Influence of socio-economic deprivation on outcomes for patients diagnosed with gastric cancer

Stephens, Michael; Blackshaw, Guy; Lewis, Wyn G.; Edwards, Paul A.W.; Barry, Jonathon D; Hopper, N.; Allison, M. E. M.

doi:10.1080/00365520510023666

Cited by 22 publications

(14 citation statements)

References 21 publications

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“…For stomach cancer social gradients were reported for both indicators, but no interpretable differences in case fatalities emerged. This finding is not in accordance with other European studies where excess mortalities were reported for lower socioeconomic groups [47], although group differences were sometimes small [48]. Incidences and case fatalities of stomach cancer were declining over the past decades [49].…”

Section: Discussionmentioning

confidence: 41%

Social inequalities in the incidence and case fatality of cancers of the lung, the stomach, the bowels, and the breast

Geyer

2008

Cancer Causes Control

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Section: Discussionmentioning

confidence: 41%

Social inequalities in the incidence and case fatality of cancers of the lung, the stomach, the bowels, and the breast

Geyer

2008

Cancer Causes Control

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“…Further prospective studies are, therefore, needed not only to evaluate this aspect but would undoubtedly contribute to reaching a more accurate evaluation of symptoms and their impact on prognosis. Symptoms may vary from the onset to the diagnosis and referral of symptoms may depend on social and cultural factors [71] . A supportive study, in this direction carried out by Meineche-Schmidt and Jørgensen [17] in a primary care setting revealed that the majority of patients in whom upper gastro-intestinal cancer developed did not have alarm symptoms at their initial primary care consultation.…”

Section: Duration Of Symptoms and Outcome Of Gastric Cancermentioning

confidence: 99%

Role of symptoms in diagnosis and outcome of gastric cancer

Maconi¹,

Manes²,

Porro³

2008

WJG

191

105

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Gastric cancer is one of the most common cancers and the second most common cause of cancer deaths w o r l d w i d e . A p a r t f r o m J a p a n , w h e r e s c r e e n i n g programmes have resulted in early diagnosis in asymptomatic patients, in most countries the diagnosis of gastric cancers is invariably made on account on dyspeptic and alarm symptoms, which may also be of prognostic significance when reported by the patient at diagnosis. However, their use as selection criteria for endoscopy seems to be inconsistent since alarm symptoms are not sufficiently sensitive to detect malignancies. In fact, the overall prevalence of these symptoms in dyspeptic patients is high, while the prevalence of gastro-intestinal cancer is very low. Moreover, symptoms of early stage cancer may be indistinguishable from those of benign dyspepsia, while the presence of alarm symptoms may imply an advanced and often inoperable disease. The features of dyspeptic and alarm symptoms may reflect the pathology of the tumour and be of prognostic value in suggesting site, stage and aggressiveness of cancer. Alarm symptoms in gastric cancer are independently related to survival and an increased number, as well as specific alarm symptoms, are closely correlated to the risk of death. Dysphagia, weight loss and a palpable abdominal mass appear to be major independent prognostic factors in gastric cancer, while gastro-intestinal bleeding, vomiting and also duration of symptoms, do not seem to have a relevant prognostic impact on survival in gastric cancer.

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“…Esta situación, en otras regiones del mundo, también se ha evidenciado. Un estudio del Reino Unido de 2005 evalúo la deprivación socioeconómica (mediante el Index of Multiple Deprivation -IMD-) frente a los resultados de pacientes con cáncer de estómago, identificando en las poblaciones menos favorecidas que la supervivencia a 5 años era del 32%, frente al 66% de los más favorecidos y la mortalidad operatoria era tres veces mayor [18]. Adicionalmente, es reconocido a nivel mundial que la tasa de letalidad es más baja en países con más altos niveles de desarrollo humano [19].…”

Section: Discussionunclassified

Desigualdades en mortalidad relacionadas con características socioeconómicas en el departamento del Huila, Colombia 2009-2013

Arce

Patiño

Rivas

2017

Rev. Fac. Nac. Salud Pública

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Desigualdades en mortalidad relacionadas con características socioeconómicas en el departamento del Huila, Colombia, 2009 Inequalities in mortality related to socioeconomic characteristics in the department of Huila, Colombia 2009 Desigualdades na mortalidade relacionadas a características socioeconômicas no departamento de Huila, Colômbia 2009 AbstractObjective: to determine the inequalities in mortality due to specific causes related to socioeconomic characteristics in the municipalities of the Huila department, Colombia between 2009 and 2013. Methodology: an ecological study comparing mortality rates due to acute respiratory infection, stomach cancer, hypertensive and cerebrovascular disease, traffic accidents, homicide, diabetes and childhood mortality based on socioeconomic status according to the following socioeconomic variables: secondary education coverage, unsatisfied basic needs, rurality, economic sufficiency, municipality's added value and water quality index. The study included the 37 municipalities of the Huila department. Age-adjusted rates were calculated using the direct method and the inequalities were measured by comparing against the described variables using rank, regression and disproportionality based measures. The Epidat 4.0 software was used for this purpose. Results: child mortality and mortality due to gastric cancer and hypertensive disease showed constant inequality regarding the assessed socioeconomic variables in the less favored municipalities. As for mortality due to acute respiratory infections and homicides, higher rates were observed in municipalities with better socioeconomic conditions. Conclusions: there is great variability in the socioeconomic conditions of the municipalities and the mortality rates due to the assessed events. The authors observed an acceptable correlation between the different measures of inequality used in the study. ---------

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Influence of socio-economic deprivation on outcomes for patients diagnosed with gastric cancer

Abstract: Socio-economic deprivation was associated with younger age at diagnosis, longer diagnostic delay, greater operative mortality and a shorter duration of survival following R0 gastrectomy. These poorer outcomes were not explained by the stage of disease at diagnosis.

Cited by 22 publications

References 21 publications

Social inequalities in the incidence and case fatality of cancers of the lung, the stomach, the bowels, and the breast

Social inequalities in the incidence and case fatality of cancers of the lung, the stomach, the bowels, and the breast

Role of symptoms in diagnosis and outcome of gastric cancer

Desigualdades en mortalidad relacionadas con características socioeconómicas en el departamento del Huila, Colombia 2009-2013

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