A multilevel study of the determinants of area-level inequalities in colorectal cancer survival.

BMC Cancer
Peter D BaadeJoanne F Aitken

Abstract

In Australia, associations between geographic remoteness, socioeconomic disadvantage, and colorectal cancer (CRC) survival show that survival rates are lowest among residents of geographically remote regions and those living in disadvantaged areas. At present we know very little about the reasons for these inequalities, hence our capacity to intervene to reduce the inequalities is limited. This study, the first of its type in Australia, examines the association between CRC survival and key area- and individual-level factors. Specifically, we will use a multilevel framework to investigate the possible determinants of area- and individual-level inequalities in CRC survival and quantify the relative contribution of geographic remoteness, socioeconomic and demographic factors, disease stage, and access to diagnostic and treatment services, to these inequalities. The multilevel analysis will be based on survival data relating to people diagnosed with CRC in Queensland between 1996 and 2005 (n = 22,723) from the Queensland Cancer Registry (QCR), area-level data from other data custodians such as the Australian Bureau of Statistics, and individual-level data from the QCR (including extracting stage from pathology records) and Queensla...Continue Reading

References

Jan 1, 1995·International Journal of Technology Assessment in Health Care
Jun 1, 1995·The Australian and New Zealand Journal of Surgery·J E Payne, H J Meyer
May 30, 1993·Statistics in Medicine·R F Drewett, H Goldstein
Jul 29, 1999·Medical Care·G S CooperA A Rimm
Apr 12, 2001·Australian and New Zealand Journal of Public Health·G Johnston, D Wilkinson
Sep 1, 2001·Australian and New Zealand Journal of Public Health·K McCracken
Jun 20, 2002·Journal of the National Cancer Institute·Gopal K SinghBenjamin F Hankey
Apr 3, 2003·European Journal of Endocrinology·Roger Abs
May 17, 2003·Cancer Causes & Control : CCC·J R CondonJ Cunningham
Jun 13, 2003·International Journal of Nursing Practice·Kristine Martin-McDonaldSusanne Pearce
Mar 17, 2004·The Australian Journal of Rural Health·David Wilkinson, Kate Cameron
Apr 20, 2004·Cancer Causes & Control : CCC·P D BaadeJ F Aitken
Jun 18, 2004·The Medical Journal of Australia·Katharine E JongBruce K Armstrong
Jan 18, 2005·The Medical Journal of Australia·Katharine E JongBruce K Armstrong
Mar 31, 2005·British Journal of Cancer·L M WoodsM P Coleman
Aug 18, 2005·Population Health Metrics·Timothy ThrelfallLin Fritschi
Sep 7, 2005·Annals of Oncology : Official Journal of the European Society for Medical Oncology·L M WoodsM P Coleman
Sep 30, 2005·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Anneke T SchroenCraig L Slingluff
Oct 19, 2005·European Journal of Cancer : Official Journal for European Organization for Research and Treatment of Cancer (EORTC) [and] European Association for Cancer Research (EACR)·Xue Q YuBruce K Armstrong
Mar 22, 2006·International Journal of Cancer. Journal International Du Cancer·Xue Q YuBruce K Armstrong
Aug 17, 2006·Clinical Oncology : a Journal of the Royal College of Radiologists·A J MunroP J Boyle
Nov 16, 2006·Journal of the National Cancer Institute·James J DignamNorman Wolmark
Mar 21, 2007·The Medical Journal of Australia·Brigid M LynchJoanne F Aitken
Aug 21, 2007·JAMA : the Journal of the American Medical Association·Jeffrey A MeyerhardtCharles S Fuchs
Aug 29, 2007·International Journal of Cancer. Journal International Du Cancer·Xue Q YuBruce K Armstrong
Oct 3, 2007·Annals of Surgical Oncology·Bridie ThompsonLin Fritschi
Oct 30, 2007·Journal of the American College of Surgeons·Ian Paquette, Samuel R G Finlayson
Apr 9, 2008·Journal of Clinical Epidemiology·Brigid M LynchJoanne F Aitken
Sep 11, 2008·Australian and New Zealand Journal of Public Health·Lauren J KrnjackiJoanne F Aitken
Nov 26, 2009·The Australian Journal of Rural Health·Craig UnderhillPaul Grogan

❮ Previous
Next ❯

Citations

Apr 23, 2015·Liver International : Official Journal of the International Association for the Study of the Liver·Paul J ClarkPeter D Baade
Jan 23, 2013·ANZ Journal of Surgery·Matthias W WichmannGuy Maddern
Feb 18, 2012·Journal of Medical Screening·Jean-François Viel, Raouchan Rymzhanova
Jun 12, 2020·International Journal of Environmental Research and Public Health·Nagesh ShuklaAbdullah M Alamri
Jun 29, 2011·Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology·Danny R YouldenJoanne F Aitken

❮ Previous
Next ❯

Software Mentioned

MapInfo
Mlwin
MapInfo Professional
MapInfo MapMaker
Optimum Design

Related Concepts

Related Feeds

Cancer Disparities

Cancer disparities refers to differences in cancer outcomes (e.g., number of cancer cases, related health complications) across population groups.