Do stage of disease, comorbidity or access to treatment explain socioeconomic differences in survival after ovarian cancer? A cohort study among Danish women diagnosed 2005-2010

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Standard

Do stage of disease, comorbidity or access to treatment explain socioeconomic differences in survival after ovarian cancer? A cohort study among Danish women diagnosed 2005-2010. / Ibfelt, Else Helene; Dalton, Susanne Oksbjerg; Høgdall, Claus; Fagö-Olsen, Carsten Lindberg; Steding-Jessen, Marianne; Osler, Merete; Johansen, Christoffer; Frederiksen, Kirsten; Kjær, Susanne K.

I: Cancer Epidemiology, Bind 39, Nr. 3, 06.2015, s. 353-359.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

Harvard

Ibfelt, EH, Dalton, SO, Høgdall, C, Fagö-Olsen, CL, Steding-Jessen, M, Osler, M, Johansen, C, Frederiksen, K & Kjær, SK 2015, 'Do stage of disease, comorbidity or access to treatment explain socioeconomic differences in survival after ovarian cancer? A cohort study among Danish women diagnosed 2005-2010', Cancer Epidemiology, bind 39, nr. 3, s. 353-359. https://doi.org/10.1016/j.canep.2015.03.011

APA

Ibfelt, E. H., Dalton, S. O., Høgdall, C., Fagö-Olsen, C. L., Steding-Jessen, M., Osler, M., ... Kjær, S. K. (2015). Do stage of disease, comorbidity or access to treatment explain socioeconomic differences in survival after ovarian cancer? A cohort study among Danish women diagnosed 2005-2010. Cancer Epidemiology, 39(3), 353-359. https://doi.org/10.1016/j.canep.2015.03.011

Vancouver

Ibfelt EH, Dalton SO, Høgdall C, Fagö-Olsen CL, Steding-Jessen M, Osler M o.a. Do stage of disease, comorbidity or access to treatment explain socioeconomic differences in survival after ovarian cancer? A cohort study among Danish women diagnosed 2005-2010. Cancer Epidemiology. 2015 jun;39(3):353-359. https://doi.org/10.1016/j.canep.2015.03.011

Author

Ibfelt, Else Helene ; Dalton, Susanne Oksbjerg ; Høgdall, Claus ; Fagö-Olsen, Carsten Lindberg ; Steding-Jessen, Marianne ; Osler, Merete ; Johansen, Christoffer ; Frederiksen, Kirsten ; Kjær, Susanne K. / Do stage of disease, comorbidity or access to treatment explain socioeconomic differences in survival after ovarian cancer? A cohort study among Danish women diagnosed 2005-2010. I: Cancer Epidemiology. 2015 ; Bind 39, Nr. 3. s. 353-359.

Bibtex

@article{f6c26e86641e4c0d81134ab47422f6d7,
title = "Do stage of disease, comorbidity or access to treatment explain socioeconomic differences in survival after ovarian cancer?: A cohort study among Danish women diagnosed 2005-2010",
abstract = "AIMS: In order to reduce social inequality in cancer survival, knowledge is needed about where in the cancer trajectory disparities occur, and how social and health-related aspects may interact. We aimed to determine whether socioeconomic factors are related to cancer diagnosis stage, and whether socioeconomic disparities in survival after ovarian cancer can be explained by socioeconomic differences in cancer stage, comorbidity, treatment or lifestyle factors.METHODS: In the Danish Gynaecological Cancer Database we identified 2873 cases of ovarian cancer diagnosed between 2005 and 2010. From this data we retrieved information on prognostic factors, treatment information and lifestyle factors. Age, vital status, comorbidity, education, income and cohabitation status were ascertained from nationwide administrative registers. Associations were analyzed with logistic regression and Cox regression models.RESULTS: Educational level was weakly associated with cancer stage. Short education, lower income and living without a partner were related to poorer survival after ovarian cancer. Among women with early cancer stage, HR (95{\%} CI) for death was 1.75 (1.20-2.54) in shorter compared to longer educated women. After adjustment for comorbid conditions, cancer stage, tumour histology, operation status and lifestyle factors, socioeconomic differences in survival persisted.CONCLUSIONS: Socioeconomic disparities in survival after ovarian cancer were to some extent, but not fully explained by differences in important prognostic factors, suggesting further investigations into this problem, however implying that socially less advantaged ovarian cancer patients should receive attention during cancer treatment and rehabilitation.",
author = "Ibfelt, {Else Helene} and Dalton, {Susanne Oksbjerg} and Claus H{\o}gdall and Fag{\"o}-Olsen, {Carsten Lindberg} and Marianne Steding-Jessen and Merete Osler and Christoffer Johansen and Kirsten Frederiksen and Kj{\ae}r, {Susanne K}",
note = "Copyright {\circledC} 2015 Elsevier Ltd. All rights reserved.",
year = "2015",
month = "6",
doi = "10.1016/j.canep.2015.03.011",
language = "English",
volume = "39",
pages = "353--359",
journal = "Cancer Epidemiology",
issn = "1877-7821",
publisher = "Elsevier",
number = "3",

