ArticleJournal of epidemiology and community health2004
An alternative approach to quantifying and addressing inequity in healthcare provision: access to surgery for lung cancer in the east of England.
Article in Journal of epidemiology and community health, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Socioeconomic inequalities in lung cancer treatment: systematic review and meta-analysis.PLoS medicine · 2013Pooled it
- Integrating equity indicators for hospital reporting metrics.Research in health services & regions · 2024Article
- Research in cancer care disparities in countries with universal healthcare: mapping the field and its conceptual contours.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2014Review
- Inequities in access to healthcare: analysis of national survey data across six Asia-Pacific countries.BMC health services research · 2013Article
- Social variations in access to hospital care for patients with colorectal, breast, and lung cancer between 1999 and 2006: retrospective analysis of hospital episode statistics.BMJ (Clinical research ed.) · 2010Article
- Trends and variation in the management of oesophagogastric cancer patients: a population-based survey.BMC health services research · 2009Article
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3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
objectiveEquitable access to healthcare services should be monitored routinely. This study compares provision of surgery for non-small cell lung cancer in the east of England with incidence of non-small cell lung cancer. In addition to conventional comparisons, process control charts are used to identify areas in which access seems to be significantly different from average.
designEcological comparison of surgery rates for non-small cell lung cancer between 1998 and 2000 and incidence of non-small cell lung cancer over the same time period.
settingPopulation of Norfolk, Suffolk, Cambridgeshire.
participantsThe denominator was the resident population. Numerators were 4092 deaths from non-small cell lung cancer and 387 surgical procedures for lung cancer. MAIN
resultsIncidence of non-small cell lung cancer by primary care trust (PCT) does not correlate with surgical procedure rate, in men r = 0.37 (95% confidence intervals -0.14 to 0.72), in women r = 0.07 (95% confidence intervals -0.43 to 0.53). Control charts indicate that the surgery rate is significantly different from average in three PCTs, high in one and low in two others. The optimum surgery rate is unclear but raising it from 9% to a theoretical level of 15% would mean no PCTs have above average rates while six PCTs have rates that are significantly low.
conclusionsThere does not seem to be equity of access to surgery for patients with non-small cell lung cancer in the east of England. Control charts can help both to identify areas where access is particularly high or low, and also to monitor performance against a theoretical optimum surgery rate.
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