Geographic remoteness and risk of advanced colorectal cancer at diagnosis in Queensland: a multilevel study
Journal article
Baade, Peter, Dasgupta, Paramita, Aitken, Joanne and Turrell, Gavin. (2011). Geographic remoteness and risk of advanced colorectal cancer at diagnosis in Queensland: a multilevel study. British Journal of Cancer. 105(7), pp. 1039 - 1041. https://doi.org/10.1038/bjc.2011.356
Authors | Baade, Peter, Dasgupta, Paramita, Aitken, Joanne and Turrell, Gavin |
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Abstract | Background: We examine the relationships between geographic remoteness, area disadvantage and risk of advanced colorectal cancer. Methods: Multilevel models were used to assess the area- and individual-level contributions to the risk of advanced disease among people aged 20–79 years diagnosed with colorectal cancer in Queensland, Australia between 1997 and 2007 (n=18 561). Results: Multilevel analysis showed that colorectal cancer patients living in inner regional (OR=1.09, 1.01–1.19) and outer regional (OR=1.11, 1.01–1.22) areas were significantly more likely to be diagnosed with advanced cancer than those in major cities (P=0.045) after adjusting for individual-level variables. The best-fitting final model did not include area disadvantage. Stratified analysis suggested this remoteness effect was limited to people diagnosed with colon cancer (P=0.048) and not significant for rectal cancer patients (P=0.873). Conclusion: Given the relationship between stage and survival outcomes, it is imperative that the reasons for these rurality inequities in advanced disease be identified and addressed. |
Year | 2011 |
Journal | British Journal of Cancer |
Journal citation | 105 (7), pp. 1039 - 1041 |
Publisher | Nature Publishing Group |
ISSN | 0007-0920 |
Digital Object Identifier (DOI) | https://doi.org/10.1038/bjc.2011.356 |
Scopus EID | 2-s2.0-80053230701 |
Page range | 1039 - 1041 |
Research Group | Institute for Health and Ageing |
Publisher's version | File Access Level Controlled |
Place of publication | United Kingdom |
Editors | A. L. Harris |
https://acuresearchbank.acu.edu.au/item/89407/geographic-remoteness-and-risk-of-advanced-colorectal-cancer-at-diagnosis-in-queensland-a-multilevel-study
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