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Titolo:
REGIONAL VARIATION IN SURVIVAL FOLLOWING THE DIAGNOSIS OF CANCER
Autore:
FARROW DC; SAMET JM; HUNT WC;
Indirizzi:
JOHNS HOPKINS UNIV,SCH HYG & PUBL HLTH,DEPT EPIDEMIOL,615 WOLFE ST,SUITE 6039 BALTIMORE MD 21205 JOHNS HOPKINS UNIV,SCH HYG & PUBL HLTH,DEPT EPIDEMIOL BALTIMORE MD 21205 JOHNS HOPKINS UNIV,SCH HYG & PUBL HLTH BALTIMORE MD 00000 UNIV NEW MEXICO,MED CTR,CTR CANC,DEPT MED ALBUQUERQUE NM 00000 UNIV NEW MEXICO,MED CTR,CTR CANC,NEW MEXICO TUMOR REGISTRY ALBUQUERQUE NM 00000
Titolo Testata:
Journal of clinical epidemiology
fascicolo: 8, volume: 49, anno: 1996,
pagine: 843 - 847
SICI:
0895-4356(1996)49:8<843:RVISFT>2.0.ZU;2-V
Fonte:
ISI
Lingua:
ENG
Soggetto:
SMALL-AREA VARIATIONS; HEALTH-CARE SERVICES; BREAST-CANCER; COLON CANCER; NEW-HAVEN; MORTALITY; FINLAND; BOSTON;
Keywords:
NEOPLASMS; SURVIVAL RATES; EPIDEMIOLOGY; HEALTH SERVICES ACCESSIBILITY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
26
Recensione:
Indirizzi per estratti:
Citazione:
D.C. Farrow et al., "REGIONAL VARIATION IN SURVIVAL FOLLOWING THE DIAGNOSIS OF CANCER", Journal of clinical epidemiology, 49(8), 1996, pp. 843-847

Abstract

Recent studies have documented substantial geographical variation in patterns of treatment of cancer and other diseases. Because cancer treatment is not uniform nationwide, survival following the diagnosis of cancer might also be expected to vary geographically. Survival data from the nine population-based registries in the National Cancer Institute's Surveillance, Epidemiology, and End Results (SEER) Program were analyzed for cancers of the stomach, colon, rectum, lung, breast, uterus, ovary, prostate, and bladder (n = 401,861). The patients included all non Hispanic white patients diagnosed with cancer of one of the selected sites during 1983-1991. Regional variation in crude five-year survival rates across the nine SEER areas was most marked for cancers ofthe uterus and prostate. For uterine cancer, for example, five-year survival ranged from 73.2% in Connecticut to 84.0% in Hawaii. Less marked variation was observed for cancers of the colon, rectum, and breast. For cancers of the bladder, ovary, stomach, and lung, survival ratesfive years after diagnosis were relatively invariant across the SEER areas. Observed differences in survival rates, although statistically significant, were relatively modest from the standpoint of the practicing physician. Nonetheless, the general pattern of regional variation was unchanged after adjustment for sex, age, stage, and surgical treatment and when analysis was limited to patients younger than 70 years, who would be anticipated to have the least comorbidity.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/12/20 alle ore 17:56:20