ArticleBMJ open2013
Education level and survival after oesophageal cancer surgery: a prospective population-based cohort study.
Article in BMJ open, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Income Level and Survival After Resection of Liver Metastases: A Population-Based Study.World journal of surgery · 2025Article
- The Impact of Socioeconomic Status on Staging, Prognosis in Hepatocellular Carcinoma.International journal of general medicine · 2022Article
- Racial/ethnic differences in survival for patients with gliosarcoma: an analysis of the National cancer database.Journal of neuro-oncology · 2019Article
- Socio-economic disparities in long-term cancer survival-10 year follow-up with individual patient data.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2017Article
- Lower Education and Household Income Contribute to Advanced Disease, Less Treatment Received and Poorer Prognosis in Patients with Hepatocellular Carcinoma.Journal of Cancer · 2017Article
- Association between education level and prognosis after esophageal cancer surgery: a Swedish population-based cohort study.PloS one · 2015Article
- Marital status and survival after oesophageal cancer surgery: a population-based nationwide cohort study in Sweden.BMJ open · 2014Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThis study aimed to investigate whether a higher education level is associated with an improved long-term survival after oesophagectomy for cancer.
designA prospective, population-based cohort study.
settingSweden-nationwide.
participants90% of all patients with oesophageal and cardia cancer who underwent a resection in Sweden in 2001-2005 were enrolled in this study (N=600; 80.3% male) and followed up until death or the end of the study period (2012). The study exposure was level of education, defined as compulsory (≤9 years), moderate (10-12 years) or high (≥13 years). OUTCOME MEASURES: The main outcome measure was overall 5-year survival after oesophagectomy. Cox regression was used to estimate the associations between education level and mortality, expressed as HRs with 95% CIs, with adjustment for sex, age, tumour stage, histological type, complications, comorbidities and annual surgeon volume. The patient group with highest education was used as the reference category.
resultsAmong the 600 included patients, 281 (46.8%) had compulsory education, 238 (39.7%) had moderate education and 81 (13.5%) had high education. The overall 5-year survival rate was 23.1%, 24.4% and 32.1% among patients with compulsory, moderate and high education, respectively. After adjustment for confounders, a slightly higher, yet not statistically significantly increased point HR was found among the compulsory educated patients (HR 1.08, 95% CI 0.80 to 1.47). In patients with tumour stage IV, increased adjusted HRs were found for compulsory (HR 2.88, 95% CI 1.07 to 7.73) and moderately (HR 2.83, 95% CI 1.15 to 6.95) educated patients. No statistically significant associations were found for the other tumour stages.
conclusionsThis study provides limited evidence of an association between lower education and worse long-term survival after oesophagectomy for cancer.
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