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Table 1 Analyses of associations between general practice characteristics and delay in cancer diagnosis

From: General practitioner characteristics and delay in cancer diagnosis. a population-based cohort study

GP characteristics Patient delay; OR(95%CI) Doctor delay; OR(95%CI) System delay; OR(95%CI)
  N Unadjusted* N Adjusted* N Unadjusted* N Adjusted* N Unadjusted* N Adjusted*
Gender Male 680(177) 1 571(147) 1 1021(100) 1 866(82) 1 766(198) 1 642(168) 1
  Female 314(51) 0.54(0.38 to 0.77) 230(32) 0.44(0.28 to 0.71) 490(39) 0.88(0.58 to 1.33) 368(32) 1.10(0.66 to 1.84) 374(106) 1.38(1.00 to 1.89) 278(87) 1.50(1.02 to 2.21)
Years since ≥ 20 years 735(169) 1 596(138) 1 1099(106) 1 901(88) 1 832(220) 1 671(183) 1
graduation 0-19 years 259(59) 0.96(0.69 to 1.35) 205(41) 1.06(0.68 to 1.64) 412(33) 0.83(0.54 to 1.27) 333(26) 0.81(0.48 to 1.37) 308(84) 1.11(0.79 to 1.55) 249(72) 1.11(0.75 to 1.63)
Practice Solo practice 622(129) 1 485(99) 1 928(85) 1 732(64) 1 706(197) 1 553(159) 1
organization Group practice 372(99) 1.38(1.02 to 1.86) 316(80) 1.18(0.82 to 1.70) 583(54) 1.00(0.68 to 1.45) 502(50) 1.13(0.71 to 1.80) 434(107) 0.82(0.59 to 1.13) 367(96) 0.93(0.64 to 1.34)
Job satisfaction Satisfied 765(172) 1 619(138) 1 1155(101) 1 950(82) 1 877(239) 1 711(199) 1
  Not satisfied1 229(56) 1.12(0.79 to 1.58) 182(41) 0.93(0.61 to 1.41) 356(38) 1.21(0.80 to 1.83) 284(32) 1.32(0.81 to 2.15) 263(65) 0.86(0.60 to 1.23) 209(56) 1.00(0.67 to 1.49)
Burnout2 No 712(165) 1 577(133) 1 1116(102) 1 915(87) 1 845(233) 1 684(198) 1
  Yes 272(60) 0.95(0.68 to 1.33) 224(46) 0.79(0.53 to 1.18) 381(34) 0.96(0.63 to 1.47) 319(27) 0.91(0.55 to 1.51) 284(69) 0.86(0.60 to 1.22) 236(57) 0.83(0.56 to 1.22)
CME3 Yes 895(204) 1 722(159) 1 1368(128) 1 1124(108) 1 1023(277) 1 832(235) 1
  No 94(24) 1.20(0.73 to 1.96) 79(20) 1.19(0.67 to 2.10) 133(9) 0.70(0.34 to 1.44) 110(6) 0.56(0.22 to 1.40) 108(26) 0.87(0.51 to 1.48) 88(20) 0.95(0.52 to 1.73)
Working hours ≥ 40 hours/week 752(181) 1 645(149) 1 1141(110) 1 990(91) 1 854(234) 1 738(208) 1
  < 40 hours/week 191(36) 0.73(0.49 to 1.09) 156(30) 1.03(0.64 to 1.65) 293(25) 0.89(0.55 to 1.45) 244(23) 1.13(0.64 to 1.98) 221(52) 0.83(0.56 to 1.23) 182(47) 0.80(0.52 to 1.23)
List size4 < 1626(median) 508(108) 1 397(84) 1 743(72) 1 584(56) 1 558(156) 1 431(127) 1
  ≥ 1626 475(114) 1.18(0.87 to 1.59) 404(95) 1.07(0.71 to 1.60) 751(66) 0.90(0.62 to 1.30) 650(58) 0.89(0.52 to 1.51) 566(143) 0.89(0.65 to 1.21) 489(128) 1.12(0.74 to 1.69)
Services5 < 9486(median) 520(117) 1 418(89) 1 748(72) 1 603(58) 1 563(168) 1 449(143) 1
  ≥ 9486 463(105) 1.03(0.76 to 1.39) 383(90) 1.00(0.66 to 1.51) 746(66) 0.91(0.63 to 1.31) 631(56) 0.95(0.56 to 1.62) 561(131) 0.72(0.53 to 0.98) 471(112) 0.66(0.44 to 0.99)
Knowledge of the patient Much 680(143) 1 609(129) 1 1045(91) 1 937(83) 1 773(220) 1 684(199) 1
  Little 312(85) 1.35(0.99 to 1.85) 192(50) 1.33(0.90 to 1.98) 463(48) 1.22(0.84 to 1.79) 297(31) 1.20(0.75 to 1.91) 365(84) 0.72(0.53 to 0.99) 236(56) 0.68(0.47 to 0.99)
Compliance High 772(168) 1 713(151) 1 1186(105) 1 1100(95) 1 902(236) 1 830(219) 1
  Low 94(29) 1.60(0.99 to 2.58) 88(28) 1.63(0.99 to 2.68) 144(19) 1.51(0.88 to 2.60) 134(19) 1.63(0.93 to 2.85) 99(38) 1.58(1.00 to 2.51) 90(36) 1.73(1.07 to 2. 80)
  1. Unadjusted and adjusted analyses of general practitioner and practice characteristics and the three stages of delay adjusted for patient clustering within GPs and practices. The N in each column is the number of answers with complete data. The number of patients with long delays is provided in brackets. Results are presented as odds ratios (ORs) with 95% confidence intervals (95%CIs).*ORs adjusted for patient gender and age.
  2. 125% less satisfied
  3. 2Burnout index: emotional exhaustion score (0-38) > 26 and/or depersonalization score (0-24) > 9
  4. 3Participation in continuing medical education (CME). CME-group and/or supervision group
  5. 4Listed patients per GP according to the county's Health Service Registry (2003)
  6. 5Services (daytime surgery consultations, telephone consultations and home visits) per GP per year according to the county's Health Service Registry (2003)