Survival of cancer patients in urban and rural areas of Germany-A comparison
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Survival of cancer patients in urban and rural areas of Germany-A comparison. / Nennecke, Alice; Geiss, Karla; Hentschel, Stefan; Vettorazzi, Eik; Jansen, Lina; Eberle, Andrea; Holleczek, Bernd; Gondos, Adam; Brenner, Hermann; GEKID cancer survival working group.
In: CANCER EPIDEMIOL, Vol. 38, No. 3, 01.06.2014, p. 259-265.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Survival of cancer patients in urban and rural areas of Germany-A comparison
AU - Nennecke, Alice
AU - Geiss, Karla
AU - Hentschel, Stefan
AU - Vettorazzi, Eik
AU - Jansen, Lina
AU - Eberle, Andrea
AU - Holleczek, Bernd
AU - Gondos, Adam
AU - Brenner, Hermann
AU - GEKID cancer survival working group
N1 - 1877-7821 ISSN
PY - 2014/6/1
Y1 - 2014/6/1
N2 - BACKGROUND: Cancer care services including cancer prevention activities are predominantly localised in central cities, potentially causing a heterogeneous geographic access to cancer care. The question of an association between residence in either urban or rural areas and cancer survival has been analysed in other parts of the world with inconsistent results. This study aims at a comparison of age-standardised 5-year survival of cancer patients resident in German urban and rural regions using data from 11 population-based cancer registries covering a population of 33 million people.MATERIAL AND METHODS: Patients diagnosed with cancers of the most frequent and of some rare sites in 1997-2006 were included in the analyses. Places of residence were assigned to rural and urban areas according to administrative district types of settlement structure. Period analysis and district type specific population life tables were used to calculate overall age-standardised 5-year relative survival estimates for the period 2002-2006. Poisson regression models for excess mortality (relative survival) were used to test for statistical significance.RESULTS: The 5-year relative survival estimates varied little among district types for most of the common sites with no consistent trend. Significant differences were found for female breast cancer patients and male malignant melanoma patients resident in city core regions with slightly better survival compared to all other district types, particularly for patients aged 65 years and older.CONCLUSION: With regard to residence in urban or rural areas, the results of our study indicate that there are no severe differences concerning quality and accessibility of oncological care in Germany among different district types of settlement.
AB - BACKGROUND: Cancer care services including cancer prevention activities are predominantly localised in central cities, potentially causing a heterogeneous geographic access to cancer care. The question of an association between residence in either urban or rural areas and cancer survival has been analysed in other parts of the world with inconsistent results. This study aims at a comparison of age-standardised 5-year survival of cancer patients resident in German urban and rural regions using data from 11 population-based cancer registries covering a population of 33 million people.MATERIAL AND METHODS: Patients diagnosed with cancers of the most frequent and of some rare sites in 1997-2006 were included in the analyses. Places of residence were assigned to rural and urban areas according to administrative district types of settlement structure. Period analysis and district type specific population life tables were used to calculate overall age-standardised 5-year relative survival estimates for the period 2002-2006. Poisson regression models for excess mortality (relative survival) were used to test for statistical significance.RESULTS: The 5-year relative survival estimates varied little among district types for most of the common sites with no consistent trend. Significant differences were found for female breast cancer patients and male malignant melanoma patients resident in city core regions with slightly better survival compared to all other district types, particularly for patients aged 65 years and older.CONCLUSION: With regard to residence in urban or rural areas, the results of our study indicate that there are no severe differences concerning quality and accessibility of oncological care in Germany among different district types of settlement.
U2 - 10.1016/j.canep.2014.02.011
DO - 10.1016/j.canep.2014.02.011
M3 - SCORING: Journal article
C2 - 24680643
VL - 38
SP - 259
EP - 265
JO - CANCER EPIDEMIOL
JF - CANCER EPIDEMIOL
SN - 1877-7821
IS - 3
ER -