Age-related inequalities in colon cancer treatment persist over time: a population-based analysis

BackgroundOlder people experience poorer outcomes from colon cancer. We examined if treatment for colon cancer was related to age and if inequalities changed over time.MethodsData from the UK population-based Northern and Yorkshire Cancer Registry on 31 910 incident colon cancers (ICD10 C18) diagnos...

Full description

Saved in:
Bibliographic Details
Published in:Journal of epidemiology and community health (1979) 2019-01, Vol.73 (1), p.34-41
Main Authors: Hayes, Louise, Forrest, Lynne, Adams, Jean, Hidajat, Mira, Ben-Shlomo, Yoav, White, Martin, Sharp, Linda
Format: Article
Language:English
Subjects:
Age
Age Factors
Aged
Aged, 80 and over
Cancer therapies
Chemotherapy
Colon cancer
Colonic Neoplasms - epidemiology
Colonic Neoplasms - pathology
Colonic Neoplasms - therapy
Colorectal cancer
Comorbidity
Decision making
England - epidemiology
Female
Frailty
Health risk assessment
Healthcare Disparities
Humans
Incidence
Male
Middle Aged
Neoplasm Staging
Older people
Patient Selection
Patients
Registries
Research report
Surgery
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:BackgroundOlder people experience poorer outcomes from colon cancer. We examined if treatment for colon cancer was related to age and if inequalities changed over time.MethodsData from the UK population-based Northern and Yorkshire Cancer Registry on 31 910 incident colon cancers (ICD10 C18) diagnosed between 1999–2010 were obtained. Likelihood of receipt of: (1) cancer-directed surgery, (2) chemotherapy in surgical patients, (3) chemotherapy in non-surgical patients by age, adjusting for sex, area deprivation, cancer stage, comorbidity and period of diagnosis, was examined.ResultsAge-related inequalities in treatment exist after adjustment for confounding factors. Patients aged 60– 69, 70–79 and 80+ years were significantly less likely to receive surgery than those aged
ISSN:0143-005X
1470-2738
DOI:10.1136/jech-2018-210842