ArticleCanadian journal of gastroenterology & hepatology2014
Geographical variation and factors associated with colorectal cancer mortality in a universal health care system.
Article in Canadian journal of gastroenterology & hepatology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- Colorectal Cancer Screening and Mortality Trends in the United States Over 25 Years: A Story of Success and Inequity.Digestive diseases and sciences · 2026Article
- Natural Alkaloids in Cancer Therapy: Berberine, Sanguinarine and Chelerythrine against Colorectal and Gastric Cancer.International journal of molecular sciences · 2024Review
- Colorectal Cancer Incidence in Iran Based on Sex, Age, and Geographical Regions: A Study of 2014-2017 and Projected Rates to 2025.Archives of Iranian medicine · 2024Article
- Geographical variations in long term colorectal cancer outcomes in England: a contemporary population analysis revealing the north-south divide in colorectal cancer survival.Surgical endoscopy · 2023Article
- Geographic Distribution and Estimating the Childhood Cancer Incidence in Iran: Three-Source Capture-Recapture Analysis on National Registries Data.Iranian journal of public health · 2022Article
- Impact of Socioeconomic Status on Cancer Incidence Risk, Cancer Staging, and Survival of Patients with Colorectal Cancer under Universal Health Insurance Coverage in Taiwan.International journal of environmental research and public health · 2021Article
- Canadian Colorectal Cancer Screening Guidelines: Do They Need an Update Given Changing Incidence and Global Practice Patterns?Current oncology (Toronto, Ont.) · 2021Review
- Article
- Premature mortality of gastrointestinal cancer in Iran: trends and projections 2001-2030.BMC cancer · 2020Article
- Differences in colorectal cancer screening rates across income strata by levels of urbanization: results from the Canadian Community Health Survey (2013/2014).Canadian journal of public health = Revue canadienne de sante publique · 2019Article
- Alberta Family Physician Electronic Endoscopy study: Quality of 1769 colonoscopies performed by rural Canadian family physicians.Canadian family physician Medecin de famille canadien · 2018Article
- Geographic variation and factors associated with colorectal cancer incidence in Manitoba.Canadian journal of public health = Revue canadienne de sante publique · 2017Article
- Geographic distribution of the incidence of colorectal cancer in Iran: a population-based study.Epidemiology and health · 2017Article
- Family physician access to and wait times for cancer diagnostic investigations: Regional differences among 3 provinces.Canadian family physician Medecin de famille canadien · 2016Article
- Managing Matajoosh: determinants of first Nations' cancer care decisions.BMC health services research · 2016Article
- Socioeconomic differentials and mortality from colorectal cancer in large cities in Brazil.Ecancermedicalscience · 2016Article
- Longitudinal Rates of Colon Cancer Screening Use in Winnipeg, Canada: The Experience of a Universal Health-Care System with an Organized Colon Screening Program.The American journal of gastroenterology · 2015Article
- Colon cancer care and survival: income and insurance are more predictive in the USA, community primary care physician supply more so in Canada.International journal for equity in health · 2015Article
- Socioeconomic Disadvantage, but Not Remote Location, Is Associated With Poorer Survival After Resection of Colon Cancer in Queensland Patients: A Population-Based Retrospective Cohort Study.ANZ journal of surgeryArticle
- Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo investigate the geographical variation and small geographical area level factors associated with colorectal cancer (CRC) mortality.
methodsInformation regarding CRC mortality was obtained from the population-based Manitoba Cancer Registry, population counts were obtained from Manitoba's universal health care plan Registry and characteristics of the area of residence were obtained from the 2001 Canadian census. Bayesian spatial Poisson mixed models were used to evaluate the geographical variation of CRC mortality and Poisson regression models for determining associations with CRC mortality. Time trends of CRC mortality according to income group were plotted using joinpoint regression.
resultsThe southeast (mortality rate ratio [MRR] 1.31 [95% CI 1.12 to 1.54) and southcentral (MRR 1.62 [95% CI 1.35 to 1.92]) regions of Manitoba had higher CRC mortality rates than suburban Winnipeg (Manitoba's capital city). Between 1985 and 1996, CRC mortality did not vary according to household income; however, between 1997 and 2009, individuals residing in the highest-income areas were less likely to die from CRC (MRR 0.77 [95% CI 0.65 to 0.89]). Divergence in CRC mortality among individuals residing in different income areas increased over time, with rising CRC mortality observed in the lowest income areas and declining CRC mortality observed in the higher income areas.
conclusionsIndividuals residing in lower income neighbourhoods experienced rising CRC mortality despite residing in a jurisdiction with universal health care and should receive increased efforts to reduce CRC mortality. These findings should be of particular interest to the provincial CRC screening programs, which may be able to reduce the disparities in CRC mortality by reducing the disparities in CRC screening participation.
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