From: Factors influencing patient and health care delays in Oropharyngeal Cancer
Patient delay | Primary health-care delay | Specialist delay | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Geometric mean | 95% CI | P value | Geometric mean | 95% CI | P value | Geometric mean | 95% CI | P value | ||||
History of smoking | ||||||||||||
Never smoked | 60.8 | 47.8 | 77.5 | 0.145 | ||||||||
Former smoker | 48.9 | 39.8 | 60.1 | |||||||||
Current smoker | 44.4 | 32.4 | 61.0 | |||||||||
Employment | ||||||||||||
Currently employed or studying | 34.5 | 10.8 | 110.3 | 0.146 | ||||||||
Unemployed or retired | 61.9 | 25.0 | 153.2 | |||||||||
Site | ||||||||||||
Anterior wall | 10.3 | 2.8 | 37.8 | 0.143 | ||||||||
Lateral wall | 5.6 | 1.6 | 19.4 | |||||||||
T Class, 7th and 8th UICC editions | ||||||||||||
T1-T2 | ||||||||||||
T3-T4 | ||||||||||||
N class, 8th UICC edition | ||||||||||||
N0 | 52.4 | 39.6 | 69.1 | 0.727 | ||||||||
N+ | 49.6 | 41.8 | 58.8 | |||||||||
Stage, 7th UICC edition | ||||||||||||
I-II | 97.5 | 25.6 | 372.0 | 0.009 | ||||||||
III-IV | 21.9 | 9.6 | 49.8 | |||||||||
p16 status | ||||||||||||
Positive | 53.7 | 43.0 | 67.1 | 0.544 | ||||||||
Negative | 48.3 | 37.1 | 62.9 | |||||||||
Histological grade | ||||||||||||
I | ||||||||||||
II | ||||||||||||
III | ||||||||||||
Number of different symptoms | ||||||||||||
One | 32.7 | 10.8 | 99.0 | 0.047* | ||||||||
Two | 34.0 | 10.7 | 108.1 | |||||||||
Three or more | 88.9 | 31.9 | 247.9 | |||||||||
Initial place of visit | ||||||||||||
GP, dentist, or hospital emergency | 11.8 | 4.1 | 25.8 | 0.164 | ||||||||
Private otolaryngologist | 4.9 | 1.0 | 24.3 | |||||||||
Was a follow-up visit scheduled? | ||||||||||||
No | 5.0 | 1.6 | 15.8 | 0.119 | ||||||||
Yes | 11.4 | 2.7 | 49.0 | |||||||||
Number of health-care visits before referral to specialist care | ||||||||||||
One | 2.4 | 0.7 | 8.4 | < 0.001** | ||||||||
Two | 10.6 | 2.7 | 42.0 | |||||||||
Three or more | 17.0 | 4.1 | 71.0 | |||||||||
Appointment at another hospital | ||||||||||||
No | 47.9 | 40.2 | 57.1 | 0.343 | ||||||||
Yes | 54.2 | 42.4 | 69.2 | |||||||||
Treatment modality | ||||||||||||
Surgery with or without (C)RT | 46.6 | 37.2 | 58.4 | 0.141 | ||||||||
(C)RT | 55.6 | 46.0 | 67.4 | |||||||||
Treatment intent | ||||||||||||
Curative | 27.2 | 15.4 | 47.9 | 0.191 | 14.8 | 7.2 | 30.5 | 0.179 | ||||
Palliative | 78.6 | 14.7 | 420.7 | 3.9 | 0.5 | 30.9 |