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Socioeconomic status on survival outcomes in patients with colorectal cancer: a cross-sectional study
Background Colorectal cancer (CRC) is widely acknowledged as a prevalent malignancy and the second most common cause of cancer-related mortality worldwide. The aim of this study was to examine the independent impact of Median Household Income (MHI) on prognosis and survival outcomes in patients with...
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| Published in: | Journal of cancer research and clinical oncology 2023-11, Vol.149 (17), p.15641-15655 |
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| container_end_page | 15655 |
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| container_title | Journal of cancer research and clinical oncology |
| container_volume | 149 |
| creator | Zhu, Bin Hu, Fei-Hong Jia, Yi-Jie Zhao, Dan-Yan Zhang, Wan-Qing Tang, Wen Hu, Shi-Qi Ge, Meng-Wei Du, Wei Shen, Wang-Qin Chen, Hong-Lin |
| description | Background
Colorectal cancer (CRC) is widely acknowledged as a prevalent malignancy and the second most common cause of cancer-related mortality worldwide. The aim of this study was to examine the independent impact of Median Household Income (MHI) on prognosis and survival outcomes in patients with CRC.
Methods
Data from 17 cancer registries of the United States Surveillance, Epidemiology, and End Results program, with follow-up extended until November 2022 was analyzed. A Cox proportional hazards regression analysis was conducted to evaluate the influence of different levels of MHI on survival outcomes among patients with CRC. A total of 761,697 CRC patient records were retrieved from the SEER database.
Results
The Cox regression analysis results indicated that patients with higher MHI exhibited improved overall survival outcomes when compared to those with lower MHI (MMHI: P |
| doi_str_mv | 10.1007/s00432-023-05344-3 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2860404393</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2884935180</sourcerecordid><originalsourceid>FETCH-LOGICAL-c326t-d4e6b5fcd42eb1b4d5eb07f5efe628fa24fbdbd21093696573cec513fcd8fdba3</originalsourceid><addsrcrecordid>eNp9kU1PHDEMhqOqqCy0f4BDFamXXgbyOR_cKtQC0kocoOcok_GUoJnJEme22n9P9qMg9cDJsv34deKXkDPOzjlj1QUypqQomJAF01KpQn4gC74tcSn1R7JgvOKFFrw8JieITyznuhKfyLGsSl2LqlkQuA_OB3BhCqN3FJNNM9IwUZzj2q_tQMOcXBgBqZ_oyiYPU0L616dH6sIQIriUIWcnB_GSWupiQCwwl32YcgfT3G0-k6PeDghfDvGU_P718-HqpljeXd9e_VgWTooyFZ2CstW965SAlreq09CyqtfQQynq3grVt13bCc4aWTalrqQDp7nME3XftVaeku973VUMzzNgMqNHB8NgJwgzGlGXTOWjNTKj3_5Dn8Ic84u3VK0aqXnNMiX21O5bEXqzin60cWM4M1sTzN4Ek00wOxPMVvrrQXpuR-heR_5dPQNyD2BuTX8gvu1-R_YF76WUjw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2884935180</pqid></control><display><type>article</type><title>Socioeconomic status on survival outcomes in patients with colorectal cancer: a cross-sectional study</title><source>Springer Nature</source><creator>Zhu, Bin ; Hu, Fei-Hong ; Jia, Yi-Jie ; Zhao, Dan-Yan ; Zhang, Wan-Qing ; Tang, Wen ; Hu, Shi-Qi ; Ge, Meng-Wei ; Du, Wei ; Shen, Wang-Qin ; Chen, Hong-Lin</creator><creatorcontrib>Zhu, Bin ; Hu, Fei-Hong ; Jia, Yi-Jie ; Zhao, Dan-Yan ; Zhang, Wan-Qing ; Tang, Wen ; Hu, Shi-Qi ; Ge, Meng-Wei ; Du, Wei ; Shen, Wang-Qin ; Chen, Hong-Lin</creatorcontrib><description>Background
Colorectal cancer (CRC) is widely acknowledged as a prevalent malignancy and the second most common cause of cancer-related mortality worldwide. The aim of this study was to examine the independent impact of Median Household Income (MHI) on prognosis and survival outcomes in patients with CRC.
