.subject | Stage | en_GB |
dc.title | Diagnostic route is associated with care satisfaction independently of tumour stage: Evidence from linked English Cancer Patient Experience Survey and cancer registration data | en_GB |
dc.type | Article | en_GB |
dc.date.available | 2019-10-29T11:07:00Z | |
dc.identifier.issn | 1877-7821 | |
dc.description | This is the final version. Available on open access from Elsevier via the DOI in this record | en_GB |
dc.description | Availability of data and materials: Data used are made available through an Open Government Licence, published by Public Health England (PHE) Office for Data Release (ODR) https://data.gov.uk/dataset/7675d4a3-7aeb-47a6-b753-869cefe736e9/cancer-registration-national-cancer-patient-experience-survey-wave-4-by-patient-characteristics-and-route-to-diagnosis. | en_GB |
dc.identifier.journal | Cancer Epidemiology | en_GB |
dc.rights.uri | http://creativecommons.org/licenses/BY-NC-ND/4.0 | en_GB |
dcterms.dateAccepted | 2019-04-26 | |
rioxxterms.version | VoR | en_GB |
rioxxterms.licenseref.startdate | 2019-04-26 | |
rioxxterms.type | Journal Article/Review | en_GB |
refterms.dateFCD | 2019-10-29T11:04:46Z | |
refterms.versionFCD | VoR | |
refterms.dateFOA | 2019-10-29T11:07:04Z | |
refterms.panel | A | en_GB |
refterms.depositException | publishedGoldOA |
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Except where otherwise noted, this item's licence is described as © 2019 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/BY-NC-ND/4.0/).