Relationship between route to diagnosis, curative treatment intent and 1-year survival among patients diagnosed with oesophagogastric cancer in English NHS trusts
| Referral source | Patients | Patients with outcome (%) | Unadjusted OR* | Adjusted OR† (95% CI) | ||
|---|---|---|---|---|---|---|
| Patients with curative intent | ||||||
| GP referral: urgent | 6084 | 2167 | (36) | 1 | 1 | |
| GP referral: non-urgent | 2759 | 1096 | (40) | 1.19 | 1.02 | 0.90 to 1.15 |
| Emergency admission | 2178 | 359 | (16) | 0.36 | 0.62 | 0.52 to 0.74 |
| Other hospital referral | 2326 | 1059 | (46) | 1.51 | 1.38 | 1.21 to 1.58 |
| All patients | 13347 | 4681 | (35) | |||
| Patients who survive 1 year (%) | ||||||
| GP referral: urgent | 6438 | 2763 | (43) | 1 | 1 | |
| GP referral: non-urgent | 2913 | 1413 | (49) | 1.25 | 1.11 | 1.00 to 1.24 |
| Emergency admission | 2311 | 617 | (27) | 0.48 | 0.78 | 0.68 to 0.89 |
| Other hospital referral | 2440 | 1288 | (53) | 1.49 | 1.33 | 1.18 to 1.50 |
| All patients | 14102 | 6081 | (43) | |||
*OR with GP referral: urgent as the baseline category.
†Adjusted OR estimated using multiple logistic regression, adjusting for patients’ age group, sex, tumour site, stage, number of comorbidities, performance status and regional deprivation.
GP, general practitioner.