Methods
Data from 17 cancer registries of the United States Surveillance, Epidemiology, and End Results program, with follow-up extended until November 2022 was analyzed. A Cox proportional hazards regression analysis was conducted to evaluate the influence of different levels of MHI on survival outcomes among patients with CRC. A total of 761,697 CRC patient records were retrieved from the SEER database.
Results
The Cox regression analysis results indicated that patients with higher MHI exhibited improved overall survival outcomes when compared to those with lower MHI (MMHI: P < 0.001; HMHI: P < 0.001). Regardless of the specific tumor location, gender, stage of CRC, or treatment method, higher MHI is consistently linked to improved survival outcomes. However, this association was not found to be statistically significant among American Indian/Alaska Native (MMHI: P = 0.017; HMHI: P = 0.081), Asian or Pacific Islander (MMHI: P = 0.223; HMHI: P = 0.002) and unmarried or domestic partner patients (MMHI: P = 0.311; HMHI: P = 0.011).
Conclusion
These results emphasize the importance of considering socioeconomic factors, such as income level, in understanding and addressing disparities in survival outcomes of CRC patients.</description><identifier>ISSN: 0171-5216</identifier><identifier>ISSN: 1432-1335</identifier><identifier>EISSN: 1432-1335</identifier><identifier>DOI: 10.1007/s00432-023-05344-3</identifier><identifier>PMID: 37658279</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Cancer ; Cancer Research ; Colorectal cancer ; Colorectal carcinoma ; Colorectal Neoplasms - pathology ; Cross-Sectional Studies ; Epidemiology ; Hematology ; Humans ; Internal Medicine ; Malignancy ; Medical prognosis ; Medicine ; Medicine & Public Health ; Neoplasm Staging ; Oncology ; Regression analysis ; SEER Program ; Social Class ; Socioeconomic Factors ; Socioeconomic status ; Statistical analysis ; Survival ; United States - epidemiology</subject><ispartof>Journal of cancer research and clinical oncology, 2023-11, Vol.149 (17), p.15641-15655</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c326t-d4e6b5fcd42eb1b4d5eb07f5efe628fa24fbdbd21093696573cec513fcd8fdba3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37658279$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhu, Bin</creatorcontrib><creatorcontrib>Hu, Fei-Hong</creatorcontrib><creatorcontrib>Jia, Yi-Jie</creatorcontrib><creatorcontrib>Zhao, Dan-Yan</creatorcontrib><creatorcontrib>Zhang, Wan-Qing</creatorcontrib><creatorcontrib>Tang, Wen</creatorcontrib><creatorcontrib>Hu, Shi-Qi</creatorcontrib><creatorcontrib>Ge, Meng-Wei</creatorcontrib><creatorcontrib>Du, Wei</creatorcontrib><creatorcontrib>Shen, Wang-Qin</creatorcontrib><creatorcontrib>Chen, Hong-Lin</creatorcontrib><title>Socioeconomic status on survival outcomes in patients with colorectal cancer: a cross-sectional study</title><title>Journal of cancer research and clinical oncology</title><addtitle>J Cancer Res Clin Oncol</addtitle><addtitle>J Cancer Res Clin Oncol</addtitle><description>Background
Colorectal cancer (CRC) is widely acknowledged as a prevalent malignancy and the second most common cause of cancer-related mortality worldwide. The aim of this study was to examine the independent impact of Median Household Income (MHI) on prognosis and survival outcomes in patients with CRC.
Methods
Data from 17 cancer registries of the United States Surveillance, Epidemiology, and End Results program, with follow-up extended until November 2022 was analyzed. A Cox proportional hazards regression analysis was conducted to evaluate the influence of different levels of MHI on survival outcomes among patients with CRC. A total of 761,697 CRC patient records were retrieved from the SEER database.
