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  • Geographic remoteness and risk of advanced colorectal cancer at diagnosis in Queensland: a multilevel study

    Author
    Baade, Peter
    Dasgupta, P.
    Aitken, Joanne
    Turrell, G.
    Year published
    2011
    Metadata
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    Abstract
    Background: We examine the relationships between geographic remoteness, area disadvantage and risk of advanced colorectal cancer. Methods: Multilevel models were used to assess the area- and individual-level contributions to the risk of advanced disease among people aged 20-79 years diagnosed with colorectal cancer in Queensland, Australia between 1997 and 2007 (n=18?561). Results: Multilevel analysis showed that colorectal cancer patients living in inner regional (OR=1.09, 1.01-1.19) and outer regional (OR=1.11, 1.01-1.22) areas were significantly more likely to be diagnosed with advanced cancer than those in major ...
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    Background: We examine the relationships between geographic remoteness, area disadvantage and risk of advanced colorectal cancer. Methods: Multilevel models were used to assess the area- and individual-level contributions to the risk of advanced disease among people aged 20-79 years diagnosed with colorectal cancer in Queensland, Australia between 1997 and 2007 (n=18?561). Results: Multilevel analysis showed that colorectal cancer patients living in inner regional (OR=1.09, 1.01-1.19) and outer regional (OR=1.11, 1.01-1.22) areas were significantly more likely to be diagnosed with advanced cancer than those in major cities (P=0.045) after adjusting for individual-level variables. The best-fitting final model did not include area disadvantage. Stratified analysis suggested this remoteness effect was limited to people diagnosed with colon cancer (P=0.048) and not significant for rectal cancer patients (P=0.873). Conclusion: Given the relationship between stage and survival outcomes, it is imperative that the reasons for these rurality inequities in advanced disease be identified and addressed.
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    Journal Title
    BJC
    Volume
    105
    DOI
    https://doi.org/10.1038/bjc.2011.356
    Subject
    Psychology not elsewhere classified
    Publication URI
    http://hdl.handle.net/10072/43498
    Collection
    • Journal articles

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