Publications by category
Journal articles
Gomez-Cano M, Fletcher E, Campbell JL, Elliott M, Burt J, Abel G (2020). Role of practices and Clinical Commissioning Groups in measures of patient experience: analysis of routine data. BMJ Quality & Safety
Pham TM, Gomez-Cano M, Salika T, Jardel D, Abel GA, Lyratzopoulos G (2019). Diagnostic route is associated with care satisfaction independently of tumour stage: Evidence from linked English Cancer Patient Experience Survey and cancer registration data.
Cancer Epidemiology,
61, 70-78.
Abstract:
Diagnostic route is associated with care satisfaction independently of tumour stage: Evidence from linked English Cancer Patient Experience Survey and cancer registration data
© 2019 the Authors Background: Whether diagnostic route (e.g. emergency presentation) is associated with cancer care experience independently of tumour stage is unknown. Methods: We analysed data on 18 590 patients with breast, prostate, colon, lung, and rectal cancers who responded to the 2014 English Cancer Patient Experience Survey, linked to cancer registration data on diagnostic route and tumour stage at diagnosis. We estimated odds ratios (OR) of reporting a negative experience of overall cancer care by tumour stage and diagnostic route (crude and adjusted for patient characteristic and cancer site variables) and examined their interactions with cancer site. Results: After adjustment, the likelihood of reporting a negative experience was highest for emergency presenters and lowest for screening-detected patients with breast, colon, and rectal cancers (OR versus two-week-wait 1.51, 95% confidence interval [CI] 1.24–1.83; 0.88, 95% CI 0.75–1.03, respectively). Patients with the most advanced stage were more likely to report a negative experience (OR stage IV versus I 1.37, 95% CI 1.15–1.62) with little confounding between stage and route, and no evidence for cancer-stage or cancer-route interactions. Conclusions: Though the extent of disease is strongly associated with ratings of overall cancer care, diagnostic route (particularly emergency presentation or screening detection) exerts important independent effects.
Abstract.
Full text.
Pham TM, Abel G, Gomez Cano MC, Lyratzopoulos G (2019). Predictors of postal or online response mode and associations with patient experience and satisfaction in the English Cancer Patient Experience Survey.
Journal of Medical Internet Research Full text.
Abel GA, Gomez-Cano M, Pham TM, Lyratzopoulos G (2019). Reliability of hospital scores for the Cancer Patient Experience Survey: analysis of publicly reported patient survey data.
BMJ Open,
9(7).
Abstract:
Reliability of hospital scores for the Cancer Patient Experience Survey: analysis of publicly reported patient survey data.
OBJECTIVES: to assess the degree to which variations in publicly reported hospital scores arising from the English Cancer Patient Experience Survey (CPES) are subject to chance. DESIGN: Secondary analysis of publically reported data. SETTING: English National Health Service hospitals. PARTICIPANTS: 72 756 patients who were recently treated for cancer in one of 146 hospitals and responded to the 2016 English CPES. MAIN OUTCOME MEASURES: Spearman-Brown reliability of hospital scores on 51 evaluative questions regarding cancer care. RESULTS: Hospitals varied in respondent sample size with a median hospital sample size of 419 responses (range 31-1972). There were some hospitals with generally highly reliable scores across most questions, whereas other hospitals had generally unreliable scores (the median reliability of question scores within individual hospitals varied between 0.11 and 0.86). Similarly, there were some questions with generally high reliability across most hospitals, whereas other questions had generally low reliability. of the 7377 individual hospital scores publically reported (146 hospitals by 51 questions, minus 69 suppressed scores), only 34% reached a reliability of 0.7, the minimum generally considered to be useful. In order for 80% of the individual hospital scores to reach a reliability of 0.7, some hospitals would require a fourfold increase in number of respondents; although in a few other hospitals sample sizes could be reduced. CONCLUSIONS: the English Patient Experience Survey represents a globally unique source for understanding experience of a patient with cancer; but in its present form, it is not reliable for high stakes comparisons of the performance of different hospitals. Revised sampling strategies and survey questions could help increase the reliability of hospital scores, and thus make the survey fit for use in performance comparisons.
Abstract.
Author URL.
Full text.
Conferences
Abel G, Gomez Cano M, Smart PA, Mustafee N, Fletcher E, Campbell J (2017). Primary Care Workforce: How can we Identify those General Practices at Risk of a Supply-Demand Imbalance?. 46th Annual Scientific Meeting of the Society for Academic Primary Care (SAPC ASM 2017). 12th - 14th Jul 2017.
