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The association between sociodemographic factors and time to diagnosis for colorectal cancer in northern Sweden.
Hultstrand, Cecilia; Hörnsten, Carl; Lilja, Mikael; Coe, Anna-Britt; Fjällström, Petter; Hajdarevic, Senada.
Affiliation
  • Hultstrand C; Department of Nursing, Umeå University, Umeå, Sweden.
  • Hörnsten C; Department of Public Health and Clinical Medicine, Family Medicine, Umeå University, Umeå, Sweden.
  • Lilja M; Psychiatry, University Hospital of Umeå, Umeå, Sweden.
  • Coe AB; Department of Public Health and Clinical Medicine, Unit of Research, Education, and Development, Östersund Hospital, Umeå University, Umeå, Sweden.
  • Fjällström P; Department of Sociology, Umeå University, Umeå, Sweden.
  • Hajdarevic S; Department of Nursing, Umeå University, Umeå, Sweden.
Eur J Cancer Care (Engl) ; 31(6): e13687, 2022 Nov.
Article in En | MEDLINE | ID: mdl-35970596
ABSTRACT

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.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Colorectal Neoplasms / Sociodemographic Factors Type of study: Diagnostic_studies / Prognostic_studies / Risk_factors_studies Limits: Humans Country/Region as subject: Europa Language: En Journal: Eur J Cancer Care (Engl) Journal subject: ENFERMAGEM / NEOPLASIAS Year: 2022 Document type: Article Affiliation country: Sweden

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Colorectal Neoplasms / Sociodemographic Factors Type of study: Diagnostic_studies / Prognostic_studies / Risk_factors_studies Limits: Humans Country/Region as subject: Europa Language: En Journal: Eur J Cancer Care (Engl) Journal subject: ENFERMAGEM / NEOPLASIAS Year: 2022 Document type: Article Affiliation country: Sweden