J Eval Clin Pract. 2006 Oct;12(5):573-82.
http://tinyurl.com/lvv7t
Explaining inequalities in access to treatment in lung cancer.
* Jack RH,
* Gulliford MC,
* Ferguson J,
* Moller H.
Research Assistant, King's College London, Department of Public
Health Services, London, UK.
Background Geographical inequalities in lung cancer treatment and
patient survival have been described. We hypothesized that lung cancer
patients' access to treatment may be influenced by deprivation and the
pathway to care.
Methods Case notes were reviewed for patients resident in south-east
London who were registered with lung cancer at the Thames Cancer
Registry in 1998. Use of surgery, chemotherapy, radiotherapy or any
specific treatment and one-year survival were examined. Analyses were
adjusted for age, sex, histology, stage and basis of diagnosis.
Results Data for 695 out of 958 (73%) patients were analysed. Subjects
who were initially referred to a specialist in thoracic medicine,
surgery or oncology were more likely to receive active treatment (71%)
than subjects who were referred to other consultants (51%) or who were
admitted as emergencies (42%) (P < 0.0001).
Conclusion Socio-economic deprivation was associated with lower rates of
treatment and this partly explained variations in survival. Subjects who
were referred to specialists were more likely to receive active
treatment and treatment patterns varied between first trust attended.
PMID: 16987120 [PubMed - in process]
-------------------
Problems/Questions? Send it to Listserv owner: [log in to unmask]
To unsubscribe, send the following message in the text section -- NOT the subject header -- to [log in to unmask]
SIGNOFF SDOH
DO NOT SEND IT BY HITTING THE REPLY BUTTON. THIS SENDS THE MESSAGE TO THE ENTIRE LISTSERV AND STILL DOES NOT REMOVE YOU.
To subscribe to the SDOH list, send the following message to [log in to unmask] in the text section, NOT in the subject header.
SUBSCRIBE SDOH yourfirstname yourlastname
To post a message to all 1000+ subscribers, send it to [log in to unmask]
Include in the Subject, its content, and location and date, if relevant.
For a list of SDOH members, send a request to [log in to unmask]
To receive messages only once a day, send the following message to [log in to unmask]
SET SDOH DIGEST
To view the SDOH archives, go to: https://listserv.yorku.ca/archives/sdoh.html
|