Table 3. Service use 2–12 months before diagnosis (n=943).
|
Primary care visits: incidence rate ratios |
Urgent care (A&E and emergency admissions): incidence rate ratios |
|||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
|
Unadjusted |
Adjusted |
Unadjusted |
Adjusted |
|||||||||
| Ratio | lower CI | upper CI | Ratio | lower CI | upper CI | Ratio | lower CI | upper CI | Ratio | lower CI | upper CI | |
|
Diagnostic route | ||||||||||||
| GP |
1 |
1 |
1 |
1 |
||||||||
| Emergency | 0.72*** | 0.68 | 0.78 | 0.71*** | 0.66 | 0.77 | 1.88*** | 1.48 | 2.40 | 1.59*** | 1.23 | 2.05 |
| Consultant/other/unknown |
0.77*** |
0.72 |
0.83 |
0.78*** |
0.73 |
0.84 |
1.03*** |
0.74 |
1.41 |
1.16 |
0.84 |
1.60 |
|
Gender | ||||||||||||
| Male |
1 |
1 |
1 |
1 |
||||||||
| Female |
1.07** |
1.02 |
1.13 |
1.04 |
0.99 |
1.10 |
1.47** |
1.17 |
1.84 |
1.41* |
1.13 |
1.77 |
|
Age group | ||||||||||||
| 20–59 years |
0.73*** |
0.66 |
0.82 |
0.77*** |
0.69 |
0.86 |
1.17 |
0.71 |
1.92 |
1.03 |
0.62 |
1.69 |
| 60–69 years |
1 |
1 |
1 |
1 |
||||||||
| 70–79 years | 1.30*** | 1.19 | 1.41 | 1.36 | 1.25 | 1.48 | 1.73** | 1.15 | 2.60 | 1.69* | 1.12 | 2.54 |
| 80+ years |
1.35*** |
1.25 |
1.46 |
1.41 |
1.30 |
1.53 |
2.82*** |
1.94 |
4.10 |
2.56*** |
1.75 |
3.74 |
|
Borough | ||||||||||||
| 1 |
0.85*** |
0.78 |
0.92 |
0.84** |
0.76 |
0.93 |
1.12 |
0.82 |
1.52 |
1.16 |
0.79 |
1.7 |
| 2 |
1 |
1 |
1 |
1 |
||||||||
| 3 | 1.01 | 0.94 | 1.08 | 1.00 | 0.94 | 1.07 | 0.63** | 0.45 | 0.86 | 0.67* | 0.48 | 0.94 |
| 4 |
0.68*** |
0.63 |
0.74 |
0.68*** |
0.62 |
0.75 |
1.18 |
0.89 |
1.57 |
1.41* |
1.01 |
1.97 |
|
Deprivation quintile | ||||||||||||
| 20% most deprived |
1 |
1 |
1 |
1 |
||||||||
| 20–40% | 1.14 | 1.04 | 1.25 | 1.06 | 0.96 | 1.16 | 0.88 | 0.62 | 1.25 | 0.89 | 0.62 | 1.28 |
| 40–60% | 1.32 | 1.20 | 1.44 | 1.10 | 0.99 | 1.22 | 0.71 | 0.49 | 1.03 | 0.90 | 0.59 | 1.36 |
| 60–80% | 1.15 | 1.05 | 1.26 | 0.93 | 0.83 | 1.03 | 0.91 | 0.64 | 1.29 | 1.28 | 0.85 | 1.93 |
| 20% least deprived | 1.17 | 1.07 | 1.29 | 0.92 | 0.82 | 1.03 | 0.82 | 0.57 | 1.18 | 1.02 | 0.66 | 1.60 |
| missing |
0.95 |
0.84 |
1.07 |
0.82** |
0.71 |
0.94 |
0.92 |
0.60 |
1.42 |
0.82 |
0.51 |
1.33 |
|
Stage at diagnosis (combined) | ||||||||||||
| Early |
1 |
1 |
1 |
1 |
||||||||
| Late/missing | 0.94* | 0.88 | 1.00 | 1.00 | 1.00 | 1.00 | 1.23 | 0.95 | 1.60 | 1.29 | 0.99 | 1.68 |
Abbreviations: CI=confidence interval; GP=Referred by a general practitioner (either urgent/2 week wait or routine/unknown).
*P<0.05.
**P<0.01.
***P<0.001.
All factors significantly associated with the outcome (P=0.05) were entered into the adjusted models.