Effects of Demographic and Socio-Economic Factors on Investigation Time of Lung Cancer Patients in Denmark: A Retrospective Cohort Study
Background Lung cancer is one of the most common cancer types worldwide. The significance of the individual socio-economic position on the delay in lung cancer diagnosis has not been properly investigated. The purpose of this nationwide population-based study is to examine the association between po...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2023-10-01
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| Series: | Health Services Research & Managerial Epidemiology |
| Online Access: | https://doi.org/10.1177/23333928231206627 |
| _version_ | 1797648866106933248 |
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| author | Maria Iachina Pavithra Laxsen Anru Erik Jakobsen |
| author_facet | Maria Iachina Pavithra Laxsen Anru Erik Jakobsen |
| author_sort | Maria Iachina |
| collection | DOAJ |
| description | Background Lung cancer is one of the most common cancer types worldwide. The significance of the individual socio-economic position on the delay in lung cancer diagnosis has not been properly investigated. The purpose of this nationwide population-based study is to examine the association between position and the length of the primary investigation for lung cancer. Materials and Methods This register study was based on all lung cancer patients in Denmark who were diagnosed in 2012 to 2017, in total 28,431 patients. We used a multivariate logistic regression model and multivariate zero-inflated negative binomial model to estimate the effect of education level, family income, difficulty of transport, and cohabitation status on the length of the primary investigation. Results We found that the patients’ income, difficulty of transport, and cohabitation status were associated with the length of the primary investigation. The chance of carrying out the investigation process within 24 days is higher for patients with a high income (adjusted OR = 0.86 with 95% CI (0.81; 0.91)), lower for patients with troublesome transport (adjusted OR = 0.67 with 95% CI (0.61; 0.72)), and lower for patients living alone (adjusted OR = 0.93 with 95% CI (0.88; 0.99)). Conclusion Several socio-economic factors are associated with the length of the primary lung cancer investigation. To ensure that all patients receive the most appropriate health care and to avoid extra investigation time, clinicians may pay extra attention to patients who are less fortunate due to low income, troublesome transport to the hospital, or living alone. |
| first_indexed | 2024-03-11T15:38:08Z |
| format | Article |
| id | doaj.art-6b26714325ee406996cc3d0930f4dc1e |
| institution | Directory Open Access Journal |
| issn | 2333-3928 |
| language | English |
| last_indexed | 2024-03-11T15:38:08Z |
| publishDate | 2023-10-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Health Services Research & Managerial Epidemiology |
| spelling | doaj.art-6b26714325ee406996cc3d0930f4dc1e2023-10-26T13:33:20ZengSAGE PublishingHealth Services Research & Managerial Epidemiology2333-39282023-10-011010.1177/23333928231206627Effects of Demographic and Socio-Economic Factors on Investigation Time of Lung Cancer Patients in Denmark: A Retrospective Cohort StudyMaria Iachina0Pavithra Laxsen Anru1Erik Jakobsen2 Research Unit of Clinical Epidemiology, , Odense, Denmark Research Unit of Clinical Epidemiology, , Odense, Denmark Odense Patient Data Exploratory Network (OPEN), Institute of Clinical Research, , Odense, DenmarkBackground Lung cancer is one of the most common cancer types worldwide. The significance of the individual socio-economic position on the delay in lung cancer diagnosis has not been properly investigated. The purpose of this nationwide population-based study is to examine the association between position and the length of the primary investigation for lung cancer. Materials and Methods This register study was based on all lung cancer patients in Denmark who were diagnosed in 2012 to 2017, in total 28,431 patients. We used a multivariate logistic regression model and multivariate zero-inflated negative binomial model to estimate the effect of education level, family income, difficulty of transport, and cohabitation status on the length of the primary investigation. Results We found that the patients’ income, difficulty of transport, and cohabitation status were associated with the length of the primary investigation. The chance of carrying out the investigation process within 24 days is higher for patients with a high income (adjusted OR = 0.86 with 95% CI (0.81; 0.91)), lower for patients with troublesome transport (adjusted OR = 0.67 with 95% CI (0.61; 0.72)), and lower for patients living alone (adjusted OR = 0.93 with 95% CI (0.88; 0.99)). Conclusion Several socio-economic factors are associated with the length of the primary lung cancer investigation. To ensure that all patients receive the most appropriate health care and to avoid extra investigation time, clinicians may pay extra attention to patients who are less fortunate due to low income, troublesome transport to the hospital, or living alone.https://doi.org/10.1177/23333928231206627 |
| spellingShingle | Maria Iachina Pavithra Laxsen Anru Erik Jakobsen Effects of Demographic and Socio-Economic Factors on Investigation Time of Lung Cancer Patients in Denmark: A Retrospective Cohort Study Health Services Research & Managerial Epidemiology |
| title | Effects of Demographic and Socio-Economic Factors on Investigation Time of Lung Cancer Patients in Denmark: A Retrospective Cohort Study |
| title_full | Effects of Demographic and Socio-Economic Factors on Investigation Time of Lung Cancer Patients in Denmark: A Retrospective Cohort Study |
| title_fullStr | Effects of Demographic and Socio-Economic Factors on Investigation Time of Lung Cancer Patients in Denmark: A Retrospective Cohort Study |
| title_full_unstemmed | Effects of Demographic and Socio-Economic Factors on Investigation Time of Lung Cancer Patients in Denmark: A Retrospective Cohort Study |
| title_short | Effects of Demographic and Socio-Economic Factors on Investigation Time of Lung Cancer Patients in Denmark: A Retrospective Cohort Study |
| title_sort | effects of demographic and socio economic factors on investigation time of lung cancer patients in denmark a retrospective cohort study |
| url | https://doi.org/10.1177/23333928231206627 |
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