Mortality-to-incidence ratios by US Congressional District: Implications for epidemiologic, dissemination and implementation research, and public health policy

Eberth, Jan M.; Zahnd, Whitney E.; Adams, Swann Arp; Friedman, Daniela B.; Wheeler, Stephanie B.; Hébert, James R.

doi:10.1016/j.ypmed.2019.105849

Cited by 27 publications

(20 citation statements)

References 52 publications

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“…The findings showed the incidence numbers in Africa (13,324), Asia (220,810), Europe (57,737), Latin America and the Caribbean (18,525), North America (25,354), and Oceania (4163). The findings also showed the number of deaths in Africa (9066), Asia (124,900), Europe (21,834), Latin America and the Caribbean (7050), North America (4424), and Oceania (895). Among all the selected regions, Asia was shown to have the highest numbers of cases and deaths, while Oceania had the lowest numbers of cases and deaths.…”

Section: Epidemiology Of Lip and Oral Cancer According To The Regionsmentioning

confidence: 86%

“…The mortality-to-incidence ratio (MIR) is calculated by crude mortality rates over crude incidence rates, which determines whether a country has a higher or lower mortality rate [ 20 ] and reveals the overall mortality rate after diagnosis of the disease [ 21 ]. Sunkara and Hébert’s study [ 22 ] suggested that the MIR could be a useful indicator for identifying regional disparities in cancer screening and treatment.…”

Section: Introductionmentioning

confidence: 99%

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Favorable Lip and Oral Cancer Mortality-to-Incidence Ratios in Countries with High Human Development Index and Expenditures on Health

Sung

Hsu

Chen

et al. 2021

IJERPH

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Background: The incidence rates of lip and oral cancer have continued to increase, and prognosis is associated with a country’s socioeconomic status. The mortality-to-incidence ratio (MIR) is a reasonable indicator of disparities in cancer screening and treatment. In this study, we aimed to understand the association between economic status and cancer prognosis. Methods: Data were obtained from the Global Cancer Observatory (GLOBOCAN) and the World Health Organization (WHO). The MIRs were compared to evaluate the correlation with the human development index (HDI), the current health expenditure (CHE), and the ratio of CHE over gross domestic product (CHE/GDP) disparities via Spearman’s rank correlation coefficient. Results: The results showed that Asia had the most cases and deaths. In addition, they showed a significant association (p < 0.001, p = 0.005, and p < 0.001, respectively) of the crude rate (CR) of incidence with the HDI, the CHE, and the CHE/GDP. However, their associations with mortality rate (p = 0.303, p = 0.997, and p = 0.101) were not significant. Regarding the correlation of the MIRs, the results revealed a significant association with the HDI, the CHE, and the CHE/GDP (p < 0.001, p < 0.001, and p < 0.001, respectively). Conclusion: Countries with higher HDI, CHE per capita, and CHE/GDP tend to have lower MIRs, which indicates favorable clinical outcomes.

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Section: Epidemiology Of Lip and Oral Cancer According To The Regionsmentioning

confidence: 86%

Section: Introductionmentioning

confidence: 99%

Favorable Lip and Oral Cancer Mortality-to-Incidence Ratios in Countries with High Human Development Index and Expenditures on Health

Sung

Hsu

Chen

et al. 2021

IJERPH

View full text Add to dashboard Cite

show abstract

“…But in 2019–2023, the 5-year RS in the rural area reached 55.1%, which was higher than that of urban area (52.3%). The rural area is an independent risk factor for decreased survival in lung cancer, especially for non-small cell lung cancer, which is related to the lower Medicaid expansion ( 28 ), less CT screening ( 29 ) and less advanced treatment ( 30 ). Meanwhile, the rural population has higher rates of smoking compared with the urban population ( 26 ).…”

Section: Discussionmentioning

confidence: 99%

Using Population-Based Cancer Registration Data and Period Analysis to Accurately Assess and Predict 5-Year Relative Survival for Lung Cancer Patients in Eastern China

Zhang

Cheng

et al. 2021

Front. Oncol.

