Socioeconomic position and survival after lung cancer: Influence of stage, treatment and comorbidity among Danish patients with lung cancer diagnosed in 2004-2010

Acta Oncologica
Susanne Oksbjerg DaltonChristoffer Johansen

Abstract

To address social inequality in survival after lung cancer, it is important to consider how socioeconomic position (SEP) influences prognosis. We investigated whether SEP influenced receipt of first-line treatment and whether socioeconomic differences in survival could be explained by differences in stage, treatment and comorbidity. In the Danish Lung Cancer Register, we identified 13 045 patients with lung cancer diagnosed in 2004-2010, with information on stage, histology, performance status and first-line treatment. We obtained age, gender, vital status, comorbid conditions and socioeconomic information (education, income and cohabitation status) from nationwide population-based registers. Associations between SEP and receipt of first-line treatment were analysed in multivariate logistic regression models and those with overall mortality in Cox regression models with stepwise inclusion of possible mediators. For both low- and high-stage lung cancer, adjusted ORs for first-line treatment were reduced in patients with short education and low income, although the OR for education did not reach statistical significance in men with high-stage disease. Patients with high-stage disease who lived alone were less likely to receive fi...Continue Reading

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Citations

Apr 25, 2015·Acta Oncologica·Christoffer Johansen, Susanne Oksbjerg Dalton
Oct 1, 2015·International Journal of Cancer. Journal International Du Cancer·Yngvar NilssenBjørn Møller
Apr 14, 2016·Acta Oncologica·Giedre SmailyteVladimir M Shkolnikov
May 25, 2016·Surgical Neurology International·Rebecca A KaslLola B Chambless
Feb 12, 2019·Acta Oncologica·Susanne Oksbjerg DaltonKaae Klaus Andersen
Jun 28, 2017·Scandinavian Journal of Public Health·Jon Ivar Elstad
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Dec 4, 2016·Journal of Epidemiology and Community Health·Audrey Alforque ThomasLinda Sharp
Dec 5, 2020·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Søren BirkelandSøren Bie Bogh
Jan 12, 2021·European Clinical Respiratory Journal·Anja GouliaevAnders Løkke
Mar 2, 2021·Acta Oncologica·Christoffer Johansen, Susanne O Dalton
Apr 28, 2019·Lung Cancer : Journal of the International Association for the Study of Lung Cancer·Linda WillénMats Lambe
May 1, 2021·Cancer Control : Journal of the Moffitt Cancer Center·Nina AfsharRoger L Milne

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