Socioeconomic inequalities in cancer survival in England after the NHS cancer plan

被引：138

作者：

Rachet, B. ^{[1
]}

Ellis, L. ^{[1
]}

Maringe, C. ^{[1
]}

Chu, T. ^{[1
]}

Nur, U. ^{[1
]}

Quaresma, M. ^{[1
]}

Shah, A. ^{[1
]}

Walters, S. ^{[1
]}

Woods, L. ^{[1
]}

Forman, D. ^{[2
,3
,4
]}

Coleman, M. P. ^{[1
]}

机构：

[1] London Sch Hyg & Trop Med, Dept Epidemiol & Populat Hlth, Noncommunicable Dis Epidemiol Unit, Canc Res UK Canc Survival Grp, London WC1E 7HT, England

[2] Natl Canc Intelligence Network, London WC2A 3PX, England

[3] St James Univ Hosp, St Jamess Inst Oncol, Informat Serv, Leeds LS9 7TF, W Yorkshire, England

[4] St James Univ Hosp, No & Yorkshire Canc Registry, Leeds LS9 7TF, W Yorkshire, England

来源：

BRITISH JOURNAL OF CANCER | 2010年 / 103卷 / 04期

关键词：

relative survival; deprivation; socioeconomic inequalities; health policy; WALES; RATES;

D O I：

10.1038/sj.bjc.6605752

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

BACKGROUND: Socioeconomic inequalities in survival were observed for many cancers in England during 1981-1999. The NHS Cancer Plan (2000) aimed to improve survival and reduce these inequalities. This study examines trends in the deprivation gap in cancer survival after implementation of the Plan. MATERIALS AND METHODS: We examined relative survival among adults diagnosed with 1 of 21 common cancers in England during 1996-2006, followed up to 31 December 2007. Three periods were defined: 1996-2000 (before the Cancer Plan), 2001-2003 (initialisation) and 2004-2006 (implementation). We estimated the difference in survival between the most deprived and most affluent groups (deprivation gap) at 1 and 3 years after diagnosis, and the change in the deprivation gap both within and between these periods. RESULTS: Survival improved for most cancers, but inequalities in survival were still wide for many cancers in 2006. Only the deprivation gap in 1-year survival narrowed slightly over time. A majority of the socioeconomic disparities in survival occurred soon after a cancer diagnosis, regardless of the cancer prognosis. CONCLUSION: The recently observed reduction in the deprivation gap was minor and limited to 1-year survival, suggesting that, so far, the Cancer Plan has little effect on those inequalities. Our findings highlight that earlier diagnosis and rapid access to optimal treatment should be ensured for all socioeconomic groups. British Journal of Cancer (2010) 103, 446-453. doi:10.1038/sj.bjc.6605752 www.bjcancer.com Published online 29 June 2010 (C) 2010 Cancer Research UK

引用

页码：446 / 453

页数：8

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