Improved trends of lung cancer mortality-to-incidence ratios in countries with high healthcare expenditure

doi:doi.org/10.1111/1759-7714.13912

中山醫學大學機構典藏 CSMUIR > 醫學院 > 醫學系 > 期刊論文 > Item 310902500/21670

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题名:	Improved trends of lung cancer mortality-to-incidence ratios in countries with high healthcare expenditure
作者:	Wen-Wei Sung;Kwong-Kwok Au;Han-Ru Wu;Chia-Ying Yu;Yao-Chen Wang
日期:	2021-04-07
上传时间:	2021-08-23T01:26:02Z (UTC)
出版者:	John Wiley & Sons, Inc.
摘要:	Background Lung cancer stage has a significant impact on prognosis, and early detection of lung cancer relies on screenings. Despite the strong relationship between screening and lung cancer staging, the role of healthcare expenditure in lung cancer outcomes remains unknown. The aim of this study was to evaluate the relationship between economic status and clinical outcomes in lung cancer. Methods Data were obtained from GLOBOCAN and the World Health Organization. Mortality-to-incidence ratios (MIRs) and their change over time, calculated as the difference between the MIRs of 2012 and 2018 (δMIR), were used to evaluate their correlation to expenditures on healthcare and human development index (HDI) disparities via Spearman's rank correlation coefficient. Results Regions such as North America have relatively high crude incidence rates but low MIR values. Furthermore, countries with lower crude incidence rates spent less on healthcare. The results show significant negative associations between HDI, current health expenditure (CHE) per capita, CHE as a percentage of gross domestic product (CHE/GDP), and MIR. As for MIR and δMIR, countries with favorable MIRs also showed improving MIRs based on δMIR. Conclusions HDI, CHE per capita, CHE/GDP, and development status play noticeable roles in the prognosis of lung cancer, leading to large disparities in clinical outcomes.
URI:	https://ir.csmu.edu.tw:8080/handle/310902500/21670
關聯:	Thoracic cancer, Volume12, Issue11 June 2021 Pages 1656-1661
显示于类别:	[醫學系] 期刊論文

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