Variation and statistical reliability of publicly reported primary care diagnostic activity indicators for cancer: a cross-sectional ecological study of routine data.

Gary Abel, Catherine Saunders, Silvia C Mendonca, Carolynn Gildea, Sean McPhail & Georgios Lyratzopoulos
Objectives: Recent public reporting initiatives in England highlight general practice variation in indicators of diagnostic activity related to cancer. We aimed to quantify the size and sources of variation and the reliability of practice-level estimates of such indicators, to better inform how this information is interpreted and used for quality improvement purposes. Design: Ecological cross-sectional study Setting: English primary care Participants: All general practices in England with at least 1000 patients Main outcome measures: 16...
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