Cancer diagnosis in Scottish primary care: Results from the National Cancer Diagnosis Audit.
Adolescent
Adult
Aged
Aged, 80 and over
Child
Child, Preschool
Clinical Audit
Comorbidity
Delayed Diagnosis
/ statistics & numerical data
Early Detection of Cancer
England
Female
General Practitioners
Humans
Infant
Infant, Newborn
Male
Middle Aged
Neoplasms
/ diagnosis
Primary Health Care
Referral and Consultation
Scotland
Time Factors
Young Adult
cancer
clinical audit
delay
diagnosis
morbidity
primary care
Journal
European journal of cancer care
ISSN: 1365-2354
Titre abrégé: Eur J Cancer Care (Engl)
Pays: England
ID NLM: 9301979
Informations de publication
Date de publication:
May 2020
May 2020
Historique:
received:
08
11
2019
revised:
21
01
2020
accepted:
18
02
2020
pubmed:
11
3
2020
medline:
25
3
2021
entrez:
11
3
2020
Statut:
ppublish
Résumé
To characterize cancer diagnosis in Scottish primary care and draw comparisons with cancer diagnostic activity in England. A national audit of cancer diagnosis was conducted in Scottish and English general practices. Participating GPs collected diagnostic pathway data on patients diagnosed in 2014 from medical records. Data were supplemented by linkage to national cancer registries. Analysis explored and compared patient characteristics, diagnostic intervals, and routes to diagnosis. 7.7% of all Scottish general practices in 2017 provided data on 2,014 cancer diagnoses. 71.5% of cases presented to GPs and 37.4% were referred using the "Urgent-Suspected Cancer" route. The median primary care interval was 5 days (IQR 0-23 days) and median diagnostic interval was 30 days (IQR 13-68). Both varied by cancer-site. Diagnostic intervals were longer in the most remote patients and those with more comorbidities. Scottish and English samples corresponded closely in key characteristics. Most people diagnosed with cancer in Scotland present to a GP first. Most are referred and diagnosed quickly, with variations by cancer-site. Intervals were longest for the most remote patients. GPs in Scotland and England appear to perform equally but, in view of growing differences between health systems, future comparative audits may be informative.
Types de publication
Journal Article
Langues
eng
Pagination
e13234Subventions
Organisme : Scottish Government
Organisme : Cancer Research UK
Pays : United Kingdom
Informations de copyright
© 2020 John Wiley & Sons Ltd.
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