Cancer resection rates, socioeconomic deprivation, and geographical access to surgery among urban, suburban, and rural populations across Canada
Walker B, Schuurman N, Wen CK, Shakeel S, Schneider L, Finley C (2020)
Publication Type: Journal article, Original article
Subtype: other
Publication year: 2020
Journal
Publisher: Public Library of Science
Book Volume: 15
Article Number: e0240444
Journal Issue: 10
DOI: 10.1371/journal.pone.0240444
Abstract
High-risk cancer resection surgeries are increasingly being performed at fewer, more specialised, and higher-volume institutions across Canada. The resulting increase in travel time for patients to obtain treatment may be exacerbated by socioeconomic barriers to access. Focussing on five high-risk surgery types (oesophageal, ovarian/fallopian, liver, lung, and pancreatic cancers), this study examines socioeconomic trends in age-adjusted resection rates and travel time to surgery location for urban, suburban, and rural populations across Canada, excluding Québec, from 2004 to 2012. Significant differences in age-adjusted resection rates were observed between urban (14.9 per 100 000 person-years [95% CI: 12.2, 17.6]), suburban (40.7 [40.1, 41.2]), and rural (32.7 [29.6, 35.9]) populations, with higher rates in suburban and rural areas throughout the study period for all cancer types. Resection rates did not differ between the highest (Q1) and lowest (Q5) socioeconomic strata (Q1: 13.3 [12.2, 14.4]; Q5: 12.0 [10.7, 13.4]), with significantly higher rates among middle-SES patients (Q2: 27.3 [25.6, 29.0]; Q3: 39.6 [37.4, 41.8]; Q4: 37.5 [35.3, 39.7]). Travel times to treatment were consistently higher among the most socioeconomically deprived patients, most notably in suburban and rural areas. The results suggest that the conventional inclusion of suburbs with urban areas in health research may obfuscate important trends for public health policy and programmes.
Authors with CRIS profile
Involved external institutions
McMaster University
Canada (CA)
University of Toronto
Canada (CA)
Simon Fraser University
Canada (CA)
Canada (CA)
University of Toronto
Canada (CA)
Simon Fraser University
Canada (CA)
How to cite
APA:
Walker, B., Schuurman, N., Wen, C.K., Shakeel, S., Schneider, L., & Finley, C. (2020). Cancer resection rates, socioeconomic deprivation, and geographical access to surgery among urban, suburban, and rural populations across Canada. PLoS ONE, 15(10). https://dx.doi.org/10.1371/journal.pone.0240444
MLA:
Walker, Blake, et al. "Cancer resection rates, socioeconomic deprivation, and geographical access to surgery among urban, suburban, and rural populations across Canada." PLoS ONE 15.10 (2020).
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