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Peter Vedsted

Characteristics of customary non-attenders in general practice who are diagnosed with cancer: A cross-sectional study in Denmark

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Characteristics of customary non-attenders in general practice who are diagnosed with cancer : A cross-sectional study in Denmark. / Jensen, Henry; Møller, Henrik; Vedsted, Peter.

I: European Journal of Cancer Care, Bind 28, Nr. 6, e13143, 11.2019.

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

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@article{08f74e8260e341e49bb6062782f03b07,
title = "Characteristics of customary non-attenders in general practice who are diagnosed with cancer: A cross-sectional study in Denmark",
abstract = "OBJECTIVE: This study aimed to explore individual and structural factors in patients with cancer and their potential association with customary non-attendance in general practice.MATERIALS AND METHODS: We conducted a population-based cross-sectional study of all patients aged 50-89 years who were diagnosed with an incident cancer in 2009-2013 in Denmark. We investigated associations between being a customary non-attender (defined as having no consultations in general practice in the 19-36 months before diagnosis) and selected patient-related factors (demography, socioeconomic status), health-related factors (multimorbidity) and structural factors (urbanisation degree, list size of general practice and use of out-of-hours services) using logistic regression.RESULTS: A total of 123,943 cancer patients were included; 11,567 (9.3%) of these were non-attenders. Non-attendance was associated with being more than 70 years of age, being single, having short or long education and being financially affluent. Non-attendance was rarely seen in cancer patients with (multi)morbidity, in individuals living in an area with 2,000-99,999 inhabitants and in individuals having contact with the out-of-hours services.CONCLUSION: Specific groups of cancer patients were more often customary non-attenders in general practice. General practice may need to reach out more directly to these patients to ensure more timely cancer diagnosis.",
keywords = "Denmark, cancer, frequent attenders, general practice, neoplasms, referral and consultation, socioeconomic factors",
author = "Henry Jensen and Henrik M{\o}ller and Peter Vedsted",
note = "{\textcopyright} 2019 John Wiley & Sons Ltd.",
year = "2019",
month = nov,
doi = "10.1111/ecc.13143",
language = "English",
volume = "28",
journal = "European Journal of Cancer Care",
issn = "0961-5423",
publisher = "Wiley-Blackwell Publishing Ltd.",
number = "6",

}

RIS

TY - JOUR

T1 - Characteristics of customary non-attenders in general practice who are diagnosed with cancer

T2 - A cross-sectional study in Denmark

AU - Jensen, Henry

AU - Møller, Henrik

AU - Vedsted, Peter

N1 - © 2019 John Wiley & Sons Ltd.

PY - 2019/11

Y1 - 2019/11

N2 - OBJECTIVE: This study aimed to explore individual and structural factors in patients with cancer and their potential association with customary non-attendance in general practice.MATERIALS AND METHODS: We conducted a population-based cross-sectional study of all patients aged 50-89 years who were diagnosed with an incident cancer in 2009-2013 in Denmark. We investigated associations between being a customary non-attender (defined as having no consultations in general practice in the 19-36 months before diagnosis) and selected patient-related factors (demography, socioeconomic status), health-related factors (multimorbidity) and structural factors (urbanisation degree, list size of general practice and use of out-of-hours services) using logistic regression.RESULTS: A total of 123,943 cancer patients were included; 11,567 (9.3%) of these were non-attenders. Non-attendance was associated with being more than 70 years of age, being single, having short or long education and being financially affluent. Non-attendance was rarely seen in cancer patients with (multi)morbidity, in individuals living in an area with 2,000-99,999 inhabitants and in individuals having contact with the out-of-hours services.CONCLUSION: Specific groups of cancer patients were more often customary non-attenders in general practice. General practice may need to reach out more directly to these patients to ensure more timely cancer diagnosis.

AB - OBJECTIVE: This study aimed to explore individual and structural factors in patients with cancer and their potential association with customary non-attendance in general practice.MATERIALS AND METHODS: We conducted a population-based cross-sectional study of all patients aged 50-89 years who were diagnosed with an incident cancer in 2009-2013 in Denmark. We investigated associations between being a customary non-attender (defined as having no consultations in general practice in the 19-36 months before diagnosis) and selected patient-related factors (demography, socioeconomic status), health-related factors (multimorbidity) and structural factors (urbanisation degree, list size of general practice and use of out-of-hours services) using logistic regression.RESULTS: A total of 123,943 cancer patients were included; 11,567 (9.3%) of these were non-attenders. Non-attendance was associated with being more than 70 years of age, being single, having short or long education and being financially affluent. Non-attendance was rarely seen in cancer patients with (multi)morbidity, in individuals living in an area with 2,000-99,999 inhabitants and in individuals having contact with the out-of-hours services.CONCLUSION: Specific groups of cancer patients were more often customary non-attenders in general practice. General practice may need to reach out more directly to these patients to ensure more timely cancer diagnosis.

KW - Denmark

KW - cancer

KW - frequent attenders

KW - general practice

KW - neoplasms

KW - referral and consultation

KW - socioeconomic factors

U2 - 10.1111/ecc.13143

DO - 10.1111/ecc.13143

M3 - Journal article

C2 - 31433525

VL - 28

JO - European Journal of Cancer Care

JF - European Journal of Cancer Care

SN - 0961-5423

IS - 6

M1 - e13143

ER -