Background
2004 | 2006 | 2008 | ||||
---|---|---|---|---|---|---|
No co-morbidity | Co-morbidity† | No co-morbidity | Co-morbidity† | No co-morbidity | Co-morbidity | |
Smoking status
| The percentage of patients with any one or combination of these conditions whose notes record smoking status in the previous 15 months. Except those who have never smoked where the smoking status need only be recorded once since diagnosis. | The percentage of patients aged over 15 years whose notes | The percentage of patients with any one or combination of these conditions whose notes record smoking status in the previous 15 months. Except those who have never smoked where the smoking status need only be recorded once since diagnosis. | The percentage of patients aged over 15 years whose notes | The percentage of patients with any one or combination of these conditions whose notes record smoking status in the previous 15 months. Except those who have never smoked where the smoking status need only be recorded once since diagnosis. | |
Cessation advice
| The smoking status of patients age 15 – 75 is recorded for at least 55 per cent of patients | The percentage of patients with any one or combination of these conditions who smoke whose notes contain a record that smoking cessation advice or referral to a specialist service, where available, has been offered within the previous 15 months. | record smoking status in the past 27 months, except those who have never smoked where smoking status need be recorded only once. | The percentage of patients with any one or combination of these conditions who smoke whose notes contain a record that smoking cessation advice or referral to a specialist service, where available, has been offered within the previous 15 months. | record smoking status in the past 27 months. | The percentage of patients with any one or combination of these conditions who smoke whose notes contain a record that smoking cessation advice or referral to a specialist service, where available, has been offered within the previous 15 months. |
Method
Setting and participants
Statistical analyses
Results
Participant characteristics
2002 | 2004 | 2008 | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Patients with smoking status recorded in last 27 months | Current smokers with advice recorded in last 15 months | Patients with smoking status recorded in last 27 months | Current smokers with advice recorded in last 15 months | Patients with smoking status recorded in last 27 months | Current smokers with advice recorded in last 15 months | |||||||
Denominator | % | Denominator | % | Denominator | % | Denominator | % | Denominator | % | Denominator | % | |
