The association between change of practice and patient characteristics. Adjusted risk ratio with 95% CI of changing practice from 7 months before diagnosis until 12 months after diagnosis forpatients with cancer compared with the matched references
| COP before diagnosis | COP after diagnosis | |||
|---|---|---|---|---|
| RR | 95% CI | RRa | 95% CI | |
| Sex | ||||
| Female | 1.38 | 1.30 to 1.47 | 1.62 | 1.56 to 1.69 |
| Male | 1.49 | 1.39 to 1.59 | 1.66 | 1.58 to 1.74 |
| Age groups, years | ||||
| 18–44 | 1.43 | 1.26 to 1.62 | 1.63 | 1.49 to 1.79 |
| 45–54 | 1.44 | 1.27 to 1.62 | 1.86 | 1.71 to 2.03 |
| 55–64 | 1.47 | 1.34 to 1.59 | 1.83 | 1.72 to 1.94 |
| 65–74 | 1.44 | 1.33 to 1.57 | 1.55 | 1.46 to 1.65 |
| >75 | 1.36 | 1.24 to 1.49 | 1.40 | 1.30 to 1.51 |
| Comorbidity | ||||
| None | 1.46 | 1.39 to 1.53 | 1.72 | 1.66 to 1.78 |
| Moderate | 1.38 | 1.25 to 1.54 | 1.42 | 1.32 to 1.54 |
| Severe | 1.04 | 0.80 to 1.36 | 1.16 | 0.96 to 1.41 |
| Marital status | ||||
| Cohabiting | 1.43 | 1.35 to 1.51 | 1.67 | 1.60 to 1.74 |
| Living alone | 1.43 | 1.33 to 1.54 | 1.59 | 1.51 to 1.68 |
| Household income | ||||
| Low | 1.38 | 1.28 to 1.48 | 1.49 | 1.41 to 1.58 |
| Middle | 1.45 | 1.35 to 1.57 | 1.65 | 1.56 to 1.74 |
| High | 1.47 | 1.36 to 1.59 | 1.80 | 1.70 to 1.91 |
| Educational level | ||||
| Basic | 1.34 | 1.25 to 1.44 | 1.57 | 1.49 to 1.65 |
| Short | 1.54 | 1.43 to 1.65 | 1.62 | 1.54 to 1.71 |
| Long | 1.42 | 1.28 to 1.56 | 1.80 | 1.68 to 1.93 |
| Duration of GP–patient relationship, years | ||||
| <5 | 1.31 | 1.22 to 1.41 | 1.47 | 1.39 to 1.55 |
| 5–9 | 1.49 | 1.35 to 1.66 | 1.75 | 1.62 to 1.88 |
| ≥10 | 1.53 | 1.42 to 1.64 | 1.77 | 1.69 to 1.86 |
| City size | ||||
| Rural area | 1.36 | 1.22 to 1.52 | 1.80 | 1.67 to 1.94 |
| Small city | 1.46 | 1.35 to 1.59 | 1.68 | 1.58 to 1.79 |
| Medium city | 1.46 | 1.31 to 1.63 | 1.61 | 1.49 to 1.74 |
| Large city | 1.42 | 1.32 to 1.53 | 1.55 | 1.47 to 1.64 |
↵a Estimates after diagnosis are additionally adjusted for COP before diagnosis. Estimates are adjusted for age, sex, comorbidity, educational level, marital status, and length of GP–patient relationship.
COP = change of practice. RR = risk ratio.