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dc.contributor.authorMendonca, Silvia Cen
dc.contributor.authorAbel, Garyen
dc.contributor.authorSaunders, Catherineen
dc.contributor.authorWardle, Janeen
dc.contributor.authorLyratzopoulos, Georgiosen
dc.date.accessioned2015-07-14T13:08:54Z
dc.date.available2015-07-14T13:08:54Z
dc.date.issued2015-07-30en
dc.identifier.citationEuropean Journal of Cancer Care 2015. doi:10.1111/ecc.12353en
dc.identifier.issn0961-5423
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/248934
dc.description.abstractProlonged diagnostic intervals may negatively affect the patient experience of subsequent cancer care, but evidence about this assertion is sparse. We analysed data from 73,462 respondents to two English Cancer Patient Experience Surveys to examine whether patients with three or more (3+) pre-referral consultations were more likely to report negative experiences of subsequent care compared with patients with 1 or 2 consultations in respect of 12 a priori selected survey questions. For each of 12 experience items, logistic regression models were used, adjusting for prior consultation category, cancer site, socio-demographic case-mix and response tendency. There was strong evidence (p<0.01 for all) that patients with 3+ pre-referral consultations reported worse care experience for 10/12 questions, with adjusted odds ratios compared with patients with 1-2 consultations ranging from 1.13 (95% confidence intervals 1.08-1.19) to 1.68 (1.60-1.77), or between +1.5% and +10.6% greater percentage reporting a negative experience. Associations were stronger for processes involving primary as opposed to hospital care; and for evaluation than report items. Considering 1, 2, 3-4 and ‘5+’ pre-referral consultations separately a ‘dose-response’ relationship was apparent. We conclude that there is a negative association between multiple pre-diagnostic consultations with a general practitioner and the experience of subsequent cancer care.
dc.description.sponsorshipGL is supported by a Cancer Research UK Clinician Scientist Fellowship (A18180). JW is supported by Cancer Research UK Programme Grant C1418/A14134.
dc.languageEnglishen
dc.language.isoenen
dc.publisherWiley
dc.rightsCreative Commons Attribution 4.0 International License
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectCanceren
dc.subjectoncologyen
dc.subjectpatient experienceen
dc.subjectreferralen
dc.subjectgeneral practitioneren
dc.subjectconsultationen
dc.titlePre-referral general practitioner consultations and subsequent experience of cancer care: Evidence from the English Cancer Patient Experience Surveyen
dc.typeArticle
dc.description.versionThis is the final version of the article. It first appeared from Wiley via http://dx.doi.org/10.1111/ecc.12353en
prism.publicationDate2015en
prism.publicationNameEuropean Journal of Cancer Careen
dc.rioxxterms.funderCRUK
dc.rioxxterms.projectidA18180
dc.rioxxterms.projectidC1418/A14134
dcterms.dateAccepted2015-06-19en
rioxxterms.versionofrecord10.1111/ecc.12353en
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserveden
rioxxterms.licenseref.startdate2015-07-30en
dc.contributor.orcidSaunders, Catherine [0000-0002-3127-3218]
dc.contributor.orcidLyratzopoulos, Georgios [0000-0002-2873-7421]
dc.identifier.eissn1365-2354
rioxxterms.typeJournal Article/Reviewen
pubs.funder-project-idNational Institute for Health Research (NIHR) (via Cambridgeshire and Peterborough Clinical Commissioning Group (CCG)) (unknown)


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Except where otherwise noted, this item's licence is described as Creative Commons Attribution 4.0 International License