All patients | 1,998,631 | 25.6 | 421,358 | 11.3 | 2,053,840 | 44.0 | 453,646 | 32.4 | 2,149,026 | 64.5 | 463,457 | 50.5 |
Age† | ||||||||||||
15-24 | 241,936 | 18.6 | 36,468 | 13.7 | 261,188 | 31.6 | 47,638 | 36.4 | 298,969 | 53.9 | 61,375 | 47.5 |
25-34 | 296,333 | 22.3 | 85,289 | 10.1 | 286,938 | 36.7 | 89,143 | 26.6 | 282,456 | 55.9 | 89,525 | 40.9 |
35-44 | 385,447 | 22.9 | 93,873 | 10.7 | 394,638 | 37.4 | 104,037 | 27.1 | 395,272 | 57.3 | 105,830 | 43.8 |
45-54 | 345,378 | 26.3 | 80,974 | 11.7 | 350,101 | 42.7 | 85,565 | 31.5 | 373,439 | 62.6 | 88,247 | 50.5 |
55-64 | 299,840 | 30.8 | 65,769 | 12.4 | 321,177 | 50.9 | 69,893 | 37.7 | 341,211 | 70.3 | 67,240 | 59.4 |
65-74 | 224,454 | 33.0 | 37,606 | 12.4 | 232,115 | 59.8 | 36,970 | 44.3 | 239,648 | 80.3 | 33,928 | 71.8 |
≥ 75 | 205,243 | 27.2 | 21,379 | 7.9 | 207,683 | 56.3 | 20,400 | 40.6 | 218,031 | 80.4 | 17,312 | 74.9 |
Gender† | ||||||||||||
Male | 988,459 | 21.5 | 211,056 | 10.1 | 1,019,442 | 37.7 | 230,573 | 28.4 | 1,064,916 | 58.6 | 247,672 | 44.6 |
Female | 1,010,172 | 29.6 | 210,302 | 12.5 | 1,034,398 | 50.2 | 223,073 | 36.4 | 1,084,110 | 70.4 | 215,785 | 57.1 |
Townsend category† | ||||||||||||
I | 450,110 | 24.9 | 68,892 | 10.7 | 469,438 | 42.4 | 71,931 | 28.9 | 495,833 | 62.1 | 67,801 | 47.0 |
II | 382,371 | 26.1 | 68,820 | 11.3 | 395,531 | 44.2 | 72,939 | 30.0 | 418.070 | 64.6 | 71,872 | 49.8 |
III | 360,749 | 26.5 | 79,603 | 11.9 | 372,521 | 45.0 | 86,009 | 32.8 | 396,779 | 65.5 | 88,699 | 50.9 |
IV | 309,129 | 27.5 | 81,939 | 12.4 | 318,962 | 46.2 | 90,016 | 34.2 | 340,826 | 66.5 | 96,564 | 51.9 |
V | 211,144 | 26.4 | 65,709 | 11.9 | 218,173 | 45.3 | 73,396 | 34.6 | 233,040 | 67.8 | 81,531 | 53.0 |
Missing | 285,128 | 22.5 | 56,395 | 9.2 | 279,215 | 41.5 | 59,355 | 33.1 | 264,478 | 62.2 | 56,990 | 48.7 |
Chronic conditions† | ||||||||||||
No CHD | 1,907,513 | 24.3 | 405,044 | 10.9 | 1,955,671 | 42.0 | 437,596 | 31.0 | 2,050,655 | 63.2 | 449,704 | 49.2 |
CHD | 91,118 | 52.8 | 16,314 | 20.9 | 98,169 | 84.1 | 16,050 | 68.8 | 98,371 | 93.4 | 13,753 | 92.9 |
No Stroke / TIA | 1,962,125 | 25.4 | 414,504 | 11.3 | 2,014,161 | 43.5 | 446,817 | 31.9 | 2,106,472 | 64.0 | 457,201 | 49.9 |
Stroke / TIA | 36,506 | 38.3 | 6,854 | 14.7 | 39,679 | 72.0 | 6,829 | 59.3 | 42,554 | 89.1 | 6,256 | 91.9 |
No CKD | 1,998,236 | 25.6 | 421,296 | 11.3 | 2,052,590 | 44.0 | 453,469 | 32.4 | 2,046,855 | 63.4 | 453,837 | 49.7 |
CKD | 395 | 37.5 | 62 | 8.1 | 1,250 | 55.8 | 177 | 42.4 | 102,171 | 88.4 | 9,620 | 87.0 |
No Psychoses | 1,988,078 | 25.5 | 417,503 | 11.3 | 2,041,506 | 44.0 | 448,735 | 32.3 | 2,134,016 | 64.4 | 457,314 | 50.3 |
Psychoses | 10,553 | 29.4 | 3,855 | 12.6 | 12,334 | 52.1 | 4,911 | 37.9 | 15,010 | 83.0 | 6,143 | 64.7 |
