دورية أكاديمية
Social Inequities in the Survival of Liver Cancer: A Nationwide Cohort Study in Korea, 2007-2017.
| العنوان: | Social Inequities in the Survival of Liver Cancer: A Nationwide Cohort Study in Korea, 2007-2017. |
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| المؤلفون: | Son M; Department of Preventive Medicine, College of Medicine, School of Medicine, Kangwon National University, Chuncheon, Korea., Kim HR; Department of Preventive Medicine, College of Medicine, School of Medicine, Kangwon National University, Chuncheon, Korea. haere100@naver.com., Choe SA; Department of Preventive Medicine, College of Medicine, Korea University, Seoul, Korea., Song SY; Department of Internal Medicine, Kangwon National University Hospital, Kangwon National University School of Medicine, Chuncheon, Korea., Lim KH; Department of Internal Medicine, Kangwon National University Hospital, Kangwon National University School of Medicine, Chuncheon, Korea., Ki M; Department of Preventive Medicine, College of Medicine, Korea University, Seoul, Korea.; BK21FOUR R&E Center for Learning Health Systems, Korea University, Seoul, Korea., Heo YJ; Department of Nursing, College of Nursing, Kangwon National University, Chuncheon, Korea., Choi M; Department of Preventive Medicine, College of Medicine, School of Medicine, Kangwon National University, Chuncheon, Korea., Go SH; Department of Preventive Medicine, College of Medicine, School of Medicine, Kangwon National University, Chuncheon, Korea., Paek D; Wonjin Institute for Occupational & Environmental Health, Seoul, Korea.; National Cancer Center, Goyang, Korea.; Graduate School of Public Health, Seoul National University, Seoul, Korea. paekdm@snu.ac.kr. |
| المصدر: | Journal of Korean medical science [J Korean Med Sci] 2024 Apr 01; Vol. 39 (12), pp. e130. Date of Electronic Publication: 2024 Apr 01. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Korean Academy of Medical Science Country of Publication: Korea (South) NLM ID: 8703518 Publication Model: Electronic Cited Medium: Internet ISSN: 1598-6357 (Electronic) Linking ISSN: 10118934 NLM ISO Abbreviation: J Korean Med Sci Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Seoul, Korea : Korean Academy of Medical Science, [1986- |
| مواضيع طبية MeSH: | Social Class* , Liver Neoplasms*, Male ; Humans ; Female ; Cohort Studies ; Retrospective Studies ; Socioeconomic Factors ; Republic of Korea/epidemiology |
| مستخلص: | Background: To analyze the effects of socioeconomic status (type of insurance and income level) and cancer stage on the survival of patients with liver cancer in Korea. Methods: A retrospective cohort study was constructed using data from the Healthcare Big Data Platform project in Korea between January 1, 2007, and December 31, 2017. A total of 143,511 patients in Korea diagnosed with liver cancer (International Classification of Diseases, 10th Revision [ICD-10] codes C22, C220, and C221) were followed for an average of 11 years. Of these, 110,443 died. The patient's insurance type and income level were used as indicators of socioeconomic status. Unadjusted and adjusted hazard ratios (HRs) and 95% confidence intervals (CIs) were calculated using a Cox proportional hazards regression model to analyze the relationship between the effects of sex, age, and cancer stage at first diagnosis (Surveillance, Epidemiology, and the End Results; SEER), type of insurance, and income level on the survival of patients with liver cancer. The interactive effects of the type of insurance, income level, and cancer stage on liver cancer death were also analyzed. Results: The lowest income group (medical aid) showed a higher risk for mortality (HR (95% CI); 1.37 (1.27-1.47) for all patients, 1.44 (1.32-1.57) for men, and 1.16 (1.01-1.34) for women) compared to the highest income group (1-6) among liver cancer (ICD-10 code C22) patients. The risk of liver cancer death was also higher in the lowest income group with a distant cancer stage (SEER = 7) diagnosis than for any other group. Conclusion: Liver cancer patients with lower socioeconomic status and more severe cancer stages were at greater risk of death. Reducing social inequalities is needed to improve mortality rates among patients in lower social class groups who present with advanced cancer. Competing Interests: The authors have no potential conflicts of interest to disclose. (© 2024 The Korean Academy of Medical Sciences.) |
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| معلومات مُعتمدة: | HI19C1320 Republic of Korea Korea Health Industry Development Institute; NRF-2017R1D1A1B03035890 Korea NRF National Research Foundation of Korea; Korea KOSHA Korea Occupational Safety and Health Agency; 520170451 Korea KNU Kangwon National University |
| فهرسة مساهمة: | Keywords: Income; Medical Aid; Premium; SEER; Social Class; Social Inequalities Liver Cancer Death; Type of Insured |
| تواريخ الأحداث: | Date Created: 20240402 Date Completed: 20240404 Latest Revision: 20240406 |
| رمز التحديث: | 20240406 |
| مُعرف محوري في PubMed: | PMC10985499 |
| DOI: | 10.3346/jkms.2024.39.e130 |
| PMID: | 38565179 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1598-6357 |
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| DOI: | 10.3346/jkms.2024.39.e130 |