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Brenner, H.H.* ; Mielck, A. ; Klein, R.F.* ; Ziegler, H.D.*

The role of socioeconomic factors in the survival of patients with colorectal cancer in Saarland/Germany.

J. Clin. Epidemiol. 44, 807-815 (1991)
DOI
Open Access Green as soon as Postprint is submitted to ZB.
The role of socioeconomic factors in the survival of patients with colorectal cancer was assessed using data from the cancer registry of Saarland/Germany, and census information. Among 2627 patients with colorectal cancer diagnosed from 1974 to 1983, patients from communities in the lowest of three categories defined by socioeconomic factors showed significantly lower survival rates than patients from other communities. After adjustment for potential biological and other sociogeographic risk factors in multivariate analyses, relative hazard of death associated with low socio-economic status (SES) compared with high SES was estimated to be 1.22 (95% CI: 1.01 - 1.47) for colon cancer and 1.32 (95% CI: 1.09 - 1.60) for rectum cancer. The results are in agreement with earlier studies from North America, Hawaii and Sweden and indicate that an attempt to improve health care services and acceptance and possibly other relevant general living conditions in socioeconomically less privileged communities may be a rewarding approach towards increasing survival of patients with colorectal cancer.
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Publication type Article: Journal article
Document type Scientific Article
Keywords Colorectal ; Germany ; Neoplasms ; Registries ; Socioeconomic Factors ; Survival
ISSN (print) / ISBN 0895-4356
e-ISSN 0895-4356
Quellenangaben Volume: 44, Issue: 8, Pages: 807-815 Article Number: , Supplement: ,
Publisher Elsevier
Reviewing status Peer reviewed