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dc.contributor.authorBaade, Peter D
dc.contributor.authorDasgupta, Paramita
dc.contributor.authorYoul, Philippa H
dc.contributor.authorPyke, Christopher
dc.contributor.authorAitken, Joanne F
dc.date.accessioned2018-01-22T05:22:53Z
dc.date.available2018-01-22T05:22:53Z
dc.date.issued2016
dc.identifier.issn1660-4601
dc.identifier.doi10.3390/ijerph13070729
dc.identifier.urihttp://hdl.handle.net/10072/142927
dc.description.abstractThe uptake of breast conserving surgery (BCS) for early stage breast cancer varies by where women live. We investigate whether these geographical patterns have changed over time using population-based data linkage between cancer registry records and hospital inpatient episodes. The study cohort consisted of 11,631 women aged 20 years and over diagnosed with a single primary invasive localised breast cancer between 1997 and 2011 in Queensland, Australia who underwent either BCS (n = 9223, 79%) or mastectomy (n = 2408, 21%). After adjustment for socio-demographic and clinical factors, compared to women living in very high accessibility areas, women in high (Odds Ratio (OR) 0.58 (95% confidence intervals (CI) 0.49, 0.69)), low (OR 0.47 (0.41, 0.54)) and very low (OR 0.44 (0.34, 0.56)) accessibility areas had lower odds of having BCS, while the odds for women from middle (OR 0.81 (0.69, 0.94)) and most disadvantaged (OR 0.87 (0.71, 0.98)) areas was significantly lower than women living in affluent areas. The association between accessibility and the type of surgery reduced over time (interaction p = 0.028) but not for area disadvantage (interaction p = 0.209). In making informed decisions about surgical treatment, it is crucial that any geographical-related barriers to implementing their preferred treatment are minimised.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherMDPI
dc.relation.ispartofpagefrom729-1
dc.relation.ispartofpageto729-14
dc.relation.ispartofissue7
dc.relation.ispartofjournalInternational Journal of Environmental Research and Public Health
dc.relation.ispartofvolume13
dc.subject.fieldofresearchOncology and carcinogenesis
dc.subject.fieldofresearchcode3211
dc.titleGeographical Inequalities in Surgical Treatment for Localized Female Breast Cancer, Queensland, Australia 1997–2011: Improvements over Time but Inequalities Remain
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
dcterms.licensehttps://creativecommons.org/licenses/by/4.0/
dc.description.versionVersion of Record (VoR)
gro.facultyGriffith Health, School of Applied Psychology
gro.rights.copyright© 2016 by the authors; licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/).
gro.hasfulltextFull Text
gro.griffith.authorAitken, Joanne
gro.griffith.authorYoul, Philippa
gro.griffith.authorBaade, Peter D.
gro.griffith.authorDasgupta, Paramita


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