Study objectives-To examine equity in the health care system with regard to cancer patient care by estimating the level of systematic regional variation in cancer survival in the Nordic countries.
Specifically, those cancer sites which exhibit high levels of systematic regional variation in survival and hence inequity were identified.
Estimating the reduction in cancer deaths which could be achieved by eliminating this variation so that everyone receives effective care will provide a readily interpretable measure of the amount of systematic regional variation.
A comprehensive analysis ofregional variation in survival has not previously been conducted so appropriate statistical methodology must be developed.
Setting and participants-Au those aged 0-90 years who had been diagnosed with at least one of 12 common malignant neoplasms between 1977 and 1992 in Denmark, Finland, Norway, and Sweden.
Design-A separate analysis was conducted for each country.
Regression models for the relative survival ratio were used to estimate the relative risk of excess mortality attributable to cancer in each region after correcting for age and sex.
An estimate of the amount of systematic regional variation in survival was obtained by subtracting the estimated expected random variation from the observed regional variation. (...)
Mots-clés Pascal : Tumeur maligne, Epidémiologie, Variation géographique, Survie, Méthodologie, Mortalité, Inégalité, Localisation, Homme, Modèle prévision, Pays Scandinaves, Europe, Méthode statistique, Classe sociale, Statut socioéconomique
Mots-clés Pascal anglais : Malignant tumor, Epidemiology, Geographical variation, Survival, Methodology, Mortality, Inequality, Localization, Human, Forecast model, Scandinavia, Europe, Statistical method, Social class, Socioeconomic status
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0402431
Code Inist : 002B04B. Création : 19/12/1997.