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.
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.