Results
The Cox regression analysis results indicated that patients with higher MHI exhibited improved overall survival outcomes when compared to those with lower MHI (MMHI: P < 0.001; HMHI: P < 0.001). Regardless of the specific tumor location, gender, stage of CRC, or treatment method, higher MHI is consistently linked to improved survival outcomes. However, this association was not found to be statistically significant among American Indian/Alaska Native (MMHI: P = 0.017; HMHI: P = 0.081), Asian or Pacific Islander (MMHI: P = 0.223; HMHI: P = 0.002) and unmarried or domestic partner patients (MMHI: P = 0.311; HMHI: P = 0.011).
Conclusion
These results emphasize the importance of considering socioeconomic factors, such as income level, in understanding and addressing disparities in survival outcomes of CRC patients.</description><subject>Cancer</subject><subject>Cancer Research</subject><subject>Colorectal cancer</subject><subject>Colorectal carcinoma</subject><subject>Colorectal Neoplasms - pathology</subject><subject>Cross-Sectional Studies</subject><subject>Epidemiology</subject><subject>Hematology</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Malignancy</subject><subject>Medical prognosis</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neoplasm Staging</subject><subject>Oncology</subject><subject>Regression analysis</subject><subject>SEER Program</subject><subject>Social Class</subject><subject>Socioeconomic Factors</subject><subject>Socioeconomic status</subject><subject>Statistical analysis</subject><subject>Survival</subject><subject>United States - epidemiology</subject><issn>0171-5216</issn><issn>1432-1335</issn><issn>1432-1335</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp9kU1PHDEMhqOqqCy0f4BDFamXXgbyOR_cKtQC0kocoOcok_GUoJnJEme22n9P9qMg9cDJsv34deKXkDPOzjlj1QUypqQomJAF01KpQn4gC74tcSn1R7JgvOKFFrw8JieITyznuhKfyLGsSl2LqlkQuA_OB3BhCqN3FJNNM9IwUZzj2q_tQMOcXBgBqZ_oyiYPU0L616dH6sIQIriUIWcnB_GSWupiQCwwl32YcgfT3G0-k6PeDghfDvGU_P718-HqpljeXd9e_VgWTooyFZ2CstW965SAlreq09CyqtfQQynq3grVt13bCc4aWTalrqQDp7nME3XftVaeku973VUMzzNgMqNHB8NgJwgzGlGXTOWjNTKj3_5Dn8Ic84u3VK0aqXnNMiX21O5bEXqzin60cWM4M1sTzN4Ek00wOxPMVvrrQXpuR-heR_5dPQNyD2BuTX8gvu1-R_YF76WUjw</recordid><startdate>20231101</startdate><enddate>20231101</enddate><creator>Zhu, Bin</creator><creator>Hu, Fei-Hong</creator><creator>Jia, Yi-Jie</creator><creator>Zhao, Dan-Yan</creator><creator>Zhang, Wan-Qing</creator><creator>Tang, Wen</creator><creator>Hu, Shi-Qi</creator><creator>Ge, Meng-Wei</creator><creator>Du, Wei</creator><creator>Shen, Wang-Qin</creator><creator>Chen, Hong-Lin</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20231101</creationdate><title>Socioeconomic status on survival outcomes in patients with colorectal cancer: a cross-sectional study</title><author>Zhu, Bin ; Hu, Fei-Hong ; Jia, Yi-Jie ; Zhao, Dan-Yan ; Zhang, Wan-Qing ; Tang, Wen ; Hu, Shi-Qi ; Ge, Meng-Wei ; Du, Wei ; Shen, Wang-Qin ; Chen, Hong-Lin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c326t-d4e6b5fcd42eb1b4d5eb07f5efe628fa24fbdbd21093696573cec513fcd8fdba3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Cancer</topic><topic>Cancer Research</topic><topic>Colorectal cancer</topic><topic>Colorectal carcinoma</topic><topic>Colorectal Neoplasms - pathology</topic><topic>Cross-Sectional Studies</topic><topic>Epidemiology</topic><topic>Hematology</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Malignancy</topic><topic>Medical prognosis</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neoplasm Staging</topic><topic>Oncology</topic><topic>Regression analysis</topic><topic>SEER Program</topic><topic>Social Class</topic><topic>Socioeconomic Factors</topic><topic>Socioeconomic status</topic><topic>Statistical analysis</topic><topic>Survival</topic><topic>United States - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhu, Bin</creatorcontrib><creatorcontrib>Hu, Fei-Hong</creatorcontrib><creatorcontrib>Jia, Yi-Jie</creatorcontrib><creatorcontrib>Zhao, Dan-Yan</creatorcontrib><creatorcontrib>Zhang, Wan-Qing</creatorcontrib><creatorcontrib>Tang, Wen</creatorcontrib><creatorcontrib>Hu, Shi-Qi</creatorcontrib><creatorcontrib>Ge, Meng-Wei</creatorcontrib><creatorcontrib>Du, Wei</creatorcontrib><creatorcontrib>Shen, Wang-Qin</creatorcontrib><creatorcontrib>Chen, Hong-Lin</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest research library</collection><collection>Research Library (Corporate)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of cancer research and clinical oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhu, Bin</au><au>Hu, Fei-Hong</au><au>Jia, Yi-Jie</au><au>Zhao, Dan-Yan</au><au>Zhang, Wan-Qing</au><au>Tang, Wen</au><au>Hu, Shi-Qi</au><au>Ge, Meng-Wei</au><au>Du, Wei</au><au>Shen, Wang-Qin</au><au>Chen, Hong-Lin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Socioeconomic status on survival outcomes in patients with colorectal cancer: a cross-sectional study</atitle><jtitle>Journal of cancer research and clinical oncology</jtitle><stitle>J Cancer Res Clin Oncol</stitle><addtitle>J Cancer Res Clin Oncol</addtitle><date>2023-11-01</date><risdate>2023</risdate><volume>149</volume><issue>17</issue><spage>15641</spage><epage>15655</epage><pages>15641-15655</pages><issn>0171-5216</issn><issn>1432-1335</issn><eissn>1432-1335</eissn><abstract>Background
Colorectal cancer (CRC) is widely acknowledged as a prevalent malignancy and the second most common cause of cancer-related mortality worldwide. The aim of this study was to examine the independent impact of Median Household Income (MHI) on prognosis and survival outcomes in patients with CRC.
Methods
Data from 17 cancer registries of the United States Surveillance, Epidemiology, and End Results program, with follow-up extended until November 2022 was analyzed. A Cox proportional hazards regression analysis was conducted to evaluate the influence of different levels of MHI on survival outcomes among patients with CRC. A total of 761,697 CRC patient records were retrieved from the SEER database.
Results
The Cox regression analysis results indicated that patients with higher MHI exhibited improved overall survival outcomes when compared to those with lower MHI (MMHI: P < 0.001; HMHI: P < 0.001). Regardless of the specific tumor location, gender, stage of CRC, or treatment method, higher MHI is consistently linked to improved survival outcomes. However, this association was not found to be statistically significant among American Indian/Alaska Native (MMHI: P = 0.017; HMHI: P = 0.081), Asian or Pacific Islander (MMHI: P = 0.223; HMHI: P = 0.002) and unmarried or domestic partner patients (MMHI: P = 0.311; HMHI: P = 0.011).
Conclusion
These results emphasize the importance of considering socioeconomic factors, such as income level, in understanding and addressing disparities in survival outcomes of CRC patients.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>37658279</pmid><doi>10.1007/s00432-023-05344-3</doi><tpages>15</tpages></addata></record> |
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| identifier | ISSN: 0171-5216 |
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| subjects | Cancer Cancer Research Colorectal cancer Colorectal carcinoma Colorectal Neoplasms - pathology Cross-Sectional Studies Epidemiology Hematology Humans Internal Medicine Malignancy Medical prognosis Medicine Medicine & Public Health Neoplasm Staging Oncology Regression analysis SEER Program Social Class Socioeconomic Factors Socioeconomic status Statistical analysis Survival United States - epidemiology |
| title | Socioeconomic status on survival outcomes in patients with colorectal cancer: a cross-sectional study |
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