Golestan University of Medical Sciences Repository

Predictors of survival in oesophageal cancer patients in a high-risk area in Northern Iran: the role of health services utilisation

Golalipour, G. and Semnani, S. and Safaie, B. and Rajaie, S. and Sedaghat, S.M. and Kamalinia, H.R. and Aarabi, M. and Roshandel, G. (2017) Predictors of survival in oesophageal cancer patients in a high-risk area in Northern Iran: the role of health services utilisation. European Journal of Cancer Care, 26 (1).

Full text not available from this repository.

Abstract

We aimed to determine predictors of survival in oesophageal cancer (EC) patients in a high-risk area. This study was conducted on EC patients diagnosed in 2007–2008 in Golestan province, Iran. Diagnostic (DU) and Therapeutic (TU) services utilisation indices were determined. DU and TU indices of 1 were considered as good utilisation. EC-specific survival rates were calculated. Multivariate Cox-regression model was used to calculate adjusted hazard ratios (AHRs). Two hundred and twenty-three EC subjects were enrolled. The median survival time was 10.47 months and the 5-year survival rate was 11. Cox-regression analysis suggested that stage of tumour (AHRregional = 3.75, 95 confidence interval CI: 2.34–6.00; AHRmetastasis = 12.21, 95% CI: 7.42–20.08) and TU (AHR = 1.78, 95% CI: 1.25–2.52) were the strongest variables related to EC survival. The median survival time in patients with good and poor TU were 14.37 and 8.53 months respectively (p <.01). There was no significant relationship between DU and EC survival. We found relatively low survival rates in our EC patients when compared with developed countries. Our results also suggested an increasing trend for EC survival rate during recent years. Good TU could predict higher survival rates. Patients' access to therapeutic services may be considered as an important indicator in decision-making for controlling EC. © 2016 John Wiley & Sons Ltd

Item Type: Article
Additional Information: cited By 0
Subjects: مقالات نمایه شده محققین دانشگاه در سایت ,Web of Science ,Scopus
Divisions: UNSPECIFIED
Depositing User: GOUMS
Date Deposited: 18 Jun 2017 18:33
Last Modified: 18 Jun 2017 18:33
URI: http://eprints.goums.ac.ir/id/eprint/5112

Actions (login required)

View Item View Item