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Unfavorable Mortality-To-Incidence Ratio of Lung Cancer Is Associated with Health Care Disparity

The mortality-to-incidence ratio (MIR) is associated with the clinical outcome of cancer treatment. For several cancers, countries with relatively good health care systems have favorable MIRs. However, the association between lung cancer MIR and health care expenditures or rankings has not been eval...

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Autores principales: Huang, Cheng-Yu, Au, Kwong-Kwok, Chen, Sung-Lang, Wang, Shao-Chuan, Liao, Chi-Yu, Hsu, Hui-Hsiang, Sung, Wen-Wei, Wang, Yao-Chen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6313465/
https://www.ncbi.nlm.nih.gov/pubmed/30562951
http://dx.doi.org/10.3390/ijerph15122889
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author Huang, Cheng-Yu
Au, Kwong-Kwok
Chen, Sung-Lang
Wang, Shao-Chuan
Liao, Chi-Yu
Hsu, Hui-Hsiang
Sung, Wen-Wei
Wang, Yao-Chen
author_facet Huang, Cheng-Yu
Au, Kwong-Kwok
Chen, Sung-Lang
Wang, Shao-Chuan
Liao, Chi-Yu
Hsu, Hui-Hsiang
Sung, Wen-Wei
Wang, Yao-Chen
author_sort Huang, Cheng-Yu
collection PubMed
description The mortality-to-incidence ratio (MIR) is associated with the clinical outcome of cancer treatment. For several cancers, countries with relatively good health care systems have favorable MIRs. However, the association between lung cancer MIR and health care expenditures or rankings has not been evaluated. We used linear regression to analyze the correlation between lung cancer MIRs and the total expenditures on health/gross domestic product (e/GDP) and the World Health Organization (WHO) rankings. We included 57 countries, for which data of adequate quality were available, and we found high rates of incidence and mortality but low MIRs in more developed regions. Among the continents, North America had the highest rates of incidence and mortality, whereas the highest MIRs were in Africa, Asia, Latin America, and the Caribbean. Globally, favorable MIRs correlated with high e/GDP and good WHO ranking (regression coefficient, −0.014 and 0.001; p = 0.004, and p = 0.014, respectively). In conclusion, the MIR for lung cancer in different countries varies with the expenditure on health care and health system rankings.
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spelling pubmed-63134652019-06-17 Unfavorable Mortality-To-Incidence Ratio of Lung Cancer Is Associated with Health Care Disparity Huang, Cheng-Yu Au, Kwong-Kwok Chen, Sung-Lang Wang, Shao-Chuan Liao, Chi-Yu Hsu, Hui-Hsiang Sung, Wen-Wei Wang, Yao-Chen Int J Environ Res Public Health Article The mortality-to-incidence ratio (MIR) is associated with the clinical outcome of cancer treatment. For several cancers, countries with relatively good health care systems have favorable MIRs. However, the association between lung cancer MIR and health care expenditures or rankings has not been evaluated. We used linear regression to analyze the correlation between lung cancer MIRs and the total expenditures on health/gross domestic product (e/GDP) and the World Health Organization (WHO) rankings. We included 57 countries, for which data of adequate quality were available, and we found high rates of incidence and mortality but low MIRs in more developed regions. Among the continents, North America had the highest rates of incidence and mortality, whereas the highest MIRs were in Africa, Asia, Latin America, and the Caribbean. Globally, favorable MIRs correlated with high e/GDP and good WHO ranking (regression coefficient, −0.014 and 0.001; p = 0.004, and p = 0.014, respectively). In conclusion, the MIR for lung cancer in different countries varies with the expenditure on health care and health system rankings. MDPI 2018-12-17 2018-12 /pmc/articles/PMC6313465/ /pubmed/30562951 http://dx.doi.org/10.3390/ijerph15122889 Text en © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Huang, Cheng-Yu
Au, Kwong-Kwok
Chen, Sung-Lang
Wang, Shao-Chuan
Liao, Chi-Yu
Hsu, Hui-Hsiang
Sung, Wen-Wei
Wang, Yao-Chen
Unfavorable Mortality-To-Incidence Ratio of Lung Cancer Is Associated with Health Care Disparity
title Unfavorable Mortality-To-Incidence Ratio of Lung Cancer Is Associated with Health Care Disparity
title_full Unfavorable Mortality-To-Incidence Ratio of Lung Cancer Is Associated with Health Care Disparity
title_fullStr Unfavorable Mortality-To-Incidence Ratio of Lung Cancer Is Associated with Health Care Disparity
title_full_unstemmed Unfavorable Mortality-To-Incidence Ratio of Lung Cancer Is Associated with Health Care Disparity
title_short Unfavorable Mortality-To-Incidence Ratio of Lung Cancer Is Associated with Health Care Disparity
title_sort unfavorable mortality-to-incidence ratio of lung cancer is associated with health care disparity
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6313465/
https://www.ncbi.nlm.nih.gov/pubmed/30562951
http://dx.doi.org/10.3390/ijerph15122889
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