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The Association between Mortality-to-Incidence Ratios and Health Expenditures in Brain and Nervous System Cancers

Mortality-to-incidence ratios (MIRs) are alternative parameters used to evaluate the prognosis of a disease. In addition, MIRs are associated with the ranking of health care systems and expenditures for certain types of cancer. However, a lack of association between MIRs and pancreatic cancer has be...

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Autores principales: Lee, Tsung-Han, Sung, Wen-Wei, Chan, Lung, Lee, Hsiang-Lin, Chen, Sung-Lang, Huang, Yu-Hui, Kwan, Aij-Lie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6696604/
https://www.ncbi.nlm.nih.gov/pubmed/31370357
http://dx.doi.org/10.3390/ijerph16152739
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author Lee, Tsung-Han
Sung, Wen-Wei
Chan, Lung
Lee, Hsiang-Lin
Chen, Sung-Lang
Huang, Yu-Hui
Kwan, Aij-Lie
author_facet Lee, Tsung-Han
Sung, Wen-Wei
Chan, Lung
Lee, Hsiang-Lin
Chen, Sung-Lang
Huang, Yu-Hui
Kwan, Aij-Lie
author_sort Lee, Tsung-Han
collection PubMed
description Mortality-to-incidence ratios (MIRs) are alternative parameters used to evaluate the prognosis of a disease. In addition, MIRs are associated with the ranking of health care systems and expenditures for certain types of cancer. However, a lack of association between MIRs and pancreatic cancer has been noted. Given the poor prognosis of brain and nervous system cancers, similar to pancreatic cancer, the relation of MIRs and health care disparities is worth investigating. We used the Spearman’s rank correlation coefficient (CC) to analyze the correlation between the MIRs in brain and nervous system cancers and inter-country disparities, including expenditures on health and human development index. Interestingly, the MIRs in brain and nervous system cancers are associated with the human development index score (N = 157, CC = −0.394, p < 0.001), current health expenditure (CHE) per capita (N = 157, CC = −0.438, p < 0.001), and CHE as percentage of gross domestic product (N = 157, CC = −0.245, p = 0.002). In conclusion, the MIRs in the brain and nervous system cancer are significantly associated with health expenditures and human development index. However, their role as an indicator of health disparity warrants further investigation.
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spelling pubmed-66966042019-09-05 The Association between Mortality-to-Incidence Ratios and Health Expenditures in Brain and Nervous System Cancers Lee, Tsung-Han Sung, Wen-Wei Chan, Lung Lee, Hsiang-Lin Chen, Sung-Lang Huang, Yu-Hui Kwan, Aij-Lie Int J Environ Res Public Health Article Mortality-to-incidence ratios (MIRs) are alternative parameters used to evaluate the prognosis of a disease. In addition, MIRs are associated with the ranking of health care systems and expenditures for certain types of cancer. However, a lack of association between MIRs and pancreatic cancer has been noted. Given the poor prognosis of brain and nervous system cancers, similar to pancreatic cancer, the relation of MIRs and health care disparities is worth investigating. We used the Spearman’s rank correlation coefficient (CC) to analyze the correlation between the MIRs in brain and nervous system cancers and inter-country disparities, including expenditures on health and human development index. Interestingly, the MIRs in brain and nervous system cancers are associated with the human development index score (N = 157, CC = −0.394, p < 0.001), current health expenditure (CHE) per capita (N = 157, CC = −0.438, p < 0.001), and CHE as percentage of gross domestic product (N = 157, CC = −0.245, p = 0.002). In conclusion, the MIRs in the brain and nervous system cancer are significantly associated with health expenditures and human development index. However, their role as an indicator of health disparity warrants further investigation. MDPI 2019-07-31 2019-08 /pmc/articles/PMC6696604/ /pubmed/31370357 http://dx.doi.org/10.3390/ijerph16152739 Text en © 2019 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
Lee, Tsung-Han
Sung, Wen-Wei
Chan, Lung
Lee, Hsiang-Lin
Chen, Sung-Lang
Huang, Yu-Hui
Kwan, Aij-Lie
The Association between Mortality-to-Incidence Ratios and Health Expenditures in Brain and Nervous System Cancers
title The Association between Mortality-to-Incidence Ratios and Health Expenditures in Brain and Nervous System Cancers
title_full The Association between Mortality-to-Incidence Ratios and Health Expenditures in Brain and Nervous System Cancers
title_fullStr The Association between Mortality-to-Incidence Ratios and Health Expenditures in Brain and Nervous System Cancers
title_full_unstemmed The Association between Mortality-to-Incidence Ratios and Health Expenditures in Brain and Nervous System Cancers
title_short The Association between Mortality-to-Incidence Ratios and Health Expenditures in Brain and Nervous System Cancers
title_sort association between mortality-to-incidence ratios and health expenditures in brain and nervous system cancers
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6696604/
https://www.ncbi.nlm.nih.gov/pubmed/31370357
http://dx.doi.org/10.3390/ijerph16152739
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