}

RIS

TY - JOUR

T1 - Do stage of disease, comorbidity or access to treatment explain socioeconomic differences in survival after ovarian cancer?

T2 - A cohort study among Danish women diagnosed 2005-2010

AU - Ibfelt, Else Helene

AU - Dalton, Susanne Oksbjerg

AU - Høgdall, Claus

AU - Fagö-Olsen, Carsten Lindberg

AU - Steding-Jessen, Marianne

AU - Osler, Merete

AU - Johansen, Christoffer

AU - Frederiksen, Kirsten

AU - Kjær, Susanne K

N1 - Copyright © 2015 Elsevier Ltd. All rights reserved.

PY - 2015/6

Y1 - 2015/6

N2 - AIMS: In order to reduce social inequality in cancer survival, knowledge is needed about where in the cancer trajectory disparities occur, and how social and health-related aspects may interact. We aimed to determine whether socioeconomic factors are related to cancer diagnosis stage, and whether socioeconomic disparities in survival after ovarian cancer can be explained by socioeconomic differences in cancer stage, comorbidity, treatment or lifestyle factors.METHODS: In the Danish Gynaecological Cancer Database we identified 2873 cases of ovarian cancer diagnosed between 2005 and 2010. From this data we retrieved information on prognostic factors, treatment information and lifestyle factors. Age, vital status, comorbidity, education, income and cohabitation status were ascertained from nationwide administrative registers. Associations were analyzed with logistic regression and Cox regression models.RESULTS: Educational level was weakly associated with cancer stage. Short education, lower income and living without a partner were related to poorer survival after ovarian cancer. Among women with early cancer stage, HR (95% CI) for death was 1.75 (1.20-2.54) in shorter compared to longer educated women. After adjustment for comorbid conditions, cancer stage, tumour histology, operation status and lifestyle factors, socioeconomic differences in survival persisted.CONCLUSIONS: Socioeconomic disparities in survival after ovarian cancer were to some extent, but not fully explained by differences in important prognostic factors, suggesting further investigations into this problem, however implying that socially less advantaged ovarian cancer patients should receive attention during cancer treatment and rehabilitation.

AB - AIMS: In order to reduce social inequality in cancer survival, knowledge is needed about where in the cancer trajectory disparities occur, and how social and health-related aspects may interact. We aimed to determine whether socioeconomic factors are related to cancer diagnosis stage, and whether socioeconomic disparities in survival after ovarian cancer can be explained by socioeconomic differences in cancer stage, comorbidity, treatment or lifestyle factors.METHODS: In the Danish Gynaecological Cancer Database we identified 2873 cases of ovarian cancer diagnosed between 2005 and 2010. From this data we retrieved information on prognostic factors, treatment information and lifestyle factors. Age, vital status, comorbidity, education, income and cohabitation status were ascertained from nationwide administrative registers. Associations were analyzed with logistic regression and Cox regression models.RESULTS: Educational level was weakly associated with cancer stage. Short education, lower income and living without a partner were related to poorer survival after ovarian cancer. Among women with early cancer stage, HR (95% CI) for death was 1.75 (1.20-2.54) in shorter compared to longer educated women. After adjustment for comorbid conditions, cancer stage, tumour histology, operation status and lifestyle factors, socioeconomic differences in survival persisted.CONCLUSIONS: Socioeconomic disparities in survival after ovarian cancer were to some extent, but not fully explained by differences in important prognostic factors, suggesting further investigations into this problem, however implying that socially less advantaged ovarian cancer patients should receive attention during cancer treatment and rehabilitation.

U2 - 10.1016/j.canep.2015.03.011

DO - 10.1016/j.canep.2015.03.011

M3 - Journal article

C2 - 25841586

VL - 39

SP - 353

EP - 359

JO - Cancer Epidemiology

JF - Cancer Epidemiology

SN - 1877-7821

IS - 3

ER -

ID: 154144673