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Impact of deprivation and rural residence on treatment of colorectal and lung cancer
For common cancers, survival is poorer for deprived and outlying, rural patients. This study investigated whether there were differences in treatment of colorectal and lung cancer in these groups. Case notes of 1314 patients in north and northeast Scotland who were diagnosed with lung or colorectal...
Autores principales: | , , , , , |
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Formato: | Texto |
Lenguaje: | English |
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Nature Publishing Group
2002
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2364239/ https://www.ncbi.nlm.nih.gov/pubmed/12237766 http://dx.doi.org/10.1038/sj.bjc.6600515 |
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author | Campbell, N C Elliott, A M Sharp, L Ritchie, L D Cassidy, J Little, J |
author_facet | Campbell, N C Elliott, A M Sharp, L Ritchie, L D Cassidy, J Little, J |
author_sort | Campbell, N C |
collection | PubMed |
description | For common cancers, survival is poorer for deprived and outlying, rural patients. This study investigated whether there were differences in treatment of colorectal and lung cancer in these groups. Case notes of 1314 patients in north and northeast Scotland who were diagnosed with lung or colorectal cancer in 1995 or 1996 were reviewed. On univariate analysis, the proportions of patients receiving surgery, chemotherapy and radiotherapy appeared similar in all socio-economic and rural categories. Adjusting for disease stage, age and other factors, there was less chemotherapy among deprived patients with lung cancer (odds ratio 0.39; 95% confidence intervals 0.16 to 0.96) and less radiotherapy among outlying patients with colorectal cancer (0.39; 0.19 to 0.82). The time between first referral and treatment also appeared similar in all socio-economic and rural groups. Adjusting for disease stage and other variables, times to lung cancer treatment remained similar, but colorectal cancer treatment was quicker for outlying patients (adjusted hazard ratio 1.30; 95% confidence intervals 1.03 to 1.64). These findings suggest that socio-economic status and rurality may have a minor impact on modalities of treatment for colorectal and lung cancer, but do not lead to delays between referral and treatment. British Journal of Cancer (2002) 21, 585–590. doi:10.1038/sj.bjc.6600515 www.bjcancer.com © 2002 Cancer Research UK |
format | Text |
id | pubmed-2364239 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2002 |
publisher | Nature Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-23642392009-09-10 Impact of deprivation and rural residence on treatment of colorectal and lung cancer Campbell, N C Elliott, A M Sharp, L Ritchie, L D Cassidy, J Little, J Br J Cancer Clinical For common cancers, survival is poorer for deprived and outlying, rural patients. This study investigated whether there were differences in treatment of colorectal and lung cancer in these groups. Case notes of 1314 patients in north and northeast Scotland who were diagnosed with lung or colorectal cancer in 1995 or 1996 were reviewed. On univariate analysis, the proportions of patients receiving surgery, chemotherapy and radiotherapy appeared similar in all socio-economic and rural categories. Adjusting for disease stage, age and other factors, there was less chemotherapy among deprived patients with lung cancer (odds ratio 0.39; 95% confidence intervals 0.16 to 0.96) and less radiotherapy among outlying patients with colorectal cancer (0.39; 0.19 to 0.82). The time between first referral and treatment also appeared similar in all socio-economic and rural groups. Adjusting for disease stage and other variables, times to lung cancer treatment remained similar, but colorectal cancer treatment was quicker for outlying patients (adjusted hazard ratio 1.30; 95% confidence intervals 1.03 to 1.64). These findings suggest that socio-economic status and rurality may have a minor impact on modalities of treatment for colorectal and lung cancer, but do not lead to delays between referral and treatment. British Journal of Cancer (2002) 21, 585–590. doi:10.1038/sj.bjc.6600515 www.bjcancer.com © 2002 Cancer Research UK Nature Publishing Group 2002-09-09 /pmc/articles/PMC2364239/ /pubmed/12237766 http://dx.doi.org/10.1038/sj.bjc.6600515 Text en Copyright © 2002 Cancer Research UK https://creativecommons.org/licenses/by/4.0/This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material.If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit https://creativecommons.org/licenses/by/4.0/. |
spellingShingle | Clinical Campbell, N C Elliott, A M Sharp, L Ritchie, L D Cassidy, J Little, J Impact of deprivation and rural residence on treatment of colorectal and lung cancer |
title | Impact of deprivation and rural residence on treatment of colorectal and lung cancer |
title_full | Impact of deprivation and rural residence on treatment of colorectal and lung cancer |
title_fullStr | Impact of deprivation and rural residence on treatment of colorectal and lung cancer |
title_full_unstemmed | Impact of deprivation and rural residence on treatment of colorectal and lung cancer |
title_short | Impact of deprivation and rural residence on treatment of colorectal and lung cancer |
title_sort | impact of deprivation and rural residence on treatment of colorectal and lung cancer |
topic | Clinical |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2364239/ https://www.ncbi.nlm.nih.gov/pubmed/12237766 http://dx.doi.org/10.1038/sj.bjc.6600515 |
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