Socioeconomic differences and lung cancer survival in Germany: investigation based on population-based clinical cancer registration
Objectives - Studies from several countries reported socioeconomic inequalities in lung cancer survival. Hypothesized reasons are differences in cancer care or tumor characteristics. We investigated associations of small-area deprivation and lung cancer survival in Germany and the possible impact of...
Gespeichert in:
| Hauptverfasser: | , , , , , , , |
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| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
4 February 2020
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| In: |
Lung cancer
Year: 2020, Jahrgang: 142, Pages: 1-8 |
| ISSN: | 1872-8332 |
| DOI: | 10.1016/j.lungcan.2020.01.021 |
| Online-Zugang: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.lungcan.2020.01.021 Verlag, lizenzpflichtig, Volltext: http://www.sciencedirect.com/science/article/pii/S0169500220302841 
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| Verfasserangaben: | Isabelle Finke, Gundula Behrens, Lars Schwettmann, Michael Gerken, Ron Pritzkuleit, Bernd Holleczek, Hermann Brenner, Lina Jansen, for the German Cancer Survival Working Group |
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| 245 | 1 | 0 | |a Socioeconomic differences and lung cancer survival in Germany |b investigation based on population-based clinical cancer registration |c Isabelle Finke, Gundula Behrens, Lars Schwettmann, Michael Gerken, Ron Pritzkuleit, Bernd Holleczek, Hermann Brenner, Lina Jansen, for the German Cancer Survival Working Group |
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| 520 | |a Objectives - Studies from several countries reported socioeconomic inequalities in lung cancer survival. Hypothesized reasons are differences in cancer care or tumor characteristics. We investigated associations of small-area deprivation and lung cancer survival in Germany and the possible impact of differences in patient, tumor or treatment factors. - Materials and Methods - Patients registered with a primary tumor of the lung between 2000-2015 in three German population-based clinical cancer registries were included. Area-based socioeconomic deprivation on municipality level was measured with the categorized German Index of Multiple Deprivation. Association of deprivation with overall survival was investigated with Cox regression models. - Results - Overall, 22,905 patients were included. Five-year overall survival from the least to the most deprived quintile were 17.2%, 15.9%, 16.7%, 15.7%, and 14.4%. After adjustment for patient and tumor factors, the most deprived group had a lower survival compared to the least deprived group (Hazard Ratio (HR) 1.06, 95% confidence interval (CI) 1.01-1.11). Subgroup analyses revealed lower survival in the most deprived compared to the least deprived quintile in patients with stage I-III [HR: 1.14, 95% CI: 1.06-1.22]. The association persisted when restricting to patients receiving surgery but was attenuated for subgroups receiving either chemotherapy or radiotherapy. - Conclusion - Our results indicate differences in lung cancer survival according to area deprivation in Germany, which were more pronounced in patients with I-III stage cancer. Future research should address in more detail the underlying reasons for the observed inequalities and possible approaches to overcome them. | ||
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| 650 | 4 | |a Lung cancer | |
| 650 | 4 | |a Stage at diagnosis | |
| 650 | 4 | |a Survival | |
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