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Table 4 The impact of initial treatment strategy on health care use

From: Health care utilization among patients with oesophageal and gastric cancer: the impact of initial treatment strategy and assignment of a contact nurse

 

Hospital stays, unplanned

 

Unadjusted

Adjusted*

Initial treatment

IRR (95% CI)

p-value

IRR (95% CI)

p-value

 No tumour-directed

1.70 (1.57–1.85)

< 0.001

1.44 (1.30–1.59)

< 0.001

 Palliative

1.67 (1.59–1.75)

< 0.001

1.31 (1.22–1.41)

< 0.001

 Curative

1.00 (reference)

 

1.00 (reference)

 
 

Hospital stays, planned

 

Unadjusted

Adjusted*

Initial treatment

IRR (95% CI)

p-value

IRR (95% CI)

p-value

 No tumour-directed

0.67 (0.58–0.78)

< 0.001

0.69 (0.58–0.82)

< 0.001

 Palliative

1.05 (0.98–1.12)

0.179

0.93 (0.84–1.02)

0.133

 Curative

1.00 (reference)

 

1.00 (reference)

 
 

Visits, specialist outpatient care, unplanned

 

Unadjusted

Adjusted*

Initial treatment

IRR (95% CI)

p-value

IRR (95% CI)

p-value

 No tumour-directed

1.11 (0.99–1.25)

0.067

1.24 (1.08–1.42)

0.002

 Palliative

1.53 (1.44–1.63)

< 0.001

1.54 (1.42–1.68)

< 0.001

 Curative

1.00 (reference)

 

1.00 (reference)

 
 

Visits, specialist outpatient care, planned

 

Unadjusted

Adjusted*

Initial treatment

IRR (95% CI)

p-value

IRR (95% CI)

p-value

 No tumour-directed

0.47 (0.44–0.50)

< 0.001

0.55 (0.51–0.59)

< 0.001

 Palliative

1.28 (1.25–1.31)

< 0.001

1.13 (1.09–1.18)

< 0.001

 Curative

1.00 (reference)

 

1.00 (reference)

 
  1. *Adjusted for age, sex, M stage and performance status. CI = confidence interval; IRR = incidence rate ratio