Healthcare use in the year preceding a diagnosis of pancreatic cancer: a register-based cohort study in Denmark

OBJECTIVE: To describe the use of healthcare prior to a diagnosis of pancreatic cancer in Denmark. DESIGN: A population-based cohort study using prospectively recorded data from Danish National Health Registries. SETTING: Danish general practice and hospitals. SUBJECTS: A total of 5926 patients diag...

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Autores principales: Rasmussen, Linda A., Virgilsen, Line F., Fristrup, Claus W., Vedsted, Peter, Jensen, Henry
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taylor & Francis 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9397460/
https://www.ncbi.nlm.nih.gov/pubmed/35485773
http://dx.doi.org/10.1080/02813432.2022.2069730
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author Rasmussen, Linda A.
Virgilsen, Line F.
Fristrup, Claus W.
Vedsted, Peter
Jensen, Henry
author_facet Rasmussen, Linda A.
Virgilsen, Line F.
Fristrup, Claus W.
Vedsted, Peter
Jensen, Henry
author_sort Rasmussen, Linda A.
collection PubMed
description OBJECTIVE: To describe the use of healthcare prior to a diagnosis of pancreatic cancer in Denmark. DESIGN: A population-based cohort study using prospectively recorded data from Danish National Health Registries. SETTING: Danish general practice and hospitals. SUBJECTS: A total of 5926 patients diagnosed with pancreatic cancer in 2012–2018 and 59,260 matched references without pancreatic cancer from the Danish general population. MAIN OUTCOME MEASURES: The monthly frequency of healthcare use (contacts and tests in general practice and contacts and diagnostic investigations in hospitals) during the 12 months preceding the pancreatic cancer diagnosis and a corresponding index date assigned to the references. RESULTS: Compared to the references, the patients had increased contacts and diagnostic tests, especially blood glucose testing, in general practice from 7 to 12 months before diagnosis. Hospital contacts and diagnostic imaging increased from 5 months before the diagnosis. CONCLUSIONS: KEY POINTS: Pancreatic cancer is a rapidly progressing and highly lethal disease. Focus on early diagnosis is essential to improve the prognosis. Patients with pancreatic cancer had increased number of healthcare contacts from 7 months before the diagnosis. Patients with pancreatic cancer had increased number of blood glucose tests taken throughout almost the entire year before the diagnosis. The results may indicate that a window of opportunity exists to diagnose pancreatic cancer earlier.
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spelling pubmed-93974602022-08-24 Healthcare use in the year preceding a diagnosis of pancreatic cancer: a register-based cohort study in Denmark Rasmussen, Linda A. Virgilsen, Line F. Fristrup, Claus W. Vedsted, Peter Jensen, Henry Scand J Prim Health Care Original Articles OBJECTIVE: To describe the use of healthcare prior to a diagnosis of pancreatic cancer in Denmark. DESIGN: A population-based cohort study using prospectively recorded data from Danish National Health Registries. SETTING: Danish general practice and hospitals. SUBJECTS: A total of 5926 patients diagnosed with pancreatic cancer in 2012–2018 and 59,260 matched references without pancreatic cancer from the Danish general population. MAIN OUTCOME MEASURES: The monthly frequency of healthcare use (contacts and tests in general practice and contacts and diagnostic investigations in hospitals) during the 12 months preceding the pancreatic cancer diagnosis and a corresponding index date assigned to the references. RESULTS: Compared to the references, the patients had increased contacts and diagnostic tests, especially blood glucose testing, in general practice from 7 to 12 months before diagnosis. Hospital contacts and diagnostic imaging increased from 5 months before the diagnosis. CONCLUSIONS: KEY POINTS: Pancreatic cancer is a rapidly progressing and highly lethal disease. Focus on early diagnosis is essential to improve the prognosis. Patients with pancreatic cancer had increased number of healthcare contacts from 7 months before the diagnosis. Patients with pancreatic cancer had increased number of blood glucose tests taken throughout almost the entire year before the diagnosis. The results may indicate that a window of opportunity exists to diagnose pancreatic cancer earlier. Taylor & Francis 2022-04-29 /pmc/articles/PMC9397460/ /pubmed/35485773 http://dx.doi.org/10.1080/02813432.2022.2069730 Text en © 2022 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Rasmussen, Linda A.
Virgilsen, Line F.
Fristrup, Claus W.
Vedsted, Peter
Jensen, Henry
Healthcare use in the year preceding a diagnosis of pancreatic cancer: a register-based cohort study in Denmark
title Healthcare use in the year preceding a diagnosis of pancreatic cancer: a register-based cohort study in Denmark
title_full Healthcare use in the year preceding a diagnosis of pancreatic cancer: a register-based cohort study in Denmark
title_fullStr Healthcare use in the year preceding a diagnosis of pancreatic cancer: a register-based cohort study in Denmark
title_full_unstemmed Healthcare use in the year preceding a diagnosis of pancreatic cancer: a register-based cohort study in Denmark
title_short Healthcare use in the year preceding a diagnosis of pancreatic cancer: a register-based cohort study in Denmark
title_sort healthcare use in the year preceding a diagnosis of pancreatic cancer: a register-based cohort study in denmark
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9397460/
https://www.ncbi.nlm.nih.gov/pubmed/35485773
http://dx.doi.org/10.1080/02813432.2022.2069730
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