No COPD | 1,969,089 | 25.3 | 410,412 | 11.1 | 2,020,769 | 43.4 | 441,983 | 31.5 | 2,106,205 | 63.9 | 449,485 | 49.1 |
COPD | 29,542 | 49.8 | 10,946 | 20.1 | 33,071 | 82.3 | 11,663 | 66.4 | 42,821 | 98.1 | 13,972 | 95.4 |
No Hypertension | 1,769,912 | 23.5 | 382,822 | 10.9 | 1,777,210 | 39.8 | 410,782 | 29.9 | 1,818,626 | 60.2 | 419,611 | 46.2 |
Hypertension | 228,719 | 41.8 | 38,536 | 16.0 | 276,630 | 71.7 | 42,864 | 55.5 | 330,400 | 88.4 | 43,846 | 91.5 |
No DM | 1,970,857 | 25.1 | 416,325 | 11.2 | 2,005,687 | 43.0 | 445,475 | 31.6 | 2,055,686 | 63.1 | 449,206 | 49.1 |
DM | 27,774 | 59.4 | 5,033 | 20.3 | 48,153 | 88.1 | 8,171 | 71.9 | 93,340 | 96.2 | 14,251 | 95.1 |
No Asthma | 468,235 | 24.7 | 398,582 | 10.9 | 1,939,817 | 42.3 | 427,707 | 30.6 | 2,029,919 | 62.9 | 440,467 | 48.4 |
Asthma | 43,891 | 43.0 | 22,776 | 19.3 | 114,023 | 72.5 | 25,939 | 60.9 | 119,107 | 92.3 | 22,990 | 90.9 |
No ≥ 1 CC | 336,405 | 21.2 | 339,714 | 9.9 | 1,579,698 | 35.7 | 363,324 | 26.2 | 1,584,842 | 55.7 | 370,482 | 40.8 |
≥ 1 CC | 175,721 | 42.7 | 81,644 | 17.3 | 474,142 | 71.9 | 90,322 | 57.1 | 564,184 | 89.3 | 92,975 | 89.0 |
2002 | 2004 | 2008 | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Record 27 | Advice 15 | Record 27 | Advice 15 | Record 27 | Advice 15 | |||||||
N | 1,998,631 | 421,358 | 2,053,840 | 453,646 | 2,149,026 | 463,457 | ||||||
AOR | P | AOR | P | AOR | P | AOR | P | AOR | p | AOR | P | |
(95% CI) | (95% CI) | (95% CI) | (95% CI) | (95% CI) | (95% CI) | |||||||
Age | ||||||||||||
15-24 | 1 | <0.001 | 1 | <0.001 | 1 | <0.001 | 1 | <0.001 | 1 | <0.001 | 1 | <0.001 |
25-34 | 1.25 | 0.73 | 1.25 | 0.64 | 1.06 | 0.78 | ||||||
(1.19-1.31) | (0.69-0.77) | (1.20-1.29) | (0.62-0.67) | (1.02-1.10) | (0.75-0.81) | |||||||
35-44 | 1.26 | 0.77 | 1.24 | 0.65 | 1.08 | 0.82 | ||||||
(1.19-1.31) | (0.72-0.82) | (1.19-1.29) | (0.62-0.68) | (1.04-1.13) | (0.79-0.85) | |||||||
45-54 | 1.40 | 0.79 | 1.40 | 0.72 | 1.21 | 0.90 | ||||||
(1.33-1.47) | (0.73-0.85) | (1.34-1.46) | (0.68-0.75) | (1.15-1.26) | (0.86-0.94) | |||||||
55-64 | 1.51 | 0.75 | 1.62 | 0.80 | 1.38 | 0.98 | ||||||
(1.43-1.60) | (0.69-0.81) | (1.54-1.70) | (0.76-0.84) | (1.32-1.45) | (0.94-1.02) | |||||||
65-74 | 1.41 | 0.66 | 1.84 | 0.85 | 1.80 | 1.25 | ||||||
(1.32-1.50) | (0.60-0.72) | (1.73-1.96) | (0.77-0.93) | (1.68-1.92) | (1.16-1.35) | |||||||
≥ 75 | 0.93 | 0.37 | 1.29 | 0.62 | 1.28 | 1.02 | ||||||
(0.85-1.03) | (0.32-0.43) | (1.20-1.40) | (0.55-0.71) | (1.19-1.38) | (0.92-1.13) | |||||||
Gender | ||||||||||||
Male | 1 | n/a | 1 | n/a | 1 | n/a | 1 | n/a | 1 | n/a | 1 | n/a |
Female | 1.54 | <0.001 | 1.27 | <0.001 | 1.68 | <0.001 | 1.47 | <0.001 | 1.71 | <0.001 | 1.71 | <0.001 |
