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Characteristics of customary non‐attenders in general practice who are diagnosed with cancer: A cross‐sectional study in Denmark
Author(s) -
Jensen Henry,
Møller Henrik,
Vedsted Peter
Publication year - 2019
Publication title -
european journal of cancer care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.849
H-Index - 67
eISSN - 1365-2354
pISSN - 0961-5423
DOI - 10.1111/ecc.13143
Subject(s) - medicine , cross sectional study , attendance , socioeconomic status , logistic regression , family medicine , general practice , demography , cancer , population , environmental health , pathology , sociology , economics , economic growth
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.