Favorable gallbladder cancer mortality-to-incidence ratios of countries with good ranking of world's health system and high expenditures on health.
BMC Public Health
; 19(1): 1025, 2019 Jul 31.
Article
em En
| MEDLINE
| ID: mdl-31366338
ABSTRACT
BACKGROUND:
The mortality-to-incidence ratio (MIR) is a marker that reflects the clinical outcome of cancer treatment. MIR as a prognostic marker is more accessible when compared with long-term follow-up survival surveys. Theoretically, countries with good health care systems would have favorable outcomes for cancer; however, no report has yet demonstrated an association between gallbladder cancer MIR and the World's Health System ranking.METHODS:
We used linear regression to analyze the correlation of MIRs with the World Health Organization (WHO) rankings and total expenditures on health/gross domestic product (e/GDP) in 57 countries selected according to the data quality.RESULTS:
The results showed high crude rates of incidence/mortality but low MIR in more developed regions. Among continents, Europe had the highest crude rates of incidence/mortality, whereas the highest age-standardized rates (ASR) of incidence/mortality were in Asia. The MIR was lowest in North America and highest in Africa (0.40 and 1.00, respectively). Furthermore, favorable MIRs were correlated with good WHO rankings and high e/GDP (p = 0.01 and p = 0.030, respectively).CONCLUSIONS:
The MIR variation for gallbladder cancer is therefore associated with the ranking of the health system and the expenditure on health.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Saúde Global
/
Gastos em Saúde
/
Atenção à Saúde
/
Neoplasias da Vesícula Biliar
Tipo de estudo:
Health_economic_evaluation
/
Incidence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Humans
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article