Favorable colorectal cancer mortality-to-incidence ratios in countries with high expenditures on health and development index A study based on GLOBOCAN database

doi:10.1097/MD.0000000000027414

中山醫學大學機構典藏 CSMUIR > 中山醫學大學研究成果 > 期刊論文 > Item 310902500/23912

Please use this identifier to cite or link to this item: https://ir.csmu.edu.tw:8080/ir/handle/310902500/23912

Title:	Favorable colorectal cancer mortality-to-incidence ratios in countries with high expenditures on health and development index A study based on GLOBOCAN database
Authors:	Wang, CC;Sung, WW;Yan, PY;Ko, PY;Tsai, MC
Keywords:	colorectal cancer;expenditure;incidence;mortality;mortality-to-incidence ratio
Date:	2021
Issue Date:	2022-08-05T09:44:51Z (UTC)
Publisher:	LIPPINCOTT WILLIAMS & WILKINS
ISSN:	0025-7974
Abstract:	Background: Global variation in the incidence and outcomes of colorectal cancer (CRC) is associated with many factors, among which screening policies and early treatment play substantial roles. However, screening programs and intense treatment are expensive and require good health care systems. For CRC, no clear association has yet been established between clinical outcomes and health care disparities. Method: We used the mortality-to-incidence ratio (MIR) of CRC as a measure of clinical outcomes for comparison with the Human Development Index (HDI), current health expenditure (CHE), and current health expenditure as a percentage of gross domestic product (CHE/GDP) using linear regression analyses. We included 171 countries based on data from the GLOBOCAN 2018 database. Results: We found that the regions with the lowest MIRs for CRC are Oceania and North America. A significant correlation was observed between incidence, mortality and HDI, CHE, and CHE/GDP among the countries enrolled. Furthermore, lower MIRs of CRC significantly correlated with higher HDI, CHE, and CHE/GDP (P < 0.001, P < 0.001, and P < 0.001, respectively). Conclusion : CRC MIRs tend to be most favorable in countries with high health care expenditures and a high HDI.
URI:	http://dx.doi.org/10.1097/MD.0000000000027414 https://www.webofscience.com/wos/woscc/full-record/WOS:000731129600007 https://ir.csmu.edu.tw:8080/handle/310902500/23912
Relation:	MEDICINE ,2021,v100,issue 41
Appears in Collections:	[中山醫學大學研究成果] 期刊論文

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