(1.48-1.60) | (1.22-1.31) | (1.63-1.73) | (1.43-1.50) | (1.65-1.77) | (1.66-1.77) | |||||||
Townsend Category | ||||||||||||
I | 1 | <0.001 | 1 | <0.001 | 1 | <0.001 | 1 | <0.001 | 1 | <0.001 | 1 | <0.001 |
II | 1.06 | 1.06 | 1.06 | 1.04 | 1.10 | 1.11 | ||||||
(1.00-1.17) | (0.98-1.14) | (1.01-1.10) | (0.98-1.10) | (1.06-1.14) | (1.06-1.15) | |||||||
III | 1.08 | 1.10 | 1.11 | 1.18 | 1.18 | 1.17 | ||||||
(1.04-1.25) | (1.00-1.21) | (1.04-1.18) | (1.10-1.26) | (1.11-1.25) | (1.10-1.25) | |||||||
IV | 1.14 | 1.14 | 1.16 | 1.23 | 1.25 | 1.19 | ||||||
(1.06-1.28) | (1.01-1.29) | (1.08-1.25) | (1.14-1.33) | (1.16-1.34) | (1.12-1.26) | |||||||
V | 1.07 | 1.06 | 1.12 | 1.21 | 1.35 | 1.20 | ||||||
(0.93-1.23) | (0.90-1.26) | (1.00-1.26) | (1.09-1.35) | (1.21-1.49) | (1.10-1.30) | |||||||
Missing | 0.90 | 0.83 | 0.99 | 1.20 | 1.05 | 1.06 | ||||||
(0.70-1.15) | (0.59-1.17) | (0.85-1.15) | (0.96-1.48) | (0.92-1.21) | (0.90-1.26) | |||||||
Chronic Conditions | ||||||||||||
CHD | 3.02 | <0.001 | 2.16 | <0.001 | 5.12 | <0.001 | 3.66 | <0.001 | 4.16 | <0.001 | 7.14 | <0.001 |
(2.78-3.27) | (1.92-2.43) | (4.72-5.56) | (3.37-3.97) | (3.77-4.59) | (6.43-7.93) | |||||||
Stroke / TIA | 1.28 | <0.001 | 1.23 | <0.001 | 1.74 | <0.001 | 1.82 | <0.001 | 1.83 | <0.001 | 4.56 | <0.001 |
(1.22-1.33) | (1.11-1.36) | (1.67-1.85) | (1.68-1.96) | (1.71-1.95) | (4.02-5.17) | |||||||
CKD | 1.07 | 0.662 | 0.58 | 0.175 | 0.73 | 0.305 | 0.78 | 0.515 | 1.42 | <0.001 | 1.76 | <0.001 |
(0.78-1.47) | (0.26-1.28) | (0.40-1.33) | (0.37-1.66) | (1.33-1.52) | (1.61-1.91) | |||||||
Psychoses | 1.12 | 0.027 | 1.11 | 0.072 | 1.28 | <0.001 | 1.26 | <0.001 | 2.51 | <0.001 | 1.77 | <0.001 |
(1.01-1.24) | (0.99-1.25) | (1.20-1.37) | (1.17-1.36) | (2.35-2.69) | (1.64-1.91) | |||||||
COPD | 2.03 | <0.001 | 1.81 | <0.001 | 3.37 | <0.001 | 2.72 | <0.001 | 15.38 | <0.001 | 11.72 | <0.001 |
(1.90-2.17) | (1.65-1.99) | (3.11-3.65) | (2.50-2.96) | (13.70-17.27) | (10.41-13.21) | |||||||
Hypertension | 1.87 | <0.001 | 1.51 | <0.001 | 2.58 | <0.001 | 2.29 | <0.001 | 2.95 | <0.001 | 8.49 | <0.001 |
(1.77-1.97) | (1.41-1.61) | (2.45-2.72) | (2.17-2.42) | (2.76-3.15) | (7.74-9.32) | |||||||
Diabetes | 3.20 | <0.001 | 1.74 | <0.001 | 6.23 | <0.001 | 3.99 | <0.001 | 7.85 | <0.001 | 12.00 | <0.001 |
(2.82-3.63) | (1.41-2.15) | (5.61-6.93) | (3.58-4.45) | (6.95-8.86) | (10.66-13.52) | |||||||
Asthma | 2.05 | <0.001 | 1.74 | <0.001 | 3.34 | <0.001 | 3.14 | <0.001 | 6.70 | <0.001 | 10.26 | <0.001 |
(1.93-2.18) | (1.63-1.84) | (3.15-3.54) | (2.93-3.36) | (6.27-7.17) | (9.37-11.23) | |||||||
≥ 1 CC | 2.76 | <0.001 | 2.11 | <0.001 | 4.16 | <0.001 | 3.70 | <0.001 | 5.80 | <0.001 | 10.83 | <0.001 |
(2.63-2.89) | (1.99-2.24) | (3.98-4.34) | (3.51-3.90) | (5.49-6.14) | (10.16-11.53) |