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The geography of survival after surgery for colo-rectal cancer in southern England

Author

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  • Kim, Yo-Eun
  • Gatrell, Anthony C.
  • Francis, Brian J.

Abstract

This study investigates variations in survival following surgery for colo-rectal cancer in the Wessex region (part of southern England), using 5147 cases diagnosed between 1 September 1991 and 31 August 1995. Survival curve estimation by life tables and Cox's proportional hazards model were used to examine geographical variation in cancer survival, with a specific focus on distance between place of residence and treatment centre, and district of treatment. We also consider whether area deprivation has an impact on survival. In seeking to answer these questions we control for possible confounders, including: age, gender, site of tumour, stage of disease at operation, hospital size and surgery type (whether elective or non-elective). District of treatment, distance and deprivation all show a relationship to outcome using survival curves, but when adjusting for other covariates using the Cox model, and considering deaths from all causes, only district of treatment was a very significant covariate (p

Suggested Citation

  • Kim, Yo-Eun & Gatrell, Anthony C. & Francis, Brian J., 2000. "The geography of survival after surgery for colo-rectal cancer in southern England," Social Science & Medicine, Elsevier, vol. 50(7-8), pages 1099-1107, April.
    • Handle: RePEc:eee:socmed:v:50:y:2000:i:7-8:p:1099-1107
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    Cited by:

    1. Haynes, Robin & Pearce, Jamie & Barnett, Ross, 2008. "Cancer survival in New Zealand: Ethnic, social and geographical inequalities," Social Science & Medicine, Elsevier, vol. 67(6), pages 928-937, September.
    2. Mohan, Gretta & Nolan, Anne & Lyons, Seán, 2019. "An investigation of the effect of accessibility to General Practitioner services on healthcare utilisation among older people," Social Science & Medicine, Elsevier, vol. 220(C), pages 254-263.

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