The impact of socioeconomic status on glioma survival: a retrospective analysisShow others and affiliations
2025 (English)In: Cancer Causes and Control, ISSN 0957-5243, E-ISSN 1573-7225Article in journal (Refereed) Epub ahead of print
Abstract [en]
Purpose: Although sociodemographic factors such as socioeconomic status (SES), travel time to health care, cohabitation status, and region of residence are observed to influence incidence and survival for several types of cancers, it is unclear whether similar effects have been observed in patients with glioma. This study investigates whether these factors affect survival for glioma patients.
Methods: In this retrospective study, the Swedish National Quality Registry for Brain Tumors was used to identify 1,276 patients with glioma WHO grade I–IV for whom data were deposited between 2009 and 2013. The RISK North database, which links data from the National Cancer Quality Register with citizen demographic data from the Longitudinal Integration Database for Health Insurance and Labor Market Studies (LISA), the Total Population Registry (TPR), and the Geography Database (GD), was utilized to assess survival in patients with glioma in relation to education level, cohabitation status, travel time to regional hospitals, and region of residence.
Results: In the multivariable analysis, longer survival was observed among WHO grade III-IV glioma patients with higher education level (middle school (ref) HR: 1, high school HR: 0.81 CI [0.67–0.98], p = 0.033; university/college HR: 0.81 CI [0.66–1.00], p = 0.048). Survival was not associated with travel time, cohabitation status, or region of residence in the multivariable survival analysis.
Conclusion: Low education level was associated with reduced survival for patients with glioma WHO grade III and IV in multivariable survival analyses, but no differences in survival were found in relation to travel time, cohabitation status, or region of residence.
Place, publisher, year, edition, pages
Springer Nature, 2025.
Keywords [en]
Cohabitation status, Education level, Glioma, Region of residence, Socioeconomic status, Survival, Travel time
National Category
Cancer and Oncology
Identifiers
URN: urn:nbn:se:umu:diva-235687DOI: 10.1007/s10552-025-01960-1ISI: 001398928900001PubMedID: 39827416Scopus ID: 2-s2.0-85217423544OAI: oai:DiVA.org:umu-235687DiVA, id: diva2:1939302
Funder
Cancerforskningsfonden i Norrland, LP17-2158Cancerforskningsfonden i Norrland, AMP 20-1017Cancerforskningsfonden i Norrland, AMP 21-1033Region Västerbotten, RV-933065Region Västerbotten, RV-941694Swedish Research Council, 2019-01566Swedish Cancer Society, CAN 2018/390Region Jämtland Härjedalen, JLL-9402552025-02-212025-02-212025-02-21