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The impact of socioeconomic deprivation on mortality in cervical cancer patients in Cornwall (England).

Authors :
Donkers, Hannah
McGrane, John
Eleuteri, Antonio
Giamougiannis, Panagiotis
Bekkers, Ruud
Galaal, Khadra
Source :
European Journal of Cancer Care; Sep2021, Vol. 30 Issue 5, p1-10, 10p
Publication Year :
2021

Abstract

Objectives: To assess the association between risk factors, including socioeconomic deprivation, and mortality, recurrence and chemo‐ or radiation toxicity in cervical cancer patients. Methods: Retrospective study of cervical cancer patients diagnosed between January 2007 and July 2018. Patient characteristics and mortality data, including recurrence, were assessed, together with socioeconomic deprivation measures evaluated using the English Indices of Multiple Deprivation. Markov multi‐state models were used to model mortality and recurrence, and logistic regression models were used to model chemo‐ or radiation toxicity. Results: Included were 243 women with a median age of 49 years. A total of 57 patients died (23%), of which 41 due to cervical cancer, and 21 (9%) had recurrent disease. Hazard ratios (HR) showed no evidence of association between socioeconomic deprivation and cancer‐specific hazard of mortality from diagnosis or recurrence, hazard of mortality due to other causes or hazard of cancer recurrence. Furthermore, there was no evidence of association between socioeconomic deprivation and chemo‐ or radiation toxicity (bowel, bladder or vaginal stenosis). Conclusions: No associations were found between socioeconomic deprivation and cancer mortality or recurrence in cervical cancer patients in the population of Cornwall. In addition, no association was found between socioeconomic deprivation and chemo‐ or radiation toxicity. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
09615423
Volume :
30
Issue :
5
Database :
Complementary Index
Journal :
European Journal of Cancer Care
Publication Type :
Academic Journal
Accession number :
152539111
Full Text :
https://doi.org/10.1111/ecc.13463