Inpatient admissions and outpatient appointments in the first year post cancer diagnosis: A population based study from England

Joanna Pethick; Cong Chen; James Charnock; Rachel Bowden; Evangelia Tzala

doi:10.1016/j.canep.2021.102003

Inpatient admissions and outpatient appointments in the first year post cancer diagnosis: A population based study from England

Joanna Pethick^*
, Cong Chen
, James Charnock
, Rachel Bowden
, Evangelia Tzala

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

4 Citations (Scopus)

Abstract

Background: Time spent in hospital (length of stay) is an important component of patient experience and the financial cost of cancer care. This study documents the length of stay across English cancer diagnoses at a national level and reports on variation by patient demographics and tumour characteristics.

Methods: Data on all diagnoses of malignant neoplasms from the English National Cancer Registration and Analysis Service for 252,202 patients first diagnosed in 2015 was linked with NHS Digital's Admitted Patient Care and Outpatient Hospital Episode Statistics datasets to quantify length of stay within one year following diagnosis. Length of stay was modelled using linear regression adjusted for sex, age, tumour type, stage, time spent alive during the study period, vital status at end of study period, region, deprivation and ethnicity.

Results: Patients spend a mean of 25 days (median = 17 days; IQR = 8–34 days) in hospital in their first year. Tumour type, stage, age and vital status corrections had the strongest effects in the model adjusting for other independent variables. Younger patients tended towards longer stays.

Conclusion: Length of stay varies among patients by tumour type, age and stage. Estimating future health service demands should account for changes in incident tumour characteristics.

Original language	English
Article number	102003
Journal	Cancer Epidemiology
Volume	74
Early online date	20 Aug 2021
DOIs	https://doi.org/10.1016/j.canep.2021.102003
Publication status	Published - Oct 2021

Bibliographical note

Funding Information: This work was supported by Macmillan Cancer Support and was produced within the Macmillan - PHE partnership. This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

Open Access: No Open Access licence

Publisher Copyright: © 2021 Published by Elsevier Ltd.

Citation: Joanna Pethick, Cong Chen, James Charnock, Rachel Bowden, Evangelia Tzala, Inpatient admissions and outpatient appointments in the first year post cancer diagnosis: A population based study from England, Cancer Epidemiology, Volume 74, 2021, 102003, ISSN 1877-7821,

DOI: https://doi.org/10.1016/j.canep.2021.102003.

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

Hospitalization
Inpatients
Length of stay
Neoplasms
Outpatients

Access to Document

10.1016/j.canep.2021.102003

Cite this

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title = "Inpatient admissions and outpatient appointments in the first year post cancer diagnosis: A population based study from England",

abstract = "Background: Time spent in hospital (length of stay) is an important component of patient experience and the financial cost of cancer care. This study documents the length of stay across English cancer diagnoses at a national level and reports on variation by patient demographics and tumour characteristics. Methods: Data on all diagnoses of malignant neoplasms from the English National Cancer Registration and Analysis Service for 252,202 patients first diagnosed in 2015 was linked with NHS Digital's Admitted Patient Care and Outpatient Hospital Episode Statistics datasets to quantify length of stay within one year following diagnosis. Length of stay was modelled using linear regression adjusted for sex, age, tumour type, stage, time spent alive during the study period, vital status at end of study period, region, deprivation and ethnicity. Results: Patients spend a mean of 25 days (median = 17 days; IQR = 8–34 days) in hospital in their first year. Tumour type, stage, age and vital status corrections had the strongest effects in the model adjusting for other independent variables. Younger patients tended towards longer stays. Conclusion: Length of stay varies among patients by tumour type, age and stage. Estimating future health service demands should account for changes in incident tumour characteristics.",

keywords = "Hospitalization, Inpatients, Length of stay, Neoplasms, Outpatients",

author = "Joanna Pethick and Cong Chen and James Charnock and Rachel Bowden and Evangelia Tzala",

note = "Funding Information: This work was supported by Macmillan Cancer Support and was produced within the Macmillan - PHE partnership. This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors. Open Access: No Open Access licence Publisher Copyright: {\textcopyright} 2021 Published by Elsevier Ltd. Citation: Joanna Pethick, Cong Chen, James Charnock, Rachel Bowden, Evangelia Tzala, Inpatient admissions and outpatient appointments in the first year post cancer diagnosis: A population based study from England, Cancer Epidemiology, Volume 74, 2021, 102003, ISSN 1877-7821, DOI: https://doi.org/10.1016/j.canep.2021.102003.",

