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dc.creatorTate, A.R.en
dc.creatorNicholson, A.en
dc.creatorCassell, J.A.en
dc.date.accessioned2016-01-09T00:41:56Zen
dc.date.available2016-01-09T00:41:56Zen
dc.date.created2010-03-16en
dc.date.issued2010-03-16en
dc.identifierdoi:10.1038/sj.bjc.6605593en
dc.identifier.bibliographicCitationBritish Journal of Cancer 2010 March 16; 102(6): 947-951en
dc.identifier.urihttp://worldcatlibraries.org/registry/gateway?version=1.0&url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&atitle=Are+GPs+under-investigating+older+patients+presenting+with+symptoms+of+ovarian+cancer?++Observational+study+using+General+Practice+Research+Database.&title=British+Journal+of+Cancer+&volume=102&issue=6&date=2010-03&au=Tate,+A.R.;+Nicholson,+A.;+Cassell,+J.A.en
dc.identifier.urihttp://dx.doi.org/10.1038/sj.bjc.6605593en
dc.identifier.urihttp://hdl.handle.net/10822/1023771en
dc.description.abstractBACKGROUND: Recent studies suggest that older patients in the United Kingdom are not benefiting as much from improvements in cancer treatments as their younger counterparts. We investigate whether this might be partly due to differential referral rates using ovarian cancer as an example. METHODS: From the General Practice Research Database (GPRD), we identified all women aged 40-80 years on 1 June 2002 with a Read code for ovarian cancer between 1 June 2002 and 31 May 2007. Using these records, we compared the GPRD incidence of ovarian cancer with rates compiled from the UK cancer registries and investigated the relationship between age and coded investigations for suspected ovarian cancer. RESULTS: The GPRD rates peaked earlier, at 70-74, and were lower than registry rates for nearly all ages particularly for patients over 59. The proportion investigated or referred by the GP decreased significantly with age and delays between first coded symptom and investigation showed a U-shaped distribution by age. CONCLUSIONS: GPs appear to be less likely to recognise and to refer patients presenting with ovarian cancer as they get older. If our findings extend to other cancers, lack of or delays in referral to secondary care may partly explain poor UK cancer mortality rates of older people.en
dc.formatArticleen
dc.languageenen
dc.sourceeweb:331305en
dc.subjectAgeden
dc.subjectCanceren
dc.subjectGeneral Practiceen
dc.subjectMethodsen
dc.subjectMortalityen
dc.subjectOvarian Canceren
dc.subjectPatientsen
dc.subjectRecordsen
dc.subjectRegistriesen
dc.subjectResearchen
dc.subject.classificationQuality of Health Careen
dc.subject.classificationInformation Science Ethicsen
dc.subject.classificationHealth Care Programs for the Ageden
dc.subject.classificationHealth Care Programs for Womenen
dc.titleAre GPs Under-Investigating Older Patients Presenting With Symptoms of Ovarian Cancer? Observational Study Using General Practice Research Databaseen
dc.provenanceCitation prepared by the Library and Information Services group of the Kennedy Institute of Ethics, Georgetown University for the ETHXWeb database.en
dc.provenanceCitation migrated from OpenText LiveLink Discovery Server database named EWEB hosted by the Bioethics Research Library to the DSpace collection EthxWeb hosted by DigitalGeorgetown.en


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