Socioeconomic environment and disparities in cancer survival for 19 solid tumor sites: An analysis of the French Network of Cancer Registries (FRANCIM) data

被引：37

作者：

Tron, Laure ^{[1
,2
]}

Belot, Aurelien ^{[3
]}

Fauvernier, Mathieu ^{[4
,5
]}

Remontet, Laurent ^{[4
,5
]}

Bossard, Nadine ^{[4
,5
]}

Launay, Ludivine ^{[2
]}

Bryere, Josephine ^{[2
]}

Monnereau, Alain ^{[6
,7
,19
]}

Dejardin, Olivier ^{[1
,2
]}

Launoy, Guy ^{[1
,2
,7
,14
]}

Galateau-Salle, Francoise

Bouvier, Anne-Marie ^{[8
]}

Bara, Simona ^{[9
]}

Joachim-Contaret, Clarisse ^{[10
]}

Ganry, Olivier ^{[11
]}

Schvartz, Claire ^{[12
]}

Plouvier, Sandrine ^{[13
]}

Launoy, Guy ^{[1
,2
,7
,14
]}

Marrer, Emilie ^{[15
]}

Arveux, Patrick ^{[16
]}

Grosclaude, Pascale ^{[17
]}

Troussard, Xavier

Maynadie, Marc ^{[18
]}

Monnereau, Alain ^{[6
,7
,19
]}

Daures, Jean Pierre ^{[20
]}

Molinie, Florence ^{[21
]}

Woronoff, Anne-Sophie ^{[22
]}

Baldi, Isabelle ^{[23
]}

Nousbbaum, Jean-Baptiste ^{[24
]}

Coureau, Gaelle ^{[25
]}

Deloumeaux, Jacqueline ^{[26
]}

Colonna, Marc ^{[27
]}

Velten, Michel ^{[28
]}

D'Almeida, Tania ^{[29
]}

Guizard, Anne-Valerie ^{[30
]}

Clavel, Jacqueline

Lacour, Brigitte ^{[31
]}

Borson-Chazot ^{[32
]}

Ingrand, Pierre ^{[33
]}

Laumod, Sylvie

Chirpaz, Emmanuel ^{[34
]}

Desroziers-Imounga, Laure-Manuella ^{[35
]}

机构：

[1] Univ Hosp Caen, Caen, France

[2] UCN, Ctr Francois Baclesse, Team Labeled Ligue Canc, ANTICIPE,INSERM,U1086, Caen, France

[3] London Sch Hyg & Trop Med, Fac Epidemiol & Populat Hlth, Dept Noncommunicable Dis Epidemiol, Canc Survival Grp, London, England

[4] Hosp Civils Lyon, Serv Biostat & Bioinformat, Lyon, France

[5] Univ Lyon 1, Univ Lyon, Lab Biometrie & Biol Evolut, Equipe Biostat Sante,CNRS,UMR 5558, Villeurbanne, France

[6] Inst Bergonie, Registre Hemopathies Malignes Gironde, Bordeaux, France

[7] French Network Canc Registries, Toulouse, France

[8] Registre Bourguignon Canc Digestifs, Dijon, France

[9] Registre Canc Manche, Octeville, France

[10] Registre Canc Martinique, Fort De France, Martinique, France

[11] Registre Gen Canc Somme, Amiens, France

[12] Registre Canc Thyroide Marne Ardennes, Reims, France

[13] Registre Canc Lille & Reg, Lille, France

[14] Registre Canc Digestifs Calvados, Paris, France

[15] Registre Canc Haut Rhin, Paris, France

[16] Registre Canc Sein & Canc Gynecol Cote dOr, Paris, France

[17] Registre Canc Gen Tarn, Paris, France

[18] Registre Hemopathies Malignes Cote dOr, Dijon, France

[19] Registre Hemopathies Malignes Gironde, Bordeaux, France

[20] Registre Gen Tumeurs Herault, Montpellier, France

[21] Registre Tumeurs Loire Atlantique Vendee, Nantes, France

[22] Registre Tumeurs Doubs & Territoire Belfort, Besancon, France

[23] Registre Tumeurs Primit Syst Nerveux Gironde, Bordeaux, France

[24] Registre Finisterien Tumeurs Digestives, Brest, France

[25] Registre Gen Canc Gironde, Bordeaux, France

[26] Registre Gen Canc Guadeloupe, Paris, France

[27] Registre Gen Canc Isere, Grenoble, France

[28] Registre Gen Canc Bas Rhin, Paris, France

[29] Registre Gen Canc Reg Limousin, Paris, France

[30] Registre Gen Tumeurs Calvados, Paris, France

[31] Registre Natl Tumeurs Solides lenfant RNTSE, Nancy, France

[32] Registre Rhone Alpin Canc Thyroidiens, Bron, France

[33] Registre Canc Poitou Charentes, Poitiers, France

[34] Registre Canc Reunion, St Denis, Reunion, France

[35] Registre Canc Gen Guyane, Paris, France

来源：

INTERNATIONAL JOURNAL OF CANCER | 2019年 / 144卷 / 06期

关键词：

deprivation; social environment; cancer survival; cancer registries; France; NEW-ZEALAND; DEPRIVATION INDEX; POPULATION; INEQUALITIES; MORTALITY; IMPACT; BREAST; STAGE; DIAGNOSIS; EDUCATION;

D O I：

10.1002/ijc.31951

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Social inequalities are concerning along the cancer continuum. In France, social gradient in health is particularly marked but little is known about social gradient in cancer survival. We aimed to investigate the influence of socioeconomic environment on cancer survival, for all cancers reported in the French Network of Cancer Registries. We analyzed 189,657 solid tumors diagnosed between 2006 and 2009, recorded in 18 registries. The European Deprivation Index (EDI), an ecological index measuring relative poverty in small geographic areas, assessed social environment. The EDI was categorized into quintiles of the national distribution. One- and five-year age-standardized net survival (ASNS) were estimated for each solid tumor site and deprivation quintile, among men and among women. We found that 5-year ASNS was lower among patients living in the most deprived areas compared to those living in the least deprived ones for 14/16 cancers among men and 16/18 cancers among women. The extent of cancer survival disparities according to deprivation varied substantially across the cancer sites. The reduction in ASNS between the least and the most deprived quintile reached 34% for liver cancer among men and 59% for bile duct cancer among women. For pancreas, stomach and esophagus cancer (among men), and ovary and stomach cancer (among women), deprivation gaps were larger at 1-year than 5-year survival. In conclusion, survival was worse in the most deprived areas for almost all cancers. Our results from population-based cancer registries data highlight the need for implementing actions to reduce social inequalities in cancer survival in France.

引用

页码：1262 / 1274

页数：13

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