Thursday, April 2, 2015

Older people at higher risk of emergency cancer diagnosis

Leeds: People over 60 are at higher risk of being diagnosed with lung or bowel cancer as an emergency in hospital than younger people, according to a new report, led by the University of Leeds. The researchers also found that women and less affluent people are at higher risk of an emergency lung cancer diagnosis. While being unmarried, divorced or widowed was associated with having bowel cancer diagnosed as an emergency.

Almost 40 per cent of lung cancers and 25 per cent of bowel cancers in England were diagnosed as an emergency in hospital between 2006 and 2010. 
Previous research showed that eleven per cent of lung cancer patients with an emergency diagnosis survived their cancer for at least one year, compared to 42 per cent of patients diagnosed following a GP referral under the two-week-wait system.
One year survival for emergency-diagnosed bowel cancer patients was 49 per cent compared to 83 per cent for two-week-wait patients.

Lead review author Dr Liz Mitchell, Senior Research Fellow in the School of Medicine, said: “It may be that some patients don’t go to their GP about early cancer symptoms - especially if they live alone - or they become ill very quickly, leading to an emergency diagnosis in hospital.
"But our review shows that other factors such as a person’s age and gender might also have an influence. Knowing more about these influences could help us to find ways of ensuring that more cancers are spotted earlier, when patients often have a better chance of survival.”

Sara Hiom, director of early diagnosis at Cancer Research UK, which funded the review, said: “We need a better understanding of why some people are having their cancer diagnosis made via an emergency admission. This is important because we know that their survival chances are lower if people are diagnosed this way.
"This interesting review sheds some light on the factors that could be involved. We’re now funding further research on the subject and calling on the Government to ensure more cancers are diagnosed at the earliest possible stage because this can make such a difference for patients.”

The review has been published in BMJ Open.

Further information
Contact the University of Leeds press office on 0113 343 4031 or email pressoffice@leeds.ac.uk
Elizabeth D Mitchell, Benjamin Pickwell-Smith, Una Macleod. ‘Risk factors for emergency presentation with lung and colorectal cancers: a systematic review. DOI: 10.1136/bmjopen-2014-006965