Item request has been placed! ×
Item request cannot be made. ×
loading  Processing Request

The influence of geographical access to health care and material deprivation on colorectal cancer survival: Evidence from France and England

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
Read More Add to Saved list
  • Additional Information
    • Contributors:
      Cancers et préventions; Université de Caen Normandie (UNICAEN); Normandie Université (NU)-Normandie Université (NU)-Institut National de la Santé et de la Recherche Médicale (INSERM); University of East Anglia Norwich (UEA); London School of Hygiene and Tropical Medicine (LSHTM); University of Leeds; Registre Bourguignon des Cancers Digestifs; Lipides - Nutrition - Cancer (U866) (LNC); Université de Bourgogne (UB)-Institut National de la Santé et de la Recherche Médicale (INSERM)-AgroSup Dijon - Institut National Supérieur des Sciences Agronomiques, de l'Alimentation et de l'Environnement-Ecole Nationale Supérieure de Biologie Appliquée à la Nutrition et à l'Alimentation de Dijon (ENSBANA)-Université de Bourgogne (UB)-Institut National de la Santé et de la Recherche Médicale (INSERM)-AgroSup Dijon - Institut National Supérieur des Sciences Agronomiques, de l'Alimentation et de l'Environnement-Ecole Nationale Supérieure de Biologie Appliquée à la Nutrition et à l'Alimentation de Dijon (ENSBANA)-Centre Hospitalier Universitaire de Dijon - Hôpital François Mitterrand (CHU Dijon); Centre International de Recherche contre le Cancer - International Agency for Research on Cancer (CIRC - IARC); Organisation Mondiale de la Santé / World Health Organization Office Genève, Suisse (OMS / WHO); French National cancer institute and the “Fondation de France”. BR and EM were supported by Cancer Research UK(C1336/A5735 and C23434/A9805 respectively).
    • Publication Information:
      HAL CCSD
      Elsevier
    • Publication Date:
      2014
    • Collection:
      Université de Bourgogne (UB): HAL
    • Abstract:
      International audience ; This article investigates the influence of distance to health care and material deprivation on cancer survival for patients diagnosed with a colorectal cancer between 1997 and 2004 in France and England. This population-based study included all cases of colorectal cancer diagnosed between 1997 and 2004 in 3 cancer registries in France and 1 cancer registry in England (N=40,613). After adjustment for material deprivation, travel times in England were no longer significantly associated with survival. In France patients living between 20 and 90min from the nearest cancer unit tended to have a poorer survival, although this was not statistically significant. In England, the better prognosis observed for remote patients can be explained by associations with material deprivation; distance to health services alone did not affect survival whilst material deprivation level had a major influence, with lower survival for patients living in deprived areas. Increases in travel times to health services in France were associated with poorer survival rates. The pattern of this influence seems to follow an inverse U distribution, i.e. maximal for average travel times.
    • Relation:
      info:eu-repo/semantics/altIdentifier/pmid/25194994; inserm-01870353; https://inserm.hal.science/inserm-01870353; https://inserm.hal.science/inserm-01870353/document; https://inserm.hal.science/inserm-01870353/file/issue_hal.pdf; PUBMED: 25194994
    • Accession Number:
      10.1016/j.healthplace.2014.08.002
    • Online Access:
      https://inserm.hal.science/inserm-01870353
      https://inserm.hal.science/inserm-01870353/document
      https://inserm.hal.science/inserm-01870353/file/issue_hal.pdf
      https://doi.org/10.1016/j.healthplace.2014.08.002
    • Rights:
      info:eu-repo/semantics/OpenAccess
    • Accession Number:
      edsbas.591E886E