التفاصيل البيبلوغرافية
| العنوان: |
The Impact of Health Inequities on Population-Based Breast Cancer Survival in a Colombian Population, 2008-2015 |
| المؤلفون: |
Arias-Ortiz, Nelson, Rodríguez-Betancourt, Juan David, Toro-Toro, Jhon Eder, Navarro-Lechuga, Édgar, Jurado-Fajardo, Daniel Marcelo, Cárdenas-Garzón, Karen, Sánchez-Vásquez, Gloria Inés |
| المساهمون: |
Universidad de Antioquia, Universidad del Norte, Universidad de Nariño, Ministerio de Ciencia, Tecnología e Innovación de Colombia, Fundación Cardiovascular de Colombia, Centre International de Recherche sur le Cancer, Queen Mary University of London, Universidad de Caldas, Colombian Ministry of Science, Technology and Innovation |
| المصدر: |
Cancer Control ; volume 31 ; ISSN 1073-2748 1526-2359 |
| بيانات النشر: |
SAGE Publications |
| سنة النشر: |
2024 |
| مصطلحات موضوعية: |
Oncology, Hematology, General Medicine |
| الوصف: |
Objective To obtain breast cancer survival estimates in Manizales, Colombia, considering socioeconomic level, health insurance regime and residential area, while adjusting for age, histology and stage at diagnosis. Methods Analytical cohort study based on breast cancer incident cases recorded by the Population-based Manizales Cancer Registry between 2008-2015. Patients were followed-up for 60 months. Cause-specific survival was calculated using the Kaplan-Meier method for variables of interest, with the Wilcoxon-Breslow-Gehan test for differences. Cox multivariate regression models were fitted. Results 856 breast cancer cases were included. The 5-year cause-specific survival for the entire cohort was 78.2%. It was higher in women with special/exception health insurance, high socioeconomic level, <50 years old, ductal carcinoma, and stages I and II. Residential area did not impact survival. In Cox models, the subsidized health insurance regime (HR: 4.87 vs contributory) and low socioeconomic level (HR: 2.45 vs high) were predictors of the hazard of death in women with breast cancer, adjusted for age, histology, stage and interactions age-stage and insurance-stage. A positive interaction (synergistic effect modification) between health insurance regime and stage regarding to survival was observed. Conclusion Socioeconomic factors significantly contribute to the inequities in breast cancer survival, independent of the stage at diagnosis. This suggests the need for comprehensive interventions to remove barriers to accessing the health system. This research provides evidence of survival gaps mediated by certain social determinants of health and generates data on the overall performance of the Colombian health system. |
| نوع الوثيقة: |
article in journal/newspaper |
| اللغة: |
English |
| DOI: |
10.1177/10732748241244928 |
| الإتاحة: |
https://doi.org/10.1177/10732748241244928Test |
| حقوق: |
https://creativecommons.org/licenses/by-nc/4.0Test/ |
| رقم الانضمام: |
edsbas.AEA39D22 |
| قاعدة البيانات: |
BASE |
