AIM: To examine possible associations between socioeconomic position and surgical treatment of patients with early-stage non-small-cell lung cancer (NSCLC). METHODS: In a register-based clinical cohort study, patients with early-stage (stages I-IIIa) NSCLC were identified in the Danish Lung Cancer Register 2001-2008 (date of diagnosis, histology, stage, and treatment), the Central Population Register (vital status), the Integrated Database for Labour Market Research (socioeconomic position), and the Danish Hospital Discharge Register (comorbidity). Logistic regression analyses were performed overall and separately for stages I, II and IIIa. RESULTS: Of the 5538 eligible patients with stages I-IIIa NSCLC diagnosed 2001-2008, 53% underwent surgery. Higher stage, older age, being female and diagnosis early in the study period were associated with higher odds for not receiving surgery. Low disposable income was associated with greater odds for no surgery in stage I and stage II patients as was living alone for stage I patients. Comorbidity, a short diagnostic interval and small diagnostic volume were all associated with higher odds for not undergoing surgery; but these factors did not appear to explain the association with income or living alone for early-stage NSCLC patients. CONCLUSION: Early-stage NSCLC patients with low income or who live alone are less likely to undergo surgery than those with a high income or who live with a partner, even after control for possible explanatory factors. Thus, even in a health care system with free, equal access to health services, disadvantaged groups are less likely to receive surgery for lung cancer.
AIM: To examine possible associations between socioeconomic position and surgical treatment of patients with early-stage non-small-cell lung cancer (NSCLC). METHODS: In a register-based clinical cohort study, patients with early-stage (stages I-IIIa) NSCLC were identified in the Danish Lung Cancer Register 2001-2008 (date of diagnosis, histology, stage, and treatment), the Central Population Register (vital status), the Integrated Database for Labour Market Research (socioeconomic position), and the Danish Hospital Discharge Register (comorbidity). Logistic regression analyses were performed overall and separately for stages I, II and IIIa. RESULTS: Of the 5538 eligible patients with stages I-IIIa NSCLC diagnosed 2001-2008, 53% underwent surgery. Higher stage, older age, being female and diagnosis early in the study period were associated with higher odds for not receiving surgery. Low disposable income was associated with greater odds for no surgery in stage I and stage II patients as was living alone for stage I patients. Comorbidity, a short diagnostic interval and small diagnostic volume were all associated with higher odds for not undergoing surgery; but these factors did not appear to explain the association with income or living alone for early-stage NSCLCpatients. CONCLUSION: Early-stage NSCLCpatients with low income or who live alone are less likely to undergo surgery than those with a high income or who live with a partner, even after control for possible explanatory factors. Thus, even in a health care system with free, equal access to health services, disadvantaged groups are less likely to receive surgery for lung cancer.
Authors: Y Tajima; H Nakayama; T Itonaga; S Shiraishi; M Okubo; R Mikami; S Sugahara; K Tokuuye Journal: Br J Radiol Date: 2015-05-21 Impact factor: 3.039
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Authors: Sarah Walters; Sara Benitez-Majano; Patrick Muller; Michel P Coleman; Claudia Allemani; John Butler; Mick Peake; Marianne Grønlie Guren; Bengt Glimelius; Stefan Bergström; Lars Påhlman; Bernard Rachet Journal: Br J Cancer Date: 2015-08-04 Impact factor: 7.640
Authors: Anna Rich; David Baldwin; Inmaculada Alfageme; Paul Beckett; Thierry Berghmans; Stephen Brincat; Otto Burghuber; Alexandru Corlateanu; Tanja Cufer; Ronald Damhuis; Edvardas Danila; Joanna Domagala-Kulawik; Stefano Elia; Mina Gaga; Tuncay Goksel; Bogdan Grigoriu; Gunnar Hillerdal; Rudolf Maria Huber; Erik Jakobsen; Steinn Jonsson; Dragana Jovanovic; Elena Kavcova; Assia Konsoulova; Tanel Laisaar; Riitta Makitaro; Bakir Mehic; Robert Milroy; Judit Moldvay; Ross Morgan; Milda Nanushi; Marianne Paesmans; Paul Martin Putora; Miroslav Samarzija; Arnaud Scherpereel; Marc Schlesser; Jean-Paul Sculier; Jana Skrickova; Renato Sotto-Mayor; Trond-Eirik Strand; Paul Van Schil; Torsten-Gerriet Blum Journal: BMC Cancer Date: 2018-11-20 Impact factor: 4.430