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Public Health. 2003 Nov;117(6):389-95.

Colorectal cancer, screening and survival: the influence of socio-economic deprivation.

Author information

1
School of Economics, University of Nottingham, Nottingham NG7 2RD, UK. david.whynes@nottingham.ac.uk

Abstract

OBJECTIVES:

To determine the extent to which socio-economic deprivation explains colorectal cancer prevalence, subject participation in screening, and postoperative survival and life expectancy.

METHODS:

Regression analyses of clinical data from a large randomized controlled trial, augmented by geographical-based indices of deprivation.

RESULTS:

Deprivation appears to exert no significant impact on colorectal cancer prevalence but is a major factor explaining subject participation in screening. Cancer detection at later stages reduces life expectancy at time of treatment. Females from more-deprived areas have poorer post-treatment life expectancies and survival prospects, independently of their screening behaviour.

CONCLUSIONS:

Screening increases the chances of having a cancer treated at an earlier stage, and treatment at an earlier stage is associated with longer subsequent life expectancy. However, those from more-deprived areas are less likely to accept an invitation to be screened.

PMID:
14522153
DOI:
10.1016/S0033-3506(03)00146-X
[Indexed for MEDLINE]
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