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Persistent inequalities in unplanned hospitalisation among colon cancer patients across critical phases of their care pathway, England, 2011–13

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Persistent inequalities in unplanned hospitalisation among colon cancer patients across critical phases of their care pathway, England, 2011–13. / Maringe, Camille; Rachet , Bernard ; Lyratzopoulos, Georgios; Rubio, Francisco Javier.

In: British Journal of Cancer, 15.08.2018.

Research output: Contribution to journalArticle

Harvard

Maringe, C, Rachet , B, Lyratzopoulos, G & Rubio, FJ 2018, 'Persistent inequalities in unplanned hospitalisation among colon cancer patients across critical phases of their care pathway, England, 2011–13', British Journal of Cancer. https://doi.org/10.1038/s41416-018-0170-2

APA

Maringe, C., Rachet , B., Lyratzopoulos, G., & Rubio, F. J. (2018). Persistent inequalities in unplanned hospitalisation among colon cancer patients across critical phases of their care pathway, England, 2011–13. British Journal of Cancer. https://doi.org/10.1038/s41416-018-0170-2

Vancouver

Maringe C, Rachet B, Lyratzopoulos G, Rubio FJ. Persistent inequalities in unplanned hospitalisation among colon cancer patients across critical phases of their care pathway, England, 2011–13. British Journal of Cancer. 2018 Aug 15. https://doi.org/10.1038/s41416-018-0170-2

Author

Maringe, Camille ; Rachet , Bernard ; Lyratzopoulos, Georgios ; Rubio, Francisco Javier. / Persistent inequalities in unplanned hospitalisation among colon cancer patients across critical phases of their care pathway, England, 2011–13. In: British Journal of Cancer. 2018.

Bibtex Download

@article{4a140b473e284ef08418284affcff28d,
title = "Persistent inequalities in unplanned hospitalisation among colon cancer patients across critical phases of their care pathway, England, 2011–13",
abstract = "BackgroundReducing hospital emergency admissions is a key target for all modern health systems.MethodsWe analysed colon cancer patients diagnosed in 2011–13 in England. We screened their individual Hospital Episode Statistics records in the 90 days pre-diagnosis, the 90 days post-diagnosis, and the 90 days pre-death (in the year following diagnosis), for the occurrence of hospital emergency admissions (HEAs).ResultsBetween a quarter and two thirds of patients experience HEA in the three 90-day periods examined: pre-diagnosis, post-diagnosis and before death. Patients with tumour stage I-III from more deprived backgrounds had higher proportions of HEAs than less deprived patients during all studied periods. This remains even after adjusting for differing distributions of risk factors such as age, sex, comorbidity and stage at diagnosis.CONCLUSIONSAlthough in some cases HEAs might be unavoidable or even appropriate, the proportion of HEAs varies by socioeconomic status, even after controlling for the usual patient factors, suggestive of remediable causes of excess emergency healthcare utilisation in patients belonging to higher deprivation groups. Future inquiries should address the potential role of clinical complications, sub-optimal healthcare administration, premature discharge or a lack of social support as potential explanations for these patterns of inequality.",
author = "Camille Maringe and Bernard Rachet and Georgios Lyratzopoulos and Rubio, {Francisco Javier}",
year = "2018",
month = "8",
day = "15",
doi = "10.1038/s41416-018-0170-2",
language = "English",
journal = "British Journal of Cancer",
issn = "0007-0920",
publisher = "Nature Publishing Group",

}

RIS (suitable for import to EndNote) Download

TY - JOUR

T1 - Persistent inequalities in unplanned hospitalisation among colon cancer patients across critical phases of their care pathway, England, 2011–13

AU - Maringe, Camille

AU - Rachet , Bernard

AU - Lyratzopoulos, Georgios

AU - Rubio, Francisco Javier

PY - 2018/8/15

Y1 - 2018/8/15

N2 - BackgroundReducing hospital emergency admissions is a key target for all modern health systems.MethodsWe analysed colon cancer patients diagnosed in 2011–13 in England. We screened their individual Hospital Episode Statistics records in the 90 days pre-diagnosis, the 90 days post-diagnosis, and the 90 days pre-death (in the year following diagnosis), for the occurrence of hospital emergency admissions (HEAs).ResultsBetween a quarter and two thirds of patients experience HEA in the three 90-day periods examined: pre-diagnosis, post-diagnosis and before death. Patients with tumour stage I-III from more deprived backgrounds had higher proportions of HEAs than less deprived patients during all studied periods. This remains even after adjusting for differing distributions of risk factors such as age, sex, comorbidity and stage at diagnosis.CONCLUSIONSAlthough in some cases HEAs might be unavoidable or even appropriate, the proportion of HEAs varies by socioeconomic status, even after controlling for the usual patient factors, suggestive of remediable causes of excess emergency healthcare utilisation in patients belonging to higher deprivation groups. Future inquiries should address the potential role of clinical complications, sub-optimal healthcare administration, premature discharge or a lack of social support as potential explanations for these patterns of inequality.

AB - BackgroundReducing hospital emergency admissions is a key target for all modern health systems.MethodsWe analysed colon cancer patients diagnosed in 2011–13 in England. We screened their individual Hospital Episode Statistics records in the 90 days pre-diagnosis, the 90 days post-diagnosis, and the 90 days pre-death (in the year following diagnosis), for the occurrence of hospital emergency admissions (HEAs).ResultsBetween a quarter and two thirds of patients experience HEA in the three 90-day periods examined: pre-diagnosis, post-diagnosis and before death. Patients with tumour stage I-III from more deprived backgrounds had higher proportions of HEAs than less deprived patients during all studied periods. This remains even after adjusting for differing distributions of risk factors such as age, sex, comorbidity and stage at diagnosis.CONCLUSIONSAlthough in some cases HEAs might be unavoidable or even appropriate, the proportion of HEAs varies by socioeconomic status, even after controlling for the usual patient factors, suggestive of remediable causes of excess emergency healthcare utilisation in patients belonging to higher deprivation groups. Future inquiries should address the potential role of clinical complications, sub-optimal healthcare administration, premature discharge or a lack of social support as potential explanations for these patterns of inequality.

U2 - 10.1038/s41416-018-0170-2

DO - 10.1038/s41416-018-0170-2

M3 - Article

JO - British Journal of Cancer

JF - British Journal of Cancer

SN - 0007-0920

ER -

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