Are inequalities in cancer diagnosis through emergency presentation narrowing, widening or remaining unchanged? Longitudinal analysis of English population-based data 2006-2013

Autor: Annie, Herbert, Gary A, Abel, Sam, Winters, Sean, McPhail, Lucy, Elliss-Brookes, Georgios, Lyratzopoulos
Rok vydání: 2017
Předmět:
Zdroj: Journal of Epidemiology and Community Health
ISSN: 1470-2738
Popis: 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
Databáze: OpenAIRE