Social inequality and incidence of and survival from cancers of the oesophagus, stomach and pancreas in a population-based study in Denmark, 1994-2003

Social inequality and incidence of and survival from cancers of the oesophagus, stomach and pancreas in a population-based study in Denmark, 1994-2003
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DOI:
10.1016/j.ejca.2008.06.013
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发表时间:
2008-09-01
影响因子:
8.4
通讯作者:
Winther, Jeanette Falck
Winther, Jeanette Falck
中科院分区:
医学1区
文献类型:
--
作者:
Baastrup, Rikke;Sorensen, Mette;Winther, Jeanette Falck

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我们调查了社会经济、人口统计学和健康相关指标对1994-2003年间诊断出的食道癌、胃癌和胰腺癌的发病率和生存率的影响,并随访至2006年,使用的是丹麦全国登记的信息。该分析基于1925年至1973年间出生的年龄为30岁的322万人中2075名食道癌患者、2673名胃癌患者和3657名胰腺癌患者的数据。总的来说,我们发现这三种胃肠道癌症的发病率随着社会优势的增加而降低;这在食管癌中最为明显,在胰腺癌中最少。社会经济地位对这些癌症患者存活率的影响尚不清楚,可能是因为这些癌症的相对存活率较低,而且这三种癌症在丹麦都相对罕见。(C) 2008 Elsevier Ltd版权所有。
We investigated the effect: of socioeconomic, demographic and health-related indicators on the incidence of and survival from cancers of the oesophagus, stomach and pancreas diagnosed during 1994-2003 with follow-up through 2006 in Denmark using information from nationwide registers. The analyses were based on data on 2075 patients with cancer of the oesophagus, 2673 with stomach cancer and 3657 with pancreatic cancer in a cohort of 3.22 million persons born between 1925 and 1973 and aged >= 30 years. Overall, we found decreasing incidence rates of all three gastrointestinal cancers with increasing social advantage; this was most pronounced for oesophageal cancer and least for pancreatic cancer. The effect of socioeconomic position on survival after these cancers was less clear, perhaps due to the poor relative Survival from these cancers and the fact that all three cancers are relatively rare in Denmark. (C) 2008 Elsevier Ltd. All rights reserved.