Differences in cancer survival by area-level socio-economic disadvantage: A population-based study using cancer registry data

Autor: Tony Blakely, Graham G. Giles, Dallas R. English, Helen Farrugia, Roger L. Milne, Vicky Thursfield, Nina Afshar
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Oncology
Central Nervous System
Melanomas
Male
Colorectal cancer
Cancer Treatment
Social Sciences
Nervous System
Prostate cancer
0302 clinical medicine
Sociology
Neoplasms
Medicine and Health Sciences
030212 general & internal medicine
Registries
Young adult
Age of Onset
Aged
80 and over
Sex Characteristics
Multidisciplinary
Absolute risk reduction
Middle Aged
Research Design
030220 oncology & carcinogenesis
Medicine
Female
Anatomy
Cancer Screening
Research Article
Adult
medicine.medical_specialty
Adolescent
Victoria
Death Rates
Science
Socially Disadvantaged People
03 medical and health sciences
Young Adult
Breast cancer
Age Distribution
Population Metrics
Diagnostic Medicine
Internal medicine
medicine
Cancer Detection and Diagnosis
Humans
Social Stratification
Aged
Population Biology
business.industry
Head and neck cancer
Cancer
Biology and Life Sciences
Cancers and Neoplasms
medicine.disease
Cancer registry
Head and Neck Cancers
Socioeconomic Factors
business
Zdroj: PLoS ONE
PLoS ONE, Vol 15, Iss 1, p e0228551 (2020)
ISSN: 1932-6203
Popis: Despite overall improvements in cancer survival due to earlier diagnosis and better treatment, socio-economically disadvantaged people have lower cancer survival than more advantaged people. We aimed to examine differences in cancer survival by area-level socio-economic disadvantage in Victoria, Australia and assess whether these inequalities varied by year of diagnosis, age at diagnosis, time since diagnosis and sex. Cases diagnosed with a first primary cancer in 2001-2015 were identified using the Victorian Cancer Registry and followed to the end of 2016. Five-year net survival and the excess risk of death due to a cancer diagnosis were estimated. People living in more disadvantaged areas had lower five-year survival than residents of less disadvantaged regions for 21 of 29 cancer types: head and neck, oesophagus, stomach, colorectum, anus/anal canal, liver, gallbladder/biliary tract, pancreas, lung, melanoma, connective/soft tissue, female breast, ovary, prostate, kidney, bladder, brain and central nervous system, unknown primary, non-Hodgkin lymphoma, multiple myeloma and leukemia. The observed lower survival in more deprived regions persisted over time, except head and neck cancer, for which the gap in survival has widened. Socio-economic inequalities in survival decreased with increasing age at diagnosis for cancers of connective/soft tissue, bladder and unknown primary. For colorectal cancer, the observed survival disadvantage in lower socio-economic regions was greater for men than for women, while for brain and central nervous system tumours, it was larger for women. Cancer survival is generally lower for residents of more socio-economically disadvantaged areas. Identifying the underlying reasons for these inequalities is important and may help to identify effective interventions to increase survival for underprivileged cancer patients.
Databáze: OpenAIRE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje