Item type:Thesis, Open Access

Prävalenz von durch Hausärzte gestellten Krebsverdachtsdiagnosen in einer Population mit anschließend bestätigten Krebsdiagnosen in Deutschland

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2019-04-08

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Philipps-Universität Marburg
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Abstract

Cancer is one of the leading causes of morbidity and mortality in the world and accounted for around 8.8 million deaths in 2015 1. In Germany, the age-standardized incidence rate of cancer is approximately 324 cases per 100,000 men and 253 cases per 100,000 women. General practitioners play an important role in the diagnosis of cancer. Published studies from United Kingdom showed that most individuals diagnosed with cancer saw their general practitioner prior to being seen at a hospital, and, that one of three patients visited a GP at least three times before being referred to a hospital physician and ultimately receiving a cancer diagnosis. The goal of the present study was to analyze the prevalence and risk factors of suspected cancer diagnoses made by general practitioners (GP) in a population with subsequently confirmed cancer diagnoses in Germany. This study included patients aged 18 years or older who received an initial documentation of a confirmed cancer diagnosis from 1,262 German GP between January and December 2016 (index date). The main outcome measure of the study was the rate of suspected cancer diagnoses made by GP within one year prior to the index date. A multivariate logistic regression model was used to estimate the relationship between defined demographic and clinical variables and suspected cancer diagnoses. This study included 31,628 individuals. Within the year prior to the confirmed cancer diagnosis, only 5% of the population received suspected cancer diagnoses. Patients in the age groups 41-50, 51-60, and 61-70 years were more likely to receive a suspected cancer diagnosis from a GP than those in the age group >80 years. Lung cancer, skin cancer, prostate cancer, and leukemia were associated with an increase in such odds when compared to cancers of the digestive organs, whereas female genital organ cancers were associated with decreased odds. Additional studies are needed to gain a better understanding of the role played by general practitioners in the management of individuals potentially affected by cancer.

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Dates
Created: 2019Issued: 2019-04-08Updated: 2019-04-08
DOI
https://doi.org/10.17192/z2019.0200
Faculty
Medizin
Publisher
Philipps-Universität Marburg
Language
ger
Data types
DoctoralThesis
DFG-subjects
KrebsHausarztDisease Analyzer DatenbankVerdachtsdiagnosePrävalenz
DDC-Numbers
610
License
https://rightsstatements.org/vocab/InC-NC/1.0/
URI
https://open.uni-marburg.de/handle/10.17192/z2019.0200
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Meister, Uwe: Prävalenz von durch Hausärzte gestellten Krebsverdachtsdiagnosen in einer Population mit anschließend bestätigten Krebsdiagnosen in Deutschland. : Philipps-Universität Marburg 2019-04-08. DOI: https://doi.org/10.17192/z2019.0200.

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This item has been published with the following license: In Copyright