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Effects of Socioeconomic Status on Colon Cancer Treatment Accessibility and Survival in Toronto, Ontario, and San Francisco, California, 1996–2006

Bibliographic Data

ID11029019
AuthorsKevin M Gorey (0000-0003-1870-6549, University of Windsor), Isaac Luginaah (0000-0001-7858-3048), Isaac N Luginaah, Emma Bartfay, Karen Y Fung, Eric J Holowaty, Frances C Wright (0000-0003-1904-4997), Caroline Hamm (0000-0003-1326-2088), Sindu M Kanjeekal, Sindu Kanjeekal
Year2011
Volume101
Issue1
Pages112-119
Publication date2011-01-01
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2009.173112
PMID20299655
PMCIDPMC3000730
OpenAlexW2165103978
LanguageEN
Citations received11
References cited53

Objectives. We examined the differential effects of socioeconomic status on colon cancer care and survival in Toronto, Ontario, Canada, and San Francisco, California. Methods. We analyzed registry data for colon cancer patients from Ontario (n = 930) and California (n = 1014), diagnosed between 1996 and 2000 and followed until 2006, on stage, surgery, adjuvant chemotherapy, and survival. We obtained socioeconomic data for individuals’ residences from population censuses. Results. Income was directly associated with lymph node evaluation, chemotherapy, and survival in San Francisco but not in Toronto. High-income persons had better survival rates in San Francisco than in Toronto. After adjustment for stage, survival was better for low-income residents of Toronto than for those of San Francisco. Middle- to low-income patients were more likely to receive indicated chemotherapy in Toronto than in San Francisco. Conclusions. Socioeconomic factors appear to mediate colon cancer care in urban areas of the United States but not in Canada. Improvements are needed in screening, diagnostic investigations, and treatment access among low-income Americans

Cancer · Cancer registry · Colorectal cancer · Environmental health · Population · Socioeconomic status · Cancer survivorship and care · Colorectal Cancer Screening and Detection · Demography · Global Cancer Incidence and Screening · Internal Medicine · Medicine · Gerontology

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Citations per year0.79
Citation span2012 - 2019 (8)
Highly citedNo

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