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The association between sociodemographic factors and time to diagnosis for colorectal cancer in northern Sweden
Umeå University, Faculty of Medicine, Department of Nursing. Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.ORCID iD: 0000-0003-4212-8080
Psychiatry, University Hospital of Umeå, Umeå, Sweden.
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine. Östersund Hospital.ORCID iD: 0000-0002-5203-9877
Umeå University, Faculty of Social Sciences, Department of Sociology.ORCID iD: 0000-0003-1975-9060
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2022 (English)In: European Journal of Cancer Care, ISSN 0961-5423, E-ISSN 1365-2354, Vol. 31, no 6, article id e13687Article in journal (Refereed) Published
Abstract [en]

OBJECTIVES: This study examined whether sociodemographic factors, including distance to hospital, were associated with differences in the diagnostic interval and the treatment interval for colorectal cancer in northern Sweden.

METHODS: Data were retrieved from the Swedish cancer register on patients (n = 446) diagnosed in three northern regions during 2017-2018, then linked to data from Statistics Sweden and medical records. Also, Google maps was used to map the distance between patients' place of residence and nearest hospital. The different time intervals were analysed using Mann-Whitney U-test and Cox regression.

RESULTS: Differences in time to diagnosis were found between groups for income and distance to hospital, favouring those with higher income and shorter distance. The unadjusted regression analysis showed higher income to be associated with more rapid diagnosis (HR 1.004, CI 1.001-1.007). This association remained in the fully adjusted model for income (HR 1.004, CI 1.000-1.008), but not for distance. No differences between sociodemographic groups were found in the treatment interval.

CONCLUSION: Higher income and shorter distance to hospital were in the unadjusted models associated with shorter time to diagnosis for patients with CRC in northern Sweden. The association remained for income when adjusting for other variables even though the difference was small.

Place, publisher, year, edition, pages
John Wiley & Sons, 2022. Vol. 31, no 6, article id e13687
Keywords [en]
colorectal cancer, distance to hospital, socio-economic factors, time intervals, time to diagnosis
National Category
Anesthesiology and Intensive Care
Identifiers
URN: urn:nbn:se:umu:diva-198737DOI: 10.1111/ecc.13687ISI: 000840669900001PubMedID: 35970596Scopus ID: 2-s2.0-85135949135OAI: oai:DiVA.org:umu-198737DiVA, id: diva2:1689543
Funder
Region Västerbotten, RV-855211Region Västerbotten, RV-731891Region Västerbotten, RV-931881Cancerforskningsfonden i Norrland, LP-18-2193Visare Norr, 838121Visare Norr, 939897Kempe-Carlgrenska FoundationAvailable from: 2022-08-23 Created: 2022-08-23 Last updated: 2023-05-25Bibliographically approved

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Hultstrand Ahlin, CeciliaHörnsten, CarlLilja, MikaelCoe, Anna-BrittFjällström, PetterHajdarevic, Senada

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Hultstrand Ahlin, CeciliaHörnsten, CarlLilja, MikaelCoe, Anna-BrittFjällström, PetterHajdarevic, Senada
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European Journal of Cancer Care
Anesthesiology and Intensive Care

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