Socio-demographic variations in prostate cancer diagnosis recording: Primary care compared to the Cancer Registry in England

Autor: Gayasha Somathilake, Elizabeth Ford, Jo Armes, Sotiris Moschoyiannis, Sophie Otter, Agnieszka Lemanska
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: International Journal of Population Data Science, Vol 9, Iss 5 (2024)
Druh dokumentu: article
ISSN: 2399-4908
DOI: 10.23889/ijpds.v9i5.2589
Popis: Introduction In the UK, primary care data are often used for cancer-related research, but the accuracy of cancer information is uncertain. Objective We investigated socio-demographic variation based on the recording date of prostate cancer diagnosis between primary care and the National Cancer Registry (CR). Approach We utilised a data extract of 1,600,000 patients over 65 years from Clinical Practice Research Datalink (CPRD). We extracted prostate cancer diagnoses using Read and SNOMED-CT codes from primary care, and ICD-10 from CR. Initial code entry determined diagnosis dates. We categorised recording timing differences as earlier, same-day or later in primary care than CR and used the chi-squared test and logistic regression (adjusted for recording year) to compare these discrepancies across age, deprivation, and ethnicity. Results We included 26,875 men with prostate cancer diagnoses commonly recorded in both sources during 2000-2016 (1,030 excluded with missing ethnicity). Compared to CR, 1,747 (7%) had diagnoses recorded on the same day in primary care, while 20,615 (77%) had later recordings with a median delay of 21 days (IQR: 13-38). Age at diagnosis was associated with recording discrepancies (p
Databáze: Directory of Open Access Journals