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BackgroundThe assessment of long-term survival of lung cancer patients based on data from population-based caner registries, using period analysis, was scarce in China. We aimed to accurately assess the long-term survival of lung cancer patients, and to predict the long-term survival in the future, using cancer registry data from Taizhou City, eastern China.MethodsFour cancer registries with high-quality data were selected. Patients diagnosed with lung cancer during 2004–2018 were included. The long-term survival was evaluated using period analysis, with further stratification by sex, age at diagnosis and region. Additionally, projected 5-year relative survival (RS) of lung cancer patients for 2019-2023 was evaluated, using model-based period analysis.ResultsThe 5-year RS of lung cancer patients diagnosed during 2014–2018 was 40.2% (31.5% for men and 56.2% for women). A moderate age gradient was observed for the period estimate, with the estimate decreasing from 50.5 to 26.5% in the age group of 15–44 years and ≥75 years, respectively. The 5-year RS of urban area was higher than that of rural area (52.3% vs. 38.9%). The overall projected 5-year RS of lung cancer patients was 52.7% for 2019–2023, with estimate of 43.0 and 73.2% for men and women, respectively. A moderate age gradient was also observed for the projected estimate. Moreover, estimate reached nearly 50% for rural and urban areas.ConclusionPeriod analysis tended to provide the up-to-date and precise survival estimates for lung cancer patients, which is worth further application, and provides important evidence for prevention and intervention of lung cancer.

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“…The mortality-to-incidence ratio (MIR), which is calculated by normalizing crude mortality rates to its incidence, which determines whether a country has a higher mortality or a lower mortality [18], reveals the overall mortality rate after diagnosis of the disease [19]. Previous studies, such as a study by Sunkara & Hébert [20], suggested that the MIR could be a useful indicator to identify the regional disparities in cancer screening and treatment.…”

Section: Introductionmentioning

confidence: 99%

Favorable Lip and Oral Cancer Mortality-To-Incidence Ratios in Countries With High Human Development Index and Expenditures On Health

Sung

Hsu

Chen

et al. 2021

Preprint

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Background: The incidence rate of lip and oral cancer is increasing in recent years, the prognosis of which is associated with a country’s socioeconomic status. The mortality-to-incidence ratio (MIR) is a reasonable indicator of disparities in cancer screening and treatment. We aim to understand the association between economic status and cancer prognosis.Methods: Data were obtained from the Global Cancer Observatory (GLOBOCAN) and the World Health Organization (WHO). The MIR was applied to evaluate the correlation to healthcare expenditures and the human development index (HDI) disparities via Spearman's rank correlation coefficient.Results: The results showed that Asia has the most cases and deaths. The association of the HDI, current health expenditure (CHE), and ratio of CHE to the percentage of gross domestic product (CHE/GDP) to the crude rate (CR) of incidence show significant results (p<0.001, p=0.005, and p<0.001, respectively). However, their association with the mortality rate (p=0.303, p=0.997, and p=0.101) is not significant. In the correlation of the MIRs, the results revealed a significant association with the HDI, CHE, and CHE/GDP with the MIR (p<0.001, p<0.001, and p<0.001, respectively).Conclusion: Countries with a higher HDI, more CHE per capita, and higher CHE/GDP tend to have a lower MIR, which indicates a favorable clinical outcome.

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Mortality-to-incidence ratios by US Congressional District: Implications for epidemiologic, dissemination and implementation research, and public health policy

Cited by 27 publications

References 52 publications

Favorable Lip and Oral Cancer Mortality-to-Incidence Ratios in Countries with High Human Development Index and Expenditures on Health

Favorable Lip and Oral Cancer Mortality-to-Incidence Ratios in Countries with High Human Development Index and Expenditures on Health

Using Population-Based Cancer Registration Data and Period Analysis to Accurately Assess and Predict 5-Year Relative Survival for Lung Cancer Patients in Eastern China

Favorable Lip and Oral Cancer Mortality-To-Incidence Ratios in Countries With High Human Development Index and Expenditures On Health

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