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X Demographics
Mendeley readers
Attention Score in Context
| Title |
Variation in ‘fast-track’ referrals for suspected cancer by patient characteristic and cancer diagnosis: evidence from 670 000 patients with cancers of 35 different sites
|
|---|---|
| Published in |
British Journal of Cancer, November 2017
|
| DOI | 10.1038/bjc.2017.381 |
| Pubmed ID | |
| Authors |
Y Zhou, S C Mendonca, G A Abel, W Hamilton, F M Walter, S Johnson, J Shelton, L Elliss-Brookes, S McPhail, G Lyratzopoulos |
| Abstract |
In England, 'fast-track' (also known as 'two-week wait') general practitioner referrals for suspected cancer in symptomatic patients are used to shorten diagnostic intervals and are supported by clinical guidelines. However, the use of the fast-track pathway may vary for different patient groups. We examined data from 669 220 patients with 35 cancers diagnosed in 2006-2010 following either fast-track or 'routine' primary-to-secondary care referrals using 'Routes to Diagnosis' data. We estimated the proportion of fast-track referrals by sociodemographic characteristic and cancer site and used logistic regression to estimate respective crude and adjusted odds ratios. We additionally explored whether sociodemographic associations varied by cancer. There were large variations in the odds of fast-track referral by cancer (P<0.001). Patients with testicular and breast cancer were most likely to have been diagnosed after a fast-track referral (adjusted odds ratios 2.73 and 2.35, respectively, using rectal cancer as reference); whereas patients with brain cancer and leukaemias least likely (adjusted odds ratios 0.05 and 0.09, respectively, for brain cancer and acute myeloid leukaemia). There were sex, age and deprivation differences in the odds of fast-track referral (P<0.013) that varied in their size and direction for patients with different cancers (P<0.001). For example, fast-track referrals were least likely in younger women with endometrial cancer and in older men with testicular cancer. Fast-track referrals are less likely for cancers characterised by nonspecific presenting symptoms and patients belonging to low cancer incidence demographic groups. Interventions beyond clinical guidelines for 'alarm' symptoms are needed to improve diagnostic timeliness.British Journal of Cancer advance online publication, 28 November 2017; doi:10.1038/bjc.2017.381 www.bjcancer.com. |
X Demographics
The data shown below were collected from the profiles of 31 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United Kingdom | 15 | 48% |
| United States | 3 | 10% |
| Ireland | 2 | 6% |
| France | 2 | 6% |
| Gibraltar | 1 | 3% |
| Unknown | 8 | 26% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 19 | 61% |
| Scientists | 7 | 23% |
| Practitioners (doctors, other healthcare professionals) | 4 | 13% |
| Science communicators (journalists, bloggers, editors) | 1 | 3% |
Mendeley readers
The data shown below were compiled from readership statistics for 117 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 117 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Researcher | 18 | 15% |
| Student > Ph. D. Student | 16 | 14% |
| Student > Bachelor | 12 | 10% |
| Student > Master | 9 | 8% |
| Other | 9 | 8% |
| Other | 26 | 22% |
| Unknown | 27 | 23% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 42 | 36% |
| Nursing and Health Professions | 10 | 9% |
| Social Sciences | 4 | 3% |
| Biochemistry, Genetics and Molecular Biology | 3 | 3% |
| Pharmacology, Toxicology and Pharmaceutical Science | 3 | 3% |
| Other | 18 | 15% |
| Unknown | 37 | 32% |
Attention Score in Context
This research output has an Altmetric Attention Score of 35. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 23 June 2022.
All research outputs
#1,089,188
of 24,309,087 outputs
Outputs from British Journal of Cancer
#391
of 10,778 outputs
Outputs of similar age
#25,537
of 446,879 outputs
Outputs of similar age from British Journal of Cancer
#4
of 85 outputs
Altmetric has tracked 24,309,087 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 95th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 10,778 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 10.0. This one has done particularly well, scoring higher than 96% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 446,879 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 94% of its contemporaries.
We're also able to compare this research output to 85 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 96% of its contemporaries.