The association between sociodemographic factors and time to diagnosis for colorectal cancer in northern Sweden
OBJECTIVES: This study examined whether sociodemographic factors, including distance to hospital, were associated with differences in the diagnostic interval and the treatment interval for colorectal cancer in northern Sweden. METHODS: Data were retrieved from the Swedish cancer register on patients...
Published in: | European Journal of Cancer Care |
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2022
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Online Access: | http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9787547/ http://www.ncbi.nlm.nih.gov/pubmed/35970596 https://doi.org/10.1111/ecc.13687 |
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ftpubmed:oai:pubmedcentral.nih.gov:9787547 2023-05-15T17:44:19+02:00 The association between sociodemographic factors and time to diagnosis for colorectal cancer in northern Sweden Hultstrand, Cecilia Hörnsten, Carl Lilja, Mikael Coe, Anna‐Britt Fjällström, Petter Hajdarevic, Senada 2022-08-15 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9787547/ http://www.ncbi.nlm.nih.gov/pubmed/35970596 https://doi.org/10.1111/ecc.13687 en eng John Wiley and Sons Inc. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9787547/ http://www.ncbi.nlm.nih.gov/pubmed/35970596 http://dx.doi.org/10.1111/ecc.13687 © 2022 The Authors. European Journal of Cancer Care published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. CC-BY-NC-ND Eur J Cancer Care (Engl) Original Articles Text 2022 ftpubmed https://doi.org/10.1111/ecc.13687 2023-01-01T01:34:09Z OBJECTIVES: This study examined whether sociodemographic factors, including distance to hospital, were associated with differences in the diagnostic interval and the treatment interval for colorectal cancer in northern Sweden. METHODS: Data were retrieved from the Swedish cancer register on patients (n = 446) diagnosed in three northern regions during 2017–2018, then linked to data from Statistics Sweden and medical records. Also, Google maps was used to map the distance between patients' place of residence and nearest hospital. The different time intervals were analysed using Mann–Whitney U‐test and Cox regression. RESULTS: Differences in time to diagnosis were found between groups for income and distance to hospital, favouring those with higher income and shorter distance. The unadjusted regression analysis showed higher income to be associated with more rapid diagnosis (HR 1.004, CI 1.001–1.007). This association remained in the fully adjusted model for income (HR 1.004, CI 1.000–1.008), but not for distance. No differences between sociodemographic groups were found in the treatment interval. CONCLUSION: Higher income and shorter distance to hospital were in the unadjusted models associated with shorter time to diagnosis for patients with CRC in northern Sweden. The association remained for income when adjusting for other variables even though the difference was small. Text Northern Sweden PubMed Central (PMC) European Journal of Cancer Care 31 6 |
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Original Articles |
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Original Articles Hultstrand, Cecilia Hörnsten, Carl Lilja, Mikael Coe, Anna‐Britt Fjällström, Petter Hajdarevic, Senada The association between sociodemographic factors and time to diagnosis for colorectal cancer in northern Sweden |
topic_facet |
Original Articles |
description |
OBJECTIVES: This study examined whether sociodemographic factors, including distance to hospital, were associated with differences in the diagnostic interval and the treatment interval for colorectal cancer in northern Sweden. METHODS: Data were retrieved from the Swedish cancer register on patients (n = 446) diagnosed in three northern regions during 2017–2018, then linked to data from Statistics Sweden and medical records. Also, Google maps was used to map the distance between patients' place of residence and nearest hospital. The different time intervals were analysed using Mann–Whitney U‐test and Cox regression. RESULTS: Differences in time to diagnosis were found between groups for income and distance to hospital, favouring those with higher income and shorter distance. The unadjusted regression analysis showed higher income to be associated with more rapid diagnosis (HR 1.004, CI 1.001–1.007). This association remained in the fully adjusted model for income (HR 1.004, CI 1.000–1.008), but not for distance. No differences between sociodemographic groups were found in the treatment interval. CONCLUSION: Higher income and shorter distance to hospital were in the unadjusted models associated with shorter time to diagnosis for patients with CRC in northern Sweden. The association remained for income when adjusting for other variables even though the difference was small. |
format |
Text |
author |
Hultstrand, Cecilia Hörnsten, Carl Lilja, Mikael Coe, Anna‐Britt Fjällström, Petter Hajdarevic, Senada |
author_facet |
Hultstrand, Cecilia Hörnsten, Carl Lilja, Mikael Coe, Anna‐Britt Fjällström, Petter Hajdarevic, Senada |
author_sort |
Hultstrand, Cecilia |
title |
The association between sociodemographic factors and time to diagnosis for colorectal cancer in northern Sweden |
title_short |
The association between sociodemographic factors and time to diagnosis for colorectal cancer in northern Sweden |
title_full |
The association between sociodemographic factors and time to diagnosis for colorectal cancer in northern Sweden |
title_fullStr |
The association between sociodemographic factors and time to diagnosis for colorectal cancer in northern Sweden |
title_full_unstemmed |
The association between sociodemographic factors and time to diagnosis for colorectal cancer in northern Sweden |
title_sort |
association between sociodemographic factors and time to diagnosis for colorectal cancer in northern sweden |
publisher |
John Wiley and Sons Inc. |
publishDate |
2022 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9787547/ http://www.ncbi.nlm.nih.gov/pubmed/35970596 https://doi.org/10.1111/ecc.13687 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_source |
Eur J Cancer Care (Engl) |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9787547/ http://www.ncbi.nlm.nih.gov/pubmed/35970596 http://dx.doi.org/10.1111/ecc.13687 |
op_rights |
© 2022 The Authors. European Journal of Cancer Care published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
op_rightsnorm |
CC-BY-NC-ND |
op_doi |
https://doi.org/10.1111/ecc.13687 |
container_title |
European Journal of Cancer Care |
container_volume |
31 |
container_issue |
6 |
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1766146527069208576 |