Table 4. Health service use 13–21 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 | 0.83*** | 0.76 | 0.90 | 0.85*** | 0.78 | 0.93 | 1.84* | 1.35 | 2.53 | 1.56** | 1.12 | 2.17 |
| Consultant/other/unknown |
0.94 |
0.86 |
1.02 |
0.95 |
0.88 |
1.04 |
0.95 |
0.62 |
1.46 |
1.09 |
0.71 |
1.68 |
|
Gender | ||||||||||||
| Male |
1 |
1 |
1 |
1 |
||||||||
| Female |
1.14*** |
1.07 |
1.21 |
1.12** |
1.05 |
1.20 |
1.43** |
1.07 |
1.91 |
1.31 |
0.97 |
1.76 |
|
Age group | ||||||||||||
| 20–59 years |
0.59*** |
0.51 |
0.67 |
0.60*** |
0.53 |
0.69 |
1.45 |
0.74 |
2.84 |
1.28 |
0.65 |
2.53 |
| 60–69 years |
1 |
1 |
1 |
1 |
||||||||
| 70–79 years | 1.13* | 1.03 | 1.25 | 1.20*** | 1.09 | 1.32 | 2.47** | 1.42 | 4.32 | 2.31** | 1.32 | 4.05 |
| 80+ years |
1.27*** |
1.16 |
1.39 |
1.30*** |
1.19 |
1.43 |
3.28 |
1.93 |
5.57 |
2.80*** |
1.63 |
4.80 |
|
Borough | ||||||||||||
| 1 |
0.85** |
0.77 |
0.94 |
0.77*** |
0.69 |
0.87 |
1.41 |
0.97 |
2.06 |
0.91 |
0.56 |
1.45 |
| 2 |
1 |
1 |
1 |
1 |
||||||||
| 3 | 1.24*** | 1.15 | 1.34 | 1.22*** | 1.12 | 1.32 | 0.51** | 0.32 | 0.79 | 0.56* | 0.35 | 0.89 |
| 4 |
0.76*** |
0.69 |
0.84 |
0.73*** |
0.65 |
0.81 |
1.15 |
0.79 |
1.67 |
0.91 |
0.59 |
1.42 |
|
Deprivation quintile | ||||||||||||
| 20% most deprived |
1 |
1 |
1 |
1 |
||||||||
| 20–40% | 1.13* | 1.02 | 1.26 | 0.97 | 0.87 | 1.09 | 0.69* | 0.46 | 1.03 | 0.63* | 0.42 | 0.96 |
| 40–60% | 1.26*** | 1.13 | 1.40 | 0.96 | 0.85 | 1.08 | 0.30*** | 0.17 | 0.51 | 0.33*** | 0.18 | 0.59 |
| 60–80% | 1.21** | 1.08 | 1.34 | 0.88* | 0.78 | 1.00 | 0.40** | 0.24 | 0.64 | 0.46** | 0.26 | 0.80 |
| 20% least deprived | 1.00 | 0.89 | 1.12 | 0.73*** | 0.64 | 0.83 | 0.47** | 0.30 | 0.74 | 0.42** | 0.24 | 0.74 |
| missing |
0.92 |
0.79 |
1.06 |
0.71*** |
0.61 |
0.83 |
0.74 |
0.45 |
1.22 |
0.63 |
0.36 |
1.11 |
|
Stage at diagnosis (combined) | ||||||||||||
| Early |
1 |
1 |
1 |
1 |
||||||||
| Late/missing | 0.89** | 0.83 | 0.96 | 0.96 | 0.90 | 1.03 | 0.74* | 0.54 | 1.00 | 0.74 | 0.54 | 1.02 |
Abbreviations: CI=confidence interval; GP=GP-referred (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.