Characteristics and general practice resource use of people with comorbid cancer and dementia in England: a retrospective cross-sectional study
Abstract Background Cancer and dementia are common in older people and management of the conditions as comorbidities can be challenging, yet little is known about the size or characteristics of this group. We aimed to estimate the prevalence, characteristics and general practice resource usage of pe...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-11-01
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| Series: | BMC Primary Care |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12875-022-01882-w |
| _version_ | 1811230390725115904 |
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| author | Michelle Collinson Ellen Mason Rachael Kelley Alys Griffiths Laura Ashley Ann Henry Hayley Inman Fiona Cowdell June Hennell Liz Jones Maria Walsh Margaret Ogden Amanda Farrin Claire Surr |
| author_facet | Michelle Collinson Ellen Mason Rachael Kelley Alys Griffiths Laura Ashley Ann Henry Hayley Inman Fiona Cowdell June Hennell Liz Jones Maria Walsh Margaret Ogden Amanda Farrin Claire Surr |
| author_sort | Michelle Collinson |
| collection | DOAJ |
| description | Abstract Background Cancer and dementia are common in older people and management of the conditions as comorbidities can be challenging, yet little is known about the size or characteristics of this group. We aimed to estimate the prevalence, characteristics and general practice resource usage of people living with both conditions in England. Methods Anonymised electronic healthcare records from 391 National Health Service general practices across England using the TPP SystmOne general practice system were obtained from ResearchOne. Data included demographic and clinical characteristics, and general practice healthcare useage (appointments, prescriptions, referrals and secondary care contacts) for people aged 50 and over with a cancer and/or dementia diagnosis consistent with the Quality and Outcomes Framework between 2005 and 2016. Multi-level negative binomial regression was used to analyse the association between having cancer and/or dementia and the number of general practice appointments. Results Data from 162,371 people with cancer and/or dementia were analysed; 3616 (2.2%) people were identified as having comorbid cancer and dementia. Of people with cancer, 3.1% also had dementia, rising to 7.5% (1 in 13 people) in those aged 75 and over. Fewer people with both conditions were female (50.7%) compared to those with dementia alone (65.6%) and those with comorbid cancer and dementia were older than those with cancer alone [mean ages 83 (sd = 7), 69 (sd = 12) respectively]. Those with both conditions were less likely to have lung cancer than those with cancer alone (7.5% vs. 10.3%) but more likely to have prostate cancer (20.9% vs. 15.8%). Additional comorbidities were more prevalent for those with both conditions than those with cancer or dementia alone (68.4% vs. 50.2% vs. 54.0%). In the year following the first record of either condition, people with cancer and dementia had 9% more general practice appointments (IRR:1.09, 95% CI:1.01–1.17) than those with cancer alone and 37% more appointments than those with dementia alone (IRR: 1.37, 95% CI: 1.28–1.47). Conclusions A significant number of people are living with comorbid cancer and dementia in England. This group have additional comorbidity and higher general practice usage than those with cancer/dementia alone. The needs of this group should be considered in future general practice care planning and research. |
| first_indexed | 2024-04-12T10:28:39Z |
| format | Article |
| id | doaj.art-cb0aadc8c6b740d2a9d65cf33daf9092 |
| institution | Directory Open Access Journal |
| issn | 2731-4553 |
| language | English |
| last_indexed | 2024-04-12T10:28:39Z |
| publishDate | 2022-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Primary Care |
| spelling | doaj.art-cb0aadc8c6b740d2a9d65cf33daf90922022-12-22T03:36:55ZengBMCBMC Primary Care2731-45532022-11-0123111310.1186/s12875-022-01882-wCharacteristics and general practice resource use of people with comorbid cancer and dementia in England: a retrospective cross-sectional studyMichelle Collinson0Ellen Mason1Rachael Kelley2Alys Griffiths3Laura Ashley4Ann Henry5Hayley Inman6Fiona Cowdell7June Hennell8Liz Jones9Maria Walsh10Margaret Ogden11Amanda Farrin12Claire Surr13Clinical Trials Research Unit, Institute of Clinical Trials Research, University of LeedsClinical Trials Research Unit, Institute of Clinical Trials Research, University of LeedsCentre for Dementia Research, School of Health and Community Studies, Leeds Beckett UniversityCentre for Dementia Research, School of Health and Community Studies, Leeds Beckett UniversityLeeds School of Social Sciences, Leeds Beckett UniversityClinical Oncology, Leeds Teaching Hospitals NHS TrustClinical Oncology, Bradford Teaching Hospitals NHS Foundation TrustFaculty of Health, Education and Life Sciences, Birmingham City UniversityPatient and Public Involvement RepresentativePatient and Public Involvement RepresentativePatient and Public Involvement RepresentativePatient and Public Involvement RepresentativeClinical Trials Research Unit, Institute of Clinical Trials Research, University of LeedsCentre for Dementia Research, School of Health and Community Studies, Leeds Beckett UniversityAbstract Background Cancer and dementia are common in older people and management of the conditions as comorbidities can be challenging, yet little is known about the size or characteristics of this group. We aimed to estimate the prevalence, characteristics and general practice resource usage of people living with both conditions in England. Methods Anonymised electronic healthcare records from 391 National Health Service general practices across England using the TPP SystmOne general practice system were obtained from ResearchOne. Data included demographic and clinical characteristics, and general practice healthcare useage (appointments, prescriptions, referrals and secondary care contacts) for people aged 50 and over with a cancer and/or dementia diagnosis consistent with the Quality and Outcomes Framework between 2005 and 2016. Multi-level negative binomial regression was used to analyse the association between having cancer and/or dementia and the number of general practice appointments. Results Data from 162,371 people with cancer and/or dementia were analysed; 3616 (2.2%) people were identified as having comorbid cancer and dementia. Of people with cancer, 3.1% also had dementia, rising to 7.5% (1 in 13 people) in those aged 75 and over. Fewer people with both conditions were female (50.7%) compared to those with dementia alone (65.6%) and those with comorbid cancer and dementia were older than those with cancer alone [mean ages 83 (sd = 7), 69 (sd = 12) respectively]. Those with both conditions were less likely to have lung cancer than those with cancer alone (7.5% vs. 10.3%) but more likely to have prostate cancer (20.9% vs. 15.8%). Additional comorbidities were more prevalent for those with both conditions than those with cancer or dementia alone (68.4% vs. 50.2% vs. 54.0%). In the year following the first record of either condition, people with cancer and dementia had 9% more general practice appointments (IRR:1.09, 95% CI:1.01–1.17) than those with cancer alone and 37% more appointments than those with dementia alone (IRR: 1.37, 95% CI: 1.28–1.47). Conclusions A significant number of people are living with comorbid cancer and dementia in England. This group have additional comorbidity and higher general practice usage than those with cancer/dementia alone. The needs of this group should be considered in future general practice care planning and research.https://doi.org/10.1186/s12875-022-01882-wCancerDementiaOlder adultsPrimary health careAdministrative dataElectronic health records |
| spellingShingle | Michelle Collinson Ellen Mason Rachael Kelley Alys Griffiths Laura Ashley Ann Henry Hayley Inman Fiona Cowdell June Hennell Liz Jones Maria Walsh Margaret Ogden Amanda Farrin Claire Surr Characteristics and general practice resource use of people with comorbid cancer and dementia in England: a retrospective cross-sectional study BMC Primary Care Cancer Dementia Older adults Primary health care Administrative data Electronic health records |
| title | Characteristics and general practice resource use of people with comorbid cancer and dementia in England: a retrospective cross-sectional study |
| title_full | Characteristics and general practice resource use of people with comorbid cancer and dementia in England: a retrospective cross-sectional study |
| title_fullStr | Characteristics and general practice resource use of people with comorbid cancer and dementia in England: a retrospective cross-sectional study |
| title_full_unstemmed | Characteristics and general practice resource use of people with comorbid cancer and dementia in England: a retrospective cross-sectional study |
| title_short | Characteristics and general practice resource use of people with comorbid cancer and dementia in England: a retrospective cross-sectional study |
| title_sort | characteristics and general practice resource use of people with comorbid cancer and dementia in england a retrospective cross sectional study |
| topic | Cancer Dementia Older adults Primary health care Administrative data Electronic health records |
| url | https://doi.org/10.1186/s12875-022-01882-w |
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