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  • Geographic disparities in prostate cancer outcomes – review of international patterns

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    102087_1.pdf (928.4Kb)
    Author
    Baade, Peter
    Yu, Xue Qin
    Smith, David
    Dunn, Jeffrey
    Chambers, Suzanne
    Year published
    2015
    Metadata
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    Abstract
    Background: This study reviewed the published evidence as to how prostate cancer outcomes vary across geographical remoteness and area level disadvantage. Materials and Methods: A review of the literature published from January 1998 to January 2014 was undertaken: Medline and CINAHL databases were searched in February to May 2014. The search terms included terms of `Prostate cancer` and `prostatic neoplasms` coupled with `rural health`, `urban health`, `geographic inequalities`, `spatial`, `socioeconomic`, `disadvantage`, `health literacy` or `health service accessibility`. Outcome specific terms were `incidence`, `mortality`, ...
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    Background: This study reviewed the published evidence as to how prostate cancer outcomes vary across geographical remoteness and area level disadvantage. Materials and Methods: A review of the literature published from January 1998 to January 2014 was undertaken: Medline and CINAHL databases were searched in February to May 2014. The search terms included terms of `Prostate cancer` and `prostatic neoplasms` coupled with `rural health`, `urban health`, `geographic inequalities`, `spatial`, `socioeconomic`, `disadvantage`, `health literacy` or `health service accessibility`. Outcome specific terms were `incidence`, `mortality`, `prevalence`, `survival`, `disease progression`, `PSA testing` or `PSA screening`, `treatment`, `treatment complications` and `recurrence`. A further search through internet search engines was conducted to identify any additional relevant published reports. Results: 91 papers were included in the review. While patterns were sometimes contrasting, the predominate patterns were for PSA testing to be more common in urban (5 studies out of 6) and affluent areas (2 of 2), higher prostate cancer incidence in urban (12 of 22) and affluent (18 of 20), greater risk of advanced stage prostate cancer in rural (7 of 11) and disadvantaged (8 of 9), higher survival in urban (8 of 13) and affluent (16 of 18), greater access or use of definitive treatment services in urban (6 of 9) and affluent (7 of 7), and higher prostate mortality in rural (10 of 20) and disadvantaged (8 of 16) areas. Conclusions: Future studies may need to utilise a mixed methods approach, in which the quantifiable attributes of the individuals living within areas are measured along with the characteristics of the areas themselves, but importantly include a qualitative examination of the lived experience of people within those areas. These studies should be conducted across a range of international countries using consistent measures and incorporate dialogue between clinicians, epidemiologists, policy advocates and disease control specialists.
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    Journal Title
    Asian Pacific Journal of Cancer Prevention
    Volume
    16
    Issue
    3
    DOI
    https://doi.org/10.7314/APJCP.2015.16.3.1259
    Copyright Statement
    © The Author(s) 2015. The attached file is reproduced here in accordance with the copyright policy of the publisher. For information about this journal please refer to the journal’s website or contact the author[s].
    Subject
    Oncology and Carcinogenesis not elsewhere classified
    Publication URI
    http://hdl.handle.net/10072/153849
    Collection
    • Journal articles

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