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. 2022 Oct 31;5(10):e2238569. doi: 10.1001/jamanetworkopen.2022.38569

Table 2. Interval From First Consultation With Red-Flag Symptom or Sign to Cancer Diagnosis (n = 2115).

Patient group Interval, d Multivariable quantile regression
Median (50th centile) IQR 50th centile 75th centile
25th Centile 75th Centile Adjusted interval (95% CI) P value Adjusted interval (95% CI) P value
MHM
No 133 47 422 Referencea NA Referencea NA
Yes 326 75 552 224.4 (159.1-289.8) .003 466.5 (413.4-519.6) <.001
Age group, y
<45 196 56 454 230.6 (157.0-304.1) .005 468.5 (319.2-617.8) .18
45-54 110 37 356 126.7 (94.1-159.4) .97 351.5 (282.7-420.3) .69
55-64 100 39 342 Referencea NA Referencea NA
65-74 111 44 441 112.9 (90.0-135.7) .26 357.0 (297.8-416.2) .78
75-84 186 56 456 119.6 (96.2-143.0) .59 385.0 (326.8-443.2) .51
≥85 258 86 519 171.4 (129.8-213.0) .03 436.0 (368.4-503.6) .04
Sex
Men 134 46 433 Referencea NA Referencea NA
Women 165 53 470 126.7 (107.4-146.1) .94 361.5 (325.0-398.0) .83
Socioeconomic deprivation quintile
1 (least deprived) 136 44 414 Referencea NA Referencea NA
2 148 51 464 139.9 (113.4-166.3) .30 418.5 (357.1-479.9) .09
3 131 45 441 137.3 (109.6-165.0) .42 416.5 (356.6-476.4) .10
4 138 53 436 136.0 (108.4-163.6) .48 364.5 (315.2-413.8) .97
5 (most deprived) 285 61 532 204.1 (151.0-257.3) .004 443.0 (384.1-501.9) .01
CCI score
0 100 39 344 Referencea NA Referencea NA
1 215 51 491 206.9 (160.3-253.4) .001 440.5 (382.6-498.4) .01
2 237 90 512 212.9 (164.4-261.3) <.001 418.5 (352.9-484.1) .11
≥3 335 110 571 275.3 (210.6-340.0) <.001 459.0 (396.3-521.7) .003
IBS or DD
No 140 46 440 Referencea NA Referencea NA
Yes 288 96 533 217.4 (154.4-280.5) .005 469.5 (412.7-526.3) <.001
Visits to GP 1-12 mo before cancer diagnosis, No.
0 601 24 671 416.7 (297.9-535.5) <.001 559.0 (493.6-624.4) <.001
1-4 35 21 119 25.1 (−0.2-50.5) <.001 90.0 (20.9-159.1) <.001
5-9 63 31 225 46.3 (23.0-69.5) <.001 156.5 (101.0-212.0) <.001
≥10 215 72 483 Referencea NA Referencea NA
Type of symptom 24 mo before cancer diagnosis
Rectal bleeding or CIBH 134 42 464 Referencea NA Referencea NA
Anemia (as only red flag) 167 54 442 123.4 (105.7-141.2) .78 329.5 (293.5-365.5) .05

Abbreviations: CCI, Charlson Comorbidity Index; CIBH, change in bowel habit; DD, diverticular disease; IBS, irritable bowel syndrome; MHM, mental health morbidity.

a

The reference group was men aged 55 to 64 years in the least socioeconomically deprived group with no comorbidities or MHM who had a CIBH or rectal bleeding. The adjusted interval for this group was 126.0 (95% CI, 94.5-157.5) for the fiftieth centile and 365.5 (95% CI, 288.6-442.4) for the seventy-fifth centile.