2024-03-28T14:03:03Zhttp://repisalud.isciii.es/oai/requestoai:repisalud.isciii.es:20.500.12105/110292023-10-05T14:48:00Zcom_20.500.12105_15322com_20.500.12105_2051com_20.500.12105_2053com_20.500.12105_2052col_20.500.12105_16959col_20.500.12105_2054
Repisalud
author
Luque-Fernandez, Miguel Angel
author
Redondo-Sánchez, Daniel
author
Rodríguez-Barranco, Miguel
author
Chang-Chan, Yoe-Ling
author
Salamanca-Fernández, Elena
author
Sánchez, María-José
author
Nuñez, Olivier
author
Fernandez-Navarro, Pablo L
author
Pollan-Santamaria, Marina
funder
Instituto de Salud Carlos III
funder
Centro de Investigación Biomedica en Red - CIBER
funder
Regional Government of Andalusia (España)
2020-09-16T09:59:00Z
2020-09-16T09:59:00Z
2020
Clin Epidemiol . 2020 Jul 21;12:797-806.
1179-1349
http://hdl.handle.net/20.500.12105/11029
32801917
10.2147/CLEP.S261355
1179-1349
Clinical epidemiology
Colorectal cancer (CRC) is the most frequently diagnosed cancer in Spain. Socioeconomic inequalities in cancer survival are not documented in Spain. We aim to study the association of socioeconomic inequalities with overall mortality and survival among CRC patients in southern Spain.
We conducted a multilevel population-based cohort study, including CRC cases for the period 2011-2013. The study time-to-event outcome was death, and the primary exposure was CRC patients' socioeconomic status assessed by the Spanish deprivation index at the census tract level. We used a mixed-effects flexible hazard model, including census tract as a random intercept, to derive overall survival estimates by deprivation.
Among 3589 CRC patients and 12,148 person-years at risk (pyr), 964 patients died before the end of the follow-up. Mortality by deprivation showed the highest mortality rate for the most deprived group (96.2 per 1000 pyr, 95% CI: 84.0-110.2). After adjusting for sex, age, cancer stage, and the area of residence, the most deprived had a 60% higher excess mortality risk than the less deprived group (excess mortality risk ratio: 1.6, 95% CI: 1.1-2.3).
We found a consistent association between deprivation and CRC excess mortality and survival. The reasons behind these inequalities need further investigation in order to improve equality cancer outcomes in all social groups.
eng
Socioeconomic Inequalities in Colorectal Cancer Survival in Southern Spain: A Multilevel Population-Based Cohort Study.
journal article
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URL
https://repisalud.isciii.es/bitstream/20.500.12105/11029/1/SocioeconomicInequalitiesInColorectal_2020.pdf
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SocioeconomicInequalitiesInColorectal_2020.pdf
URL
https://repisalud.isciii.es/bitstream/20.500.12105/11029/6/SocioeconomicInequalitiesInColorectal_2020.pdf.txt
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SocioeconomicInequalitiesInColorectal_2020.pdf.txt