ArticleBritish journal of cancer2008
Inequity in colorectal cancer treatment and outcomes: a population-based study.
Article in British journal of cancer, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Patterns of colorectal cancer care in Europe, Australia, and New Zealand.Journal of the National Cancer Institute. Monographs · 2013Pooled it
- Trial
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- Risk Model for Predicting Gaps in Surgical Oncology Care Among Patients With Stage I-III Rectal Cancer From KwaZulu-Natal, South Africa.JCO global oncology · 2025Article
- Rectal cancer surgery: does low volume imply worse outcome-a single surgeon experience.Irish journal of medical science · 2023Article
- Association between Timing and Duration of Adjuvant Chemotherapy and Colorectal Cancer Survival in Korea, 2011-2014: A Nationwide Study based on the Health Insurance Review and Assessment Service Database.Journal of Cancer · 2022Article
- Gender differences in stage at diagnosis and preoperative radiotherapy in patients with rectal cancer.BMC cancer · 2020Observational
- Article
- Colorectal cancer survivors: an investigation of symptom burden and influencing factors.BMC cancer · 2018Article
- 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
- Increasing late stage colorectal cancer and rectal cancer mortality demonstrates the need for screening: a population based study in Ireland, 1994-2010.BMC gastroenterology · 2014Article
- Inequity in access to guideline-recommended colorectal cancer treatment in Nova Scotia, Canada.Healthcare policy = Politiques de sante · 2012Article
- Cost of care for colorectal cancer in Ireland: a health care payer perspective.The European journal of health economics : HEPAC : health economics in prevention and care · 2012Article
- Quality indicators for colorectal cancer surgery and care according to patient-, tumor-, and hospital-related factors.BMC cancer · 2012Article
- Have developments in palliative care services impacted on place of death of colorectal cancer patients in Ireland? A population-based study.Irish journal of medical science · 2011Article
- Rectal cancer surgery: volume-outcome analysis.International journal of colorectal disease · 2010Review
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Several uncertainties surround optimal management of colorectal cancer. We investigated treatment patterns and factors influencing treatment receipt and mortality in routine clinical practice. We included 15 249 individuals, recorded by the National Cancer Registry (Ireland), with primary invasive colon or rectal tumours, diagnosed during 1994-2002. Logistic regression and Cox proportional hazards were used to determine factors associated with treatment receipt within 1 year of diagnosis and with mortality, respectively. A total of 78% had colorectal resection, 31% chemotherapy, and 13% radiotherapy (4% colon; 28% rectum). Half of stage IV patients underwent resection. Chemotherapy and radiotherapy use increased by at least 10% per annum. There was a notable increase in pre-operative radiotherapy from 2000 onwards. Patient-related factors were significantly associated with treatment receipt. Patients who were male, older, not married, or smokers had significantly higher risks of death. Chemotherapy was significantly associated with lower mortality for stage III, but not stage II, colon cancer. For rectal cancer, pre-operative radiotherapy was associated with reduced mortality. Surgery and chemotherapy were associated with longer survival for stage IV patients. The observed inequities in treatment and outcomes suggest that there is potential for further dissemination of therapies in routine practice. Improving treatment availability overall, and equity, has the potential to reduce mortality.
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