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Peter Vedsted

Association between GPs' suspicion of cancer and patients' usual consultation pattern in primary care: A cross-sectional study

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Association between GPs' suspicion of cancer and patients' usual consultation pattern in primary care : A cross-sectional study. / Jensen, Henry; Merrild, Camilla Hoffmann; Møller, Henrik; Vedsted, Peter.

I: British Journal of General Practice, Bind 69, Nr. 679, 01.02.2019, s. E80-E87.

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

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Jensen, Henry ; Merrild, Camilla Hoffmann ; Møller, Henrik ; Vedsted, Peter. / Association between GPs' suspicion of cancer and patients' usual consultation pattern in primary care : A cross-sectional study. I: British Journal of General Practice. 2019 ; Bind 69, Nr. 679. s. E80-E87.

Bibtex

@article{f720c128ddcd4a31b47efc69eae07452,
title = "Association between GPs' suspicion of cancer and patients' usual consultation pattern in primary care: A cross-sectional study",
abstract = "BACKGROUND: Patients who rarely consult a GP in the 19-36 months before a cancer diagnosis have more advanced cancer at diagnosis and a worse prognosis. To ensure more timely diagnosis of cancer, the GP should suspect cancer as early as possible.AIM: To investigate the GP's suspicion of cancer according to the patient with cancer's usual consultation pattern in general practice.DESIGN AND SETTING: A cross-sectional study based on survey data from general practice of 3985 Danish patients diagnosed with cancer from May 2010 to August 2010, and linked to national register data.METHOD: Using logistic regression analysis with restricted cubic splines, the odds ratio (OR) of the GP to suspect cancer as a function of the patient's number of face-to-face consultations with the GP in the 19-36 months before a cancer diagnosis was estimated.RESULTS: GPs' cancer suspicion decreased with higher usual consultation frequency in general practice. A significant decreasing trend in ORs for cancer suspicion was seen across usual consultation categories overall (P<0.001) and for each sex (males: P<0.05; females: P<0.05). GPs' cancer suspicion was lower in patients aged <55 years in both rare and frequent attenders compared with average attenders.CONCLUSION: GPs suspect cancer more often in rare attenders ≥55 years. GPs' cancer suspicion was lower in younger patients (<55 years), in both rare and frequent attenders. GPs should be aware of possible missed opportunities for cancer diagnosis in young attenders and use safety netting to reduce the risk of missing a cancer diagnosis.",
keywords = "DANISH CANCER, DIAGNOSTIC INTERVALS, Denmark, GENERAL-PRACTICE, HEALTH-CARE, IMPLEMENTATION, PATHWAYS, SEEKING, SICK ROLE, accessibility of health services, early diagnosis, general practice, healthcare delivery, neoplasms",
author = "Henry Jensen and Merrild, {Camilla Hoffmann} and Henrik M{\o}ller and Peter Vedsted",
year = "2019",
month = feb,
day = "1",
doi = "10.3399/bjgp19X700769",
language = "English",
volume = "69",
pages = "E80--E87",
journal = "British Journal of General Practice",
issn = "0960-1643",
publisher = "Royal College of General Practitioners",
number = "679",

}

RIS

TY - JOUR

T1 - Association between GPs' suspicion of cancer and patients' usual consultation pattern in primary care

T2 - A cross-sectional study

AU - Jensen, Henry

AU - Merrild, Camilla Hoffmann

AU - Møller, Henrik

AU - Vedsted, Peter

PY - 2019/2/1

Y1 - 2019/2/1

N2 - BACKGROUND: Patients who rarely consult a GP in the 19-36 months before a cancer diagnosis have more advanced cancer at diagnosis and a worse prognosis. To ensure more timely diagnosis of cancer, the GP should suspect cancer as early as possible.AIM: To investigate the GP's suspicion of cancer according to the patient with cancer's usual consultation pattern in general practice.DESIGN AND SETTING: A cross-sectional study based on survey data from general practice of 3985 Danish patients diagnosed with cancer from May 2010 to August 2010, and linked to national register data.METHOD: Using logistic regression analysis with restricted cubic splines, the odds ratio (OR) of the GP to suspect cancer as a function of the patient's number of face-to-face consultations with the GP in the 19-36 months before a cancer diagnosis was estimated.RESULTS: GPs' cancer suspicion decreased with higher usual consultation frequency in general practice. A significant decreasing trend in ORs for cancer suspicion was seen across usual consultation categories overall (P<0.001) and for each sex (males: P<0.05; females: P<0.05). GPs' cancer suspicion was lower in patients aged <55 years in both rare and frequent attenders compared with average attenders.CONCLUSION: GPs suspect cancer more often in rare attenders ≥55 years. GPs' cancer suspicion was lower in younger patients (<55 years), in both rare and frequent attenders. GPs should be aware of possible missed opportunities for cancer diagnosis in young attenders and use safety netting to reduce the risk of missing a cancer diagnosis.

AB - BACKGROUND: Patients who rarely consult a GP in the 19-36 months before a cancer diagnosis have more advanced cancer at diagnosis and a worse prognosis. To ensure more timely diagnosis of cancer, the GP should suspect cancer as early as possible.AIM: To investigate the GP's suspicion of cancer according to the patient with cancer's usual consultation pattern in general practice.DESIGN AND SETTING: A cross-sectional study based on survey data from general practice of 3985 Danish patients diagnosed with cancer from May 2010 to August 2010, and linked to national register data.METHOD: Using logistic regression analysis with restricted cubic splines, the odds ratio (OR) of the GP to suspect cancer as a function of the patient's number of face-to-face consultations with the GP in the 19-36 months before a cancer diagnosis was estimated.RESULTS: GPs' cancer suspicion decreased with higher usual consultation frequency in general practice. A significant decreasing trend in ORs for cancer suspicion was seen across usual consultation categories overall (P<0.001) and for each sex (males: P<0.05; females: P<0.05). GPs' cancer suspicion was lower in patients aged <55 years in both rare and frequent attenders compared with average attenders.CONCLUSION: GPs suspect cancer more often in rare attenders ≥55 years. GPs' cancer suspicion was lower in younger patients (<55 years), in both rare and frequent attenders. GPs should be aware of possible missed opportunities for cancer diagnosis in young attenders and use safety netting to reduce the risk of missing a cancer diagnosis.

KW - DANISH CANCER

KW - DIAGNOSTIC INTERVALS

KW - Denmark

KW - GENERAL-PRACTICE

KW - HEALTH-CARE

KW - IMPLEMENTATION

KW - PATHWAYS

KW - SEEKING

KW - SICK ROLE

KW - accessibility of health services

KW - early diagnosis

KW - general practice

KW - healthcare delivery

KW - neoplasms

UR - http://www.scopus.com/inward/record.url?scp=85060944210&partnerID=8YFLogxK

U2 - 10.3399/bjgp19X700769

DO - 10.3399/bjgp19X700769

M3 - Journal article

C2 - 30642908

VL - 69

SP - E80-E87

JO - British Journal of General Practice

JF - British Journal of General Practice

SN - 0960-1643

IS - 679

ER -