Cancers, Vol. 13, Pages 5156: Socioeconomic Environment and Survival in Patients with Digestive Cancers: A French Population-Based Study

Cancers, Vol. 13, Pages 5156: Socioeconomic Environment and Survival in Patients with Digestive Cancers: A French Population-Based Study Cancers doi: 10.3390/cancers13205156 Authors: Laure Tron Mathieu Fauvernier Anne-Marie Bouvier Michel Robaszkiewicz Véronique Bouvier Mélanie Cariou Valérie Jooste Olivier Dejardin Laurent Remontet Arnaud Alves FRANCIM FRANCIM group Florence Molinié Guy Launoy Social inequalities are an important prognostic factor in cancer survival, but little is known regarding digestive cancers specifically. We aimed to provide in-depth analysis of the contextual social disparities in net survival of patients with digestive cancer in France, using population-based data and relevant modeling. Digestive cancers (n = 54,507) diagnosed between 2006–2009, collected through the French network of cancer registries, were included (end of follow-up 06/30/2013). Social environment was assessed by the European Deprivation Index. Multidimensional penalized splines were used to model excess mortality hazard. We found that net survival was significantly worse for individuals living in a more deprived environment as compared to those living in a less deprived one for esophageal, liver, pancreatic, colon and rectal cancers, and for stomach and bile duct cancers among females. Excess mortality hazard was up to 57% higher among females living in the most deprived areas (vs. least deprived) at 1 year of follow-up for bile duct cancer, a...
Source: Cancers - Category: Cancer & Oncology Authors: Tags: Article Source Type: research