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Table 2 Healthcare resource use of people with comorbid cancer and dementia compared to those with cancer or dementia alone and the general population aged 50 and over

From: Characteristics and general practice resource use of people with comorbid cancer and dementia in England: a retrospective cross-sectional study

 

Comorbid cancer and dementia

(n = 3616), n (%)

Cancer alone

(n = 112,772), n (%)

Dementia alone

(n = 45,983), n (%)

General population aged 50 and over

(n = 1,151,503), n (%)

General practice appointments

 Number of appointments

29,879

761,894

298,343

8,520,666

 Number of patients attending at least one appointment

2142 (59.2)

57,986 (51.4)

25,100 (54.6)

911,654 (81.9)

 Number of appointments per persona

    

 Median (IQR)

9 (4,18)

10 (5,17)

7 (3,15)

–

 Number of appointments per person per monthb

    

 Mean (s.d.)

1.48 (2.18)

1.35 (1.80)

1.08 (1.69)

0.78 (0.79)

 Median (range)

0.92 (0.08, 40.58)e

0.92 (0.08, 97.75)e

0.67 (0.08, 47.50)e

0.58 (26.75)f

Prescriptions

 Number of prescriptions

51,013

858,055

657,471

43,237,123

 Number of patients with at least one prescription

2703 (74.8)

64,261 (57.0)

33,725 (73.3)

940,122 (81.6)

 Number of prescriptions per persona

    

 Median (IQR)

13 (6, 25)

8 (3, 17)

14 (7, 26)

–

 Number of items prescribed per person per monthb

    

 Mean (s.d.)

1.97 (2.07)

1.48 (1.73)

1.75 (1.72)

3.83 (5.51)

 Median (range)

1.33 (0.08, 32.67)

0.92 (0.08, 37.33)

1.25 (0.08, 30.25)

2.25 (254.75)d

Secondary care contactsc

 Number of contacts

2013

53,605

19,958

–

 Number of patients with at least one contact

890 (24.6)

24,367 (21.6)

9490 (20.6)

–

 Number of contacts per persona

    

 Median (IQR)

1 (1, 3)

1 (1, 2)

1 (1, 2)

–

 Number of contacts per person per monthb

    

 Mean (s.d.)

0.26 (0.29)

0.26 (0.32)

0.22 (0.24)

–

 Median (range)

0.17 (0.08, 2.33)

0.17 (0.08, 6.00)

0.17 (0.08, 6.00)

–

A&E Attendances

 Number of contacts (% of contacts)

1028 (51.1)

18,054 (33.7)

11,515 (57.7)

–

 Number of patients with at least one contact

608 (16.8)

11,926 (10.6)

6810 (14.8)

–

 Number of contacts per persona

    

 Median (IQR)

1 (1, 2)

1 (1, 2)

1 (1, 2)

–

 Number of contacts per person per monthb

    

 Mean (s.d.)

0.20 (0.19)

0.18 (0.19)

0.17 (0.16)

–

 Median (range)

0.13 (0.08, 2.00)

0.08 (0.08, 4.17)

0.08 (0.08, 3.00)

–

Hospital Admissions

 Number of contacts (% of contacts)

767 (38.1)

23,804 (44.4)

6988 (35.0)

–

 Number of patients with at least one contact

432 (11.9)

12,893 (11.4)

4472 (9.7)

–

 Number of contacts per persona

    

 Median (IQR)

1 (1, 2)

1 (1, 2)

1 (1, 2)

–

 Number of contacts per person per monthb

    

 Mean (s.d.)

0.20 (0.19)

0.22 (0.27)

0.17 (0.19)

–

 Median (range)

0.14 (0.08, 1.00)

0.14 (0.08, 4.50)

0.08 (0.08, 6.00)

–

Outpatient Appointments

 Number of contacts (% of contacts)

211 (10.5)

11,548 (21.5)

1401 (7.0)

–

 Number of patients with at least one contact

119 (3.3)

5066 (4.5)

848 (1.8)

–

 Number of contacts per persona

    

 Median (IQR)

1 (1, 2)

1 (1, 2)

1 (1, 2)

–

 Number of contacts per person per monthb

    

 Mean (s.d.)

0.20 (0.28)

0.23 (0.31)

0.16 (0.14)

–

 Median (range)

0.08 (0.08, 2.33)

0.08 (0.08, 4.00)

0.08 (0.08, 1.20)

–

Unable to classifyd

 Number of contacts (% of contacts)

7 (0.3)

199 (0.4)

54 (0.3)

–

 Number of patients with at least one contact

7 (0.2)

172 (0.2)

51 (0.1)

–

 Number of contacts per persona

    

 Median (IQR)

1 (1, 1)

1 (1, 1)

1 (1, 1)

–

 Number of contacts per person per monthb

    

 Mean (s.d.)

0.09 (0.01)

0.16 (0.16)

0.11 (0.04)

–

 Median (range)

0.08 (0.08, 0.11)

0.08 (0.08, 1.00)

0.08 (0.08, 0.25)

–

  1. aUnadjusted for time alive
  2. bFor those patients attending at least one appointment / with at least one prescription / with at least one contact, adjusted for time alive
  3. cData on secondary care contacts for the general population were not provided by ResearchOne
  4. dRecords that indicate a secondary care appointment but the categorisation of whether this was an admission/A&E attendance/outpatient appointment is unclear e.g. hospital-based dietitian, hospital-based physiotherapist
  5. eIncludes all appointments that met our definition of an appointment, without the exclusion of outliers
  6. fMinimum and maximum values of the range were not available from ResearchOne