Table 6

HR of death for all patients with cancer according to their care experience with cancer clinical nurse specialists (CNS)

Experience typeAdjustmentsModel 1Model 2Model 3Sensitivity analysis*
Age and sexAge, sex and stageAll covariablesAll covariables
Colorectal cancerExperience levelHR95% CIHR95% CIHR95% CIHR95% CI
CNS nameNot given1.781.68 to 1.881.601.51 to 1.691.401.32 to 1.841.371.05 to 1.62
Contact CNSExcellent1.001.001.001.00
Non-excellent1.221.16 to 1.281.121.07 to 1.191.131.07 to 1.181.071.00 to 1.16
CNS listeningExcellent1.001.001.001.00
Non-excellent1.311.21 to 1.411.241.15 to 1.341.211.14 to 1.311.191.06 to 1.33
Understand CNSExcellent1.001.001.001.00
Non-excellent1.301.21 to 1.411.241.15 to 1.331.221.12 to 1.301.181.05 to 1.32
Lung cancer
CNS nameNot given0.790.74 to 0.860.910.84 to 0.980.920.84 to 0.990.870.79 to 0.95
Contact CNSExcellent1.001.001.001.00
Non-excellent1.091.04 to 1.141.040.99 to 1.091.051.00 to 1.101.000.95 to 1.07
CNS listeningExcellent1.001.001.001.00
Non-excellent0.980.91 to 1.061.030.96 to 1.111.040.97 to 1.121.010.92 to 1.10
Understand CNSExcellent1.001.001.001.00
Non-excellent1.040.98 to 1.121.040.98 to 1.121.040.97 to 1.120.980.89 to 1.06
Breast cancer
CNS nameNot given1.941.82 to 2.081.721.61 to 1.841.341.25 to 1.441.050.85 to 1.09
Contact CNSExcellent1.001.001.001.00
Non-excellent1.061.01 to 1.111.020.97 to 1.071.030.98 to 1.080.960.85 to 1.09
CNS listeningExcellent1.001.001.001.00
Non-excellent1.191.11 to 1.281.121.10 to 1.271.151.07 to 1.231.150.97 to 1.37
Understand CNSExcellent1.001.001.001.00
Non-excellent1.361.26 to 1.461.251.16 to 1.341.231.14 to 1.311.060.87 to 1.28
Prostate cancer
CNS nameNot given1.581.48 to 1.691.421.33 to 1.511.090.99 to 1.131.090.88 to 1.24
Contact CNSExcellent1.001.001.001.00
Non-excellent1.010.94 to 1.071.020.95 to 1.091.050.95 to 1.070.990.87 to 1.28
CNS listeningExcellent1.001.001.001.00
Non-excellent1.211.09 to 1.321.140.04 to 1.251.111.00 to 1.201.030.86 to 1.25
Understand CNSExcellent1.001.001.001.00
Non-excellent1.351.23 to 1.491.301.13 to 1.421.261.15 to 1.391.231.01 to 1.49
  • Model 1: excellent experience as a reference and adjusting sex (for patients with lung and colorectal cancer) and age; model 2: excellent experience as a reference and adjusting sex, age and stage; model 3: excellent experience as a reference and adjusting sex, age, ethnicity, areas, deprivation, route to diagnosis (unknown as a category), stage at diagnosis (unknown as a category) and time since diagnosis in days.

  • *Sensitivity analysis: same as model 3 but eliminating patients with the worst outcomes based on the least 25% quartile of survival time (in days).