Emergency presentation and socioeconomic status in colon cancer

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Gunnarsson, H (author)

Emergency presentation and socioeconomic status in colon cancer

Article/chapterEnglish2013

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Elsevier BV,2013
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LIBRIS-ID:oai:DiVA.org:uu-203192
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-203192URI
https://doi.org/10.1016/j.ejso.2013.04.004DOI
http://kipublications.ki.se/Default.aspx?queryparsed=id:127113472URI

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Language:English
Summary in:English

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BACKGROUND:Emergency presentation affects up to every fourth patient with colon cancer, and is associated with worse outcomes. The aim of this study was to investigate any association between socioeconomic status (SES) and mode of presentation in colon cancer.MATERIALS AND METHODS:Individually attained data on civil status, education and income were linked to quality registries for colon cancer in two large Swedish regions 1997-2006 (n = 12 293) and analyzed by logistic regression, adjusting for age, sex, stage, region and socioeconomic variables.RESULTS:The frequency of emergency presentation was 23%; 27.8% among patients above the age of 80, and 20.0% among patients aged 70-79 (p < 0.001). There was no difference between men and women (22.6% vs. 23.8%; p = 0.1). Among patients with stage IV colon cancer, 34.6% presented as emergencies. Odds ratio for an emergency presentation in unmarried patients was 1.24 (96% CI 1.04-1.48), and for unmarried patients above the age of 80, OR was 1.45 (95% CI 0.98-2.13). Among patients below the age of 70 with compulsory education only, OR was 1.22 (95% CI 0.98-1.48). For patients within the lowest income quartile (Q1), OR was 1.24 (95% CI 1.04-1.49). This was most pronounced in men (OR 1.34; 95% CI 1.40-1.72), in patients below the age of 70 (OR 1.36; 95% CI 1.02-1.82), and above the age of 80 (OR 1.41; 95% CI 1.00-1.98).CONCLUSION:Emergency presentation of colon cancer is consistently associated with socioeconomic factors, and this must be considered in efforts aimed at reducing the overall frequency of emergency cases.

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Ekholm, AUppsala universitet,Centrum för klinisk forskning i Sörmland (CKFD) (author)
Olsson, L IKarolinska Institutet (author)
Uppsala universitetCentrum för klinisk forskning i Sörmland (CKFD) (creator_code:org_t)

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In:European Journal of Surgical Oncology: Elsevier BV39:8, s. 831-8360748-79831532-2157

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By the author/editor: Gunnarsson, H; Ekholm, A; Olsson, L I

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Cancer and Oncol ...

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Health Care Serv ...

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By the university: Uppsala University; Karolinska Institutet

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