Social inequalities in stage at diagnosis of rectal but not in colonic cancer: a nationwide study
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Social inequalities in stage at diagnosis of rectal but not in colonic cancer: a nationwide study. / Frederiksen, B L; Osler, M; Harling, Henrik; Colorectal Cancer Group, Danish; Jørgensen, Torben.
I: British Journal of Cancer, Bind 98, Nr. 3, 2008, s. 668-73.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Social inequalities in stage at diagnosis of rectal but not in colonic cancer: a nationwide study
AU - Frederiksen, B L
AU - Osler, M
AU - Harling, Henrik
AU - Colorectal Cancer Group, Danish
AU - Jørgensen, Torben
N1 - Keywords: Adult; Aged; Aged, 80 and over; Colonic Neoplasms; Denmark; Female; Humans; Male; Middle Aged; Neoplasm Metastasis; Neoplasm Staging; Rectal Neoplasms; Risk; Social Class
PY - 2008
Y1 - 2008
N2 - We investigated stage at diagnosis in relation to socioeconomic status (SES) among 15 274 patients with colorectal adenocarcinoma diagnosed in 1996-2004 nationwide in Denmark. The effect of SES on the risk of being diagnosed with distant metastasis was analysed using logistic regression models. A reduction in the risk of being diagnosed with distant metastasis was seen in elderly rectal cancer patients with high income, living in owner-occupied housing and living with a partner. Among younger rectal cancer patients, a reduced risk was seen in those having long education. No social gradient was found among colon cancer patients. The social gradient found in rectal cancer patients was significantly different from the lack of association found among colon cancer patients. There are socioeconomic inequalities in the risk of being diagnosed with distant metastasis of a rectal, but not a colonic, cancer. The different risk profile of these two cancers may reflect differences in symptomatology.
AB - We investigated stage at diagnosis in relation to socioeconomic status (SES) among 15 274 patients with colorectal adenocarcinoma diagnosed in 1996-2004 nationwide in Denmark. The effect of SES on the risk of being diagnosed with distant metastasis was analysed using logistic regression models. A reduction in the risk of being diagnosed with distant metastasis was seen in elderly rectal cancer patients with high income, living in owner-occupied housing and living with a partner. Among younger rectal cancer patients, a reduced risk was seen in those having long education. No social gradient was found among colon cancer patients. The social gradient found in rectal cancer patients was significantly different from the lack of association found among colon cancer patients. There are socioeconomic inequalities in the risk of being diagnosed with distant metastasis of a rectal, but not a colonic, cancer. The different risk profile of these two cancers may reflect differences in symptomatology.
U2 - 10.1038/sj.bjc.6604215
DO - 10.1038/sj.bjc.6604215
M3 - Journal article
C2 - 18231103
VL - 98
SP - 668
EP - 673
JO - The British journal of cancer. Supplement
JF - The British journal of cancer. Supplement
SN - 0007-0920
IS - 3
ER -
ID: 9908869