Publications by year
2020
Gomez-Cano M, Fletcher E, Campbell JL, Elliott M, Burt J, Abel G (2020). Role of practices and Clinical Commissioning Groups in measures of patient experience: analysis of routine data. BMJ Quality & Safety
2019
Pham TM, Gomez-Cano M, Salika T, Jardel D, Abel GA, Lyratzopoulos G (2019). Diagnostic route is associated with care satisfaction independently of tumour stage: Evidence from linked English Cancer Patient Experience Survey and cancer registration data.
Cancer Epidemiology,
61, 70-78.
Abstract:
Diagnostic route is associated with care satisfaction independently of tumour stage: Evidence from linked English Cancer Patient Experience Survey and cancer registration data
© 2019 the Authors Background: Whether diagnostic route (e.g. emergency presentation) is associated with cancer care experience independently of tumour stage is unknown. Methods: We analysed data on 18 590 patients with breast, prostate, colon, lung, and rectal cancers who responded to the 2014 English Cancer Patient Experience Survey, linked to cancer registration data on diagnostic route and tumour stage at diagnosis. We estimated odds ratios (OR) of reporting a negative experience of overall cancer care by tumour stage and diagnostic route (crude and adjusted for patient characteristic and cancer site variables) and examined their interactions with cancer site. Results: After adjustment, the likelihood of reporting a negative experience was highest for emergency presenters and lowest for screening-detected patients with breast, colon, and rectal cancers (OR versus two-week-wait 1.51, 95% confidence interval [CI] 1.24–1.83; 0.88, 95% CI 0.75–1.03, respectively). Patients with the most advanced stage were more likely to report a negative experience (OR stage IV versus I 1.37, 95% CI 1.15–1.62) with little confounding between stage and route, and no evidence for cancer-stage or cancer-route interactions. Conclusions: Though the extent of disease is strongly associated with ratings of overall cancer care, diagnostic route (particularly emergency presentation or screening detection) exerts important independent effects.
Abstract.
Full text.
Pham TM, Abel G, Gomez Cano MC, Lyratzopoulos G (2019). Predictors of postal or online response mode and associations with patient experience and satisfaction in the English Cancer Patient Experience Survey.
Journal of Medical Internet Research Full text.
Abel GA, Gomez-Cano M, Pham TM, Lyratzopoulos G (2019). Reliability of hospital scores for the Cancer Patient Experience Survey: analysis of publicly reported patient survey data.
BMJ Open,
9(7).
Abstract:
Reliability of hospital scores for the Cancer Patient Experience Survey: analysis of publicly reported patient survey data.
OBJECTIVES: to assess the degree to which variations in publicly reported hospital scores arising from the English Cancer Patient Experience Survey (CPES) are subject to chance. DESIGN: Secondary analysis of publically reported data. SETTING: English National Health Service hospitals. PARTICIPANTS: 72 756 patients who were recently treated for cancer in one of 146 hospitals and responded to the 2016 English CPES. MAIN OUTCOME MEASURES: Spearman-Brown reliability of hospital scores on 51 evaluative questions regarding cancer care. RESULTS: Hospitals varied in respondent sample size with a median hospital sample size of 419 responses (range 31-1972). There were some hospitals with generally highly reliable scores across most questions, whereas other hospitals had generally unreliable scores (the median reliability of question scores within individual hospitals varied between 0.11 and 0.86). Similarly, there were some questions with generally high reliability across most hospitals, whereas other questions had generally low reliability. of the 7377 individual hospital scores publically reported (146 hospitals by 51 questions, minus 69 suppressed scores), only 34% reached a reliability of 0.7, the minimum generally considered to be useful. In order for 80% of the individual hospital scores to reach a reliability of 0.7, some hospitals would require a fourfold increase in number of respondents; although in a few other hospitals sample sizes could be reduced. CONCLUSIONS: the English Patient Experience Survey represents a globally unique source for understanding experience of a patient with cancer; but in its present form, it is not reliable for high stakes comparisons of the performance of different hospitals. Revised sampling strategies and survey questions could help increase the reliability of hospital scores, and thus make the survey fit for use in performance comparisons.
Abstract.
Author URL.
Full text.
2017
Abel G, Gomez Cano M, Smart PA, Mustafee N, Fletcher E, Campbell J (2017). Primary Care Workforce: How can we Identify those General Practices at Risk of a Supply-Demand Imbalance?. 46th Annual Scientific Meeting of the Society for Academic Primary Care (SAPC ASM 2017). 12th - 14th Jul 2017.