Introduction
Method
Setting
Population and data collection
Main variables
Alignment between patient’s cancer worry and GP’s cancer suspicion
Primary care interval
Covariates
Statistical analysis
Results
GP suspicious | GP not suspicious | Total | ||||
---|---|---|---|---|---|---|
N | % (column) | N | % (column) | N | % (column) | |
The patient was | ||||||
Worried | Group 1 | Group3 | ||||
1316 | (57.8) | 452 | (41.3) | 1768 | (52.2) | |
Not worried | Group 2 | Group 4 | ||||
960 | (42.2) | 605 | (58.7) | 1565 | (46.9) | |
Total | 2276 | (100.0) | 1057 | (100.0) | 3333 | (100) |
Totala | ||
---|---|---|
n | (%) | |
Total | 3333 | (100) |
Patient (PT)-GP alignment | ||
1.PT worried, GP suspicious | 1316 | (39.5) |
2.PT not worried, GP suspicious | 960 | (28.2) |
3.PT worried, GP not suspicious | 452 | (13.6) |
4.PT not worried, GP not suspicious | 605 | (18.2) |
Age group (years) | ||
18–49 | 438 | (13.1) |
50–59 | 545 | (16.4) |
60–69 | 1027 | (30.8) |
70–79 | 969 | (29.1) |
> 80 | 354 | (10.6) |
Sex | ||
Female | 1654 | (49.6) |
Male | 1679 | (50.4) |
Year of diagnosis | ||
2010 | 1823 | (54.7) |
2016 | 1510 | (45.3) |
Marital status | ||
Cohabiting/married | 2252 | (67.6) |
Living alone | 1079 | (32.4) |
Education | ||
Short (≤10 years) | 986 | (30.1) |
Medium (11–15 years) | 1382 | (42.2) |
Long (> 15 years) | 904 | (27.6) |
Diagnostic difficulty of cancerb | ||
Easy | 1502 | (47.2) |
Intermediate | 1155 | (36.3) |
Hard | 522 | (16.4) |
Comorbidity (CCIcscore) | ||
None (0) | 2312 | (74.1) |
Low (1–2) | 673 | (21.6) |
High (2 or more) | 134 | (4.3) |
Referral to cancer patient pathway | ||
Yes | 1809 | (43.5) |
No | 2348 | (56.5) |
PRR of having long PCI | ||||||
---|---|---|---|---|---|---|
Long PCI | Unadjusted | Adjusteda | ||||
N | (%) | PRR | 95% CI | PRR | 95% CI | |
Patient (PT)-GP alignment | ||||||
1.PT worried, GP suspicious | 142 | (10.8) | 1 | 1 | ||
2.PT not worried, GP suspicious | 159 | (16.6) | 1.53 | (1.34–1.76) | 1.30 | (1.12–1.50) |
3.PT worried, GP not suspicious | 218 | (48.2) | 4.47 | (3.86–5.18) | 3.70 | (3.21–4.26) |
4.PT not worried, GP not suspicious | 321 | (53.1) | 4.92 | (4.16–5.82) | 3.99 | (3.34–4.75) |
Sex | ||||||
Male | 513 | (31.0) | 1 | 1 | ||
Female | 327 | (19.5) | 0.65 | (0.57–0.73) | 0.81 | (0.70–0.92) |
Age groups (years) | ||||||
18–49 | 67 | (15.3) | 1 | 1 | ||
50–59 | 127 | (23.3) | 1.52 | (1.19–1.95) | 1.13 | (0.84–1.53) |
60–69 | 269 | (26.2) | 1.71 | (1.41–2.08) | 1.28 | (0.94–1.73) |
70–79 | 282 | (29.2) | 1.90 | (1.56–2.31) | 1.36 | (1.02–1.81) |
> 80 | 95 | (26.8) | 1.75 | (1.40–2.21) | 1.45 | (1.19–1.76) |
Year of diagnosis | ||||||
2010 | 476 | (26.1) | 1 | 1 | ||
2016 | 364 | (24.1) | 0.92 | (0.92–1.04) | 0.89 | (0.82–0.96) |
Marital status | ||||||
Cohabiting/Married | 577 | (25.6) | 1 | 1 | ||
Not married | 263 | (24.4) | 0.95 | (0.86–1.05) | 1.03 | (0.96–1.13) |
Education | ||||||
Short (≤10 years) | 284 | (28.8) | 1 | 1 | ||
Medium (11–15 years) | 329 | (23.8) | 0.83 | (0.75–0.91) | 0.85 | (0.78–0.93) |
Long (> 15 years) | 218 | (24.1) | 0.84 | (0.75–0.93) | 0.92 | (0.81–1.02) |
Diagnostic difficultyb | ||||||
Easy | 230 | (15.3) | 1 | 1 | ||
Intermediate | 383 | (33.2) | 2.17 | (1.92–2.44) | 1.53 | (1.37–1.70) |
Hard | 189 | (36.2) | 2.36 | (2.09–2.68) | 1.67 | (1.48–1.87) |
Comorbidity (CCIc score) | ||||||
None (0) | 563 | (24.4) | 1 | 1 | ||
Low (1–2) | 183 | (27.2) | 1.12 | (0.93–1.34) | 0.95 | (0.81–1.12) |
High (2 or more) | 41 | (30.6) | 1.26 | (1.04–1.51) | 1.01 | (0.84–1.22) |