Improvement in the Mortality-to-Incidence Ratios for Gastric Cancer in Developed Countries With High Health Expenditures

doi:10.3389/fpubh.2021.713895

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 310902500/23925

Please use this identifier to cite or link to this item: https://ir.csmu.edu.tw:8080/ir/handle/310902500/23925

Title:	Improvement in the Mortality-to-Incidence Ratios for Gastric Cancer in Developed Countries With High Health Expenditures
Authors:	Yang, TW;Wang, CC;Hung, WC;Liu, YH;Sung, WW;Tsai, MC
Keywords:	gastric cancer;mortality;incidence;mortality-to-incidence ratio;expenditure
Date:	2021
Issue Date:	2022-08-05T09:45:04Z (UTC)
Publisher:	FRONTIERS MEDIA SA
Abstract:	The mortality-to-incidence ratio (MIR) is widely used to evaluate the efficacy of cancer management outcomes for individual countries. However, the association among health care expenditure, human development index (HDI), and changes in MIR over time (delta MIR) remains unknown. We aimed to elucidate the significance between these indicators and gastric cancer outcomes in