2020
DOI: 10.1111/ecc.13234
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Cancer diagnosis in Scottish primary care: Results from the National Cancer Diagnosis Audit

Abstract: Objective To characterize cancer diagnosis in Scottish primary care and draw comparisons with cancer diagnostic activity in England. Method A national audit of cancer diagnosis was conducted in Scottish and English general practices. Participating GPs collected diagnostic pathway data on patients diagnosed in 2014 from medical records. Data were supplemented by linkage to national cancer registries. Analysis explored and compared patient characteristics, diagnostic intervals, and routes to diagnosis. Results 7… Show more

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Cited by 16 publications
(17 citation statements)
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“…Also in this issue, Murchie et al. (2020) report on an audit of cancer referrals from primary care in Scotland. This is clearly an important ongoing initiative to monitor such referrals and look for lessons about how primary care can more effectively recognise cancer symptoms and make appropriate referrals.…”
mentioning
confidence: 99%
“…Also in this issue, Murchie et al. (2020) report on an audit of cancer referrals from primary care in Scotland. This is clearly an important ongoing initiative to monitor such referrals and look for lessons about how primary care can more effectively recognise cancer symptoms and make appropriate referrals.…”
mentioning
confidence: 99%
“…In 2016-17, Cancer Research UK, together with NHS partners, the Royal College of General Practitioners (RCGP) and Macmillan Cancer Support, conducted a National Cancer Diagnosis Audit (NCDA) in Scotland (Murchie et al, 2020). The aim of the NCDA was to understand primary care cancer diagnosis.…”
Section: Discussionmentioning
confidence: 99%
“…The analysis reported adopted similar data-definitions as those reported in the Scottish NCDA baseline paper (Murchie et al, 2020). Symptoms and positive signs recorded in NCDA as having been present at first consultations were mapped onto site-specific Scottish Referral Guidelines for Urgent Suspected Cancer by PM (Scottish Executive, 2014).…”
Section: Discussionmentioning
confidence: 99%
“…In the first model sociodemographic variables alone were added: age; sex; SIMD; urban-rural classification; and the Census variables found to be significant univariately (ethnic group, hours in main job, heating, country of birth, housing type). In the second model, the same adjustments made in the original NASCAR analysis were repeated on the current cohort, which included: age; sex; SIMD; urban-rural classification; referral status (screening, other, routine, urgent, urgent-suspected cancer); cancer type; treatment received; CCI; metastatic cancer [ 8 ]. In the third model, the individual-level Census variables found to have a significant association (p<0.05) with one of the outcomes (ethnic group, hours in main job, heating, birth in UK and housing type) were added to model 2.…”
Section: Methodsmentioning
confidence: 99%
“…The route to diagnosis and treatment for almost all people diagnosed with symptomatic cancer in Scotland will begin with consultation with a general practitioner (GP) [ 8 ]. Depending on the clinical features at presentation the GP can then either admit the patient directly to hospital or refer them to see a secondary care specialist at a hospital.…”
Section: Introductionmentioning
confidence: 99%