Spatial inequalities in colorectal and breast cancer survival : premature deaths and associated factors

Cramb, Susanna, Mengersen, Kerrie, Turrell, Gavin, & Baade, Peter (2012) Spatial inequalities in colorectal and breast cancer survival : premature deaths and associated factors. Health and Place, 18(6), pp. 1412-1421.

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This study examines the influence of cancer stage, distance to treatment facilities and area disadvantage on breast and colorectal cancer spatial survival inequalities. We also estimate the number of premature deaths after adjusting for cancer stage to quantify the impact of spatial survival inequalities. Population-based descriptive study of residents aged <90 years in Queensland, Australia diagnosed with primary invasive breast (25,202 females) or colorectal (14,690 males, 11,700 females) cancers during 1996-2007. Bayesian hierarchical models explored relative survival inequalities across 478 regions. Cancer stage and disadvantage explained the spatial inequalities in breast cancer survival, however spatial inequalities in colorectal cancer survival persisted after adjustment. Of the 6,019 colorectal cancer deaths within 5 years of diagnosis, 470 (8%) were associated with spatial inequalities in non-diagnostic factors, i.e. factors beyond cancer stage at diagnosis. For breast cancers, of 2,412 deaths, 170 (7%) were related to spatial inequalities in non-diagnostic factors. Quantifying premature deaths can increase incentive for action to reduce these spatial inequalities.

Impact and interest:

12 citations in Scopus
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15 citations in Web of Science®

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ID Code: 53277
Item Type: Journal Article
Refereed: Yes
Keywords: Cancer, Premature Deaths, Relative Survival, Spatial, Bayesian
DOI: 10.1016/j.healthplace.2012.07.006
ISSN: 1353-8292
Subjects: Australian and New Zealand Standard Research Classification > MATHEMATICAL SCIENCES (010000) > STATISTICS (010400)
Australian and New Zealand Standard Research Classification > MATHEMATICAL SCIENCES (010000) > STATISTICS (010400) > Applied Statistics (010401)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Mathematical Sciences
Current > QUT Faculties and Divisions > Science & Engineering Faculty
Current > Schools > School of Public Health & Social Work
Copyright Owner: Copyright 2012 Elsevier Ltd.
Copyright Statement: This is the author’s version of a work that was accepted for publication in Health and Place. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Health and Place, [VOL 18, ISSUE 6, (2012)] DOI: 10.1016/j.healthplace.2012.07.006
Deposited On: 23 Aug 2012 21:57
Last Modified: 05 Dec 2015 19:29

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