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doi = "10.1016/j.canep.2021.102003",

language = "English",

volume = "74",

journal = "Cancer Epidemiology",

issn = "1877-7821",

publisher = "Elsevier Ltd.",

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T1 - Inpatient admissions and outpatient appointments in the first year post cancer diagnosis

T2 - A population based study from England

AU - Pethick, Joanna

AU - Chen, Cong

AU - Charnock, James

AU - Bowden, Rachel

AU - Tzala, Evangelia

N1 - Funding Information: This work was supported by Macmillan Cancer Support and was produced within the Macmillan - PHE partnership. This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors. Open Access: No Open Access licence Publisher Copyright: © 2021 Published by Elsevier Ltd. Citation: Joanna Pethick, Cong Chen, James Charnock, Rachel Bowden, Evangelia Tzala, Inpatient admissions and outpatient appointments in the first year post cancer diagnosis: A population based study from England, Cancer Epidemiology, Volume 74, 2021, 102003, ISSN 1877-7821, DOI: https://doi.org/10.1016/j.canep.2021.102003.

PY - 2021/10

Y1 - 2021/10

N2 - Background: Time spent in hospital (length of stay) is an important component of patient experience and the financial cost of cancer care. This study documents the length of stay across English cancer diagnoses at a national level and reports on variation by patient demographics and tumour characteristics. Methods: Data on all diagnoses of malignant neoplasms from the English National Cancer Registration and Analysis Service for 252,202 patients first diagnosed in 2015 was linked with NHS Digital's Admitted Patient Care and Outpatient Hospital Episode Statistics datasets to quantify length of stay within one year following diagnosis. Length of stay was modelled using linear regression adjusted for sex, age, tumour type, stage, time spent alive during the study period, vital status at end of study period, region, deprivation and ethnicity. Results: Patients spend a mean of 25 days (median = 17 days; IQR = 8–34 days) in hospital in their first year. Tumour type, stage, age and vital status corrections had the strongest effects in the model adjusting for other independent variables. Younger patients tended towards longer stays. Conclusion: Length of stay varies among patients by tumour type, age and stage. Estimating future health service demands should account for changes in incident tumour characteristics.

AB - Background: Time spent in hospital (length of stay) is an important component of patient experience and the financial cost of cancer care. This study documents the length of stay across English cancer diagnoses at a national level and reports on variation by patient demographics and tumour characteristics. Methods: Data on all diagnoses of malignant neoplasms from the English National Cancer Registration and Analysis Service for 252,202 patients first diagnosed in 2015 was linked with NHS Digital's Admitted Patient Care and Outpatient Hospital Episode Statistics datasets to quantify length of stay within one year following diagnosis. Length of stay was modelled using linear regression adjusted for sex, age, tumour type, stage, time spent alive during the study period, vital status at end of study period, region, deprivation and ethnicity. Results: Patients spend a mean of 25 days (median = 17 days; IQR = 8–34 days) in hospital in their first year. Tumour type, stage, age and vital status corrections had the strongest effects in the model adjusting for other independent variables. Younger patients tended towards longer stays. Conclusion: Length of stay varies among patients by tumour type, age and stage. Estimating future health service demands should account for changes in incident tumour characteristics.

KW - Hospitalization

KW - Inpatients

KW - Length of stay

KW - Neoplasms

KW - Outpatients

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JF - Cancer Epidemiology

M1 - 102003

ER -

Inpatient admissions and outpatient appointments in the first year post cancer diagnosis: A population based study from England

Abstract

Bibliographical note

UN SDGs

Keywords

Access to Document

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