Favorable mortality-to-incidence ratios of kidney Cancer are associated with advanced health care systems
Abstract Background The advancements in cancer therapy have improved the clinical outcomes of cancer patients in recent decades. However, advanced cancer therapy is expensive and requires good health care systems. For kidney cancer, no studies have yet established an association between clinical out...
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| Format: | Article |
| Language: | English |
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BMC
2018-08-01
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| Series: | BMC Cancer |
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| Online Access: | http://link.springer.com/article/10.1186/s12885-018-4698-6 |
| _version_ | 1828382368332775424 |
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| author | Wen-Wei Sung Shao-Chuan Wang Tzuo-Yi Hsieh Cheng-Ju Ho Cheng-Yu Huang Yu-Lin Kao Wen-Jung Chen Sung-Lang Chen |
| author_facet | Wen-Wei Sung Shao-Chuan Wang Tzuo-Yi Hsieh Cheng-Ju Ho Cheng-Yu Huang Yu-Lin Kao Wen-Jung Chen Sung-Lang Chen |
| author_sort | Wen-Wei Sung |
| collection | DOAJ |
| description | Abstract Background The advancements in cancer therapy have improved the clinical outcomes of cancer patients in recent decades. However, advanced cancer therapy is expensive and requires good health care systems. For kidney cancer, no studies have yet established an association between clinical outcome and health care disparities. Methods We used the mortality-to-incidence ratio (MIR) for kidney cancer as a marker of clinical outcome to compare World Health Organization (WHO) country rankings and total expenditures on health/gross domestic product (e/GDP) using linear regression analyses. Results We included 57 countries based on data from the GLOBOCAN 2012 database. We found that more highly developed regions have higher crude and age-standardized rates of kidney cancer incidence and mortality, but a lower MIR, when compared to less developed regions. North America has the highest crude rates of incidence, but the lowest MIRs, whereas Africa has the highest MIRs. Furthermore, favorable MIRs are correlated with countries with good WHO rankings and high e/GDP expenditures (p < 0.001 and p = 0.013, respectively). Conclusions Kidney cancer MIRs are positively associated with the ranking of health care systems and health care expenditures. |
| first_indexed | 2024-12-10T04:30:46Z |
| format | Article |
| id | doaj.art-d563e0c82b5642c29d9a01aa760df3b7 |
| institution | Directory Open Access Journal |
| issn | 1471-2407 |
| language | English |
| last_indexed | 2024-12-10T04:30:46Z |
| publishDate | 2018-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Cancer |
| spelling | doaj.art-d563e0c82b5642c29d9a01aa760df3b72022-12-22T02:02:09ZengBMCBMC Cancer1471-24072018-08-011811710.1186/s12885-018-4698-6Favorable mortality-to-incidence ratios of kidney Cancer are associated with advanced health care systemsWen-Wei Sung0Shao-Chuan Wang1Tzuo-Yi Hsieh2Cheng-Ju Ho3Cheng-Yu Huang4Yu-Lin Kao5Wen-Jung Chen6Sung-Lang Chen7Department of Urology, Chung Shan Medical University HospitalDepartment of Urology, Chung Shan Medical University HospitalDepartment of Urology, Chung Shan Medical University HospitalSchool of Medicine, Chung Shan Medical UniversityDepartment of Urology, National Taiwan University HospitalDepartment of Urology, Chung Shan Medical University HospitalDepartment of Urology, Chung Shan Medical University HospitalDepartment of Urology, Chung Shan Medical University HospitalAbstract Background The advancements in cancer therapy have improved the clinical outcomes of cancer patients in recent decades. However, advanced cancer therapy is expensive and requires good health care systems. For kidney cancer, no studies have yet established an association between clinical outcome and health care disparities. Methods We used the mortality-to-incidence ratio (MIR) for kidney cancer as a marker of clinical outcome to compare World Health Organization (WHO) country rankings and total expenditures on health/gross domestic product (e/GDP) using linear regression analyses. Results We included 57 countries based on data from the GLOBOCAN 2012 database. We found that more highly developed regions have higher crude and age-standardized rates of kidney cancer incidence and mortality, but a lower MIR, when compared to less developed regions. North America has the highest crude rates of incidence, but the lowest MIRs, whereas Africa has the highest MIRs. Furthermore, favorable MIRs are correlated with countries with good WHO rankings and high e/GDP expenditures (p < 0.001 and p = 0.013, respectively). Conclusions Kidney cancer MIRs are positively associated with the ranking of health care systems and health care expenditures.http://link.springer.com/article/10.1186/s12885-018-4698-6Kidney cancerMortalityIncidenceMortality-to-incidence ratio |
| spellingShingle | Wen-Wei Sung Shao-Chuan Wang Tzuo-Yi Hsieh Cheng-Ju Ho Cheng-Yu Huang Yu-Lin Kao Wen-Jung Chen Sung-Lang Chen Favorable mortality-to-incidence ratios of kidney Cancer are associated with advanced health care systems BMC Cancer Kidney cancer Mortality Incidence Mortality-to-incidence ratio |
| title | Favorable mortality-to-incidence ratios of kidney Cancer are associated with advanced health care systems |
| title_full | Favorable mortality-to-incidence ratios of kidney Cancer are associated with advanced health care systems |
| title_fullStr | Favorable mortality-to-incidence ratios of kidney Cancer are associated with advanced health care systems |
| title_full_unstemmed | Favorable mortality-to-incidence ratios of kidney Cancer are associated with advanced health care systems |
| title_short | Favorable mortality-to-incidence ratios of kidney Cancer are associated with advanced health care systems |
| title_sort | favorable mortality to incidence ratios of kidney cancer are associated with advanced health care systems |
| topic | Kidney cancer Mortality Incidence Mortality-to-incidence ratio |
| url | http://link.springer.com/article/10.1186/s12885-018-4698-6 |
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