Social and geographical factors affecting access to treatment of colorectal cancer: a cancer registry study
Social and geographical factors affecting access to treatment of colorectal cancer: a cancer registry study
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DOI：
10.1136/bmjopen-2011-000410
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发表时间：
2012-01-01
期刊：
影响因子：
2.9
通讯作者：
Jones, Andrew P.
中科院分区：
文献类型：
--
作者：
Crawford, S. Michael;Sauerzapf, Violet;Jones, Andrew P.
目的：各国之间和各国内部的癌症结局各不相同，已知贫困背景的患者生存率较低。作者着手探讨剥夺的影响，在提供诊断和治疗服务的医院的可及性阶段，在介绍和接收treatment.Design：分析癌症登记数据库。数据包括前6个月的分期和治疗详情。居住地的社会经济状况和从家到医院的旅行时间来自邮政编码。设置：以英格兰北部大面积居民为基础的患者研究。参与者：1994年至2002年诊断的39619例结直肠癌患者。结果：最贫困的四分位数患者更有可能在第4期被诊断为直肠癌（OR 1.516，p < 0.05），而在第4期被诊断为直肠癌（OR 1.516，p < 0.05），在第4期被诊断为直肠癌（OR 1.516，p < 0.05）。
Objective: Cancer outcomes vary between and within countries with patients from deprived backgrounds known to have inferior survival. The authors set out to explore the effect of deprivation in relation to the accessibility of hospitals offering diagnostic and therapeutic services on stage at presentation and receipt of treatment.Design: Analysis of a Cancer Registry Database. Data included stage and treatment details from the first 6 months. The socioeconomic status of the immediate area of residence and the travel time from home to hospital was derived from the postcode.Setting: Population-based study of patients resident in a large area in the north of England.Participants: 39 619 patients with colorectal cancer diagnosed between 1994 and 2002.Outcomes measured: Stage of diagnosis and receipt of treatment in relation to deprivation and distance from hospital.Results: Patients in the most deprived quartile were significantly more likely to be diagnosed at stage 4 for rectal cancer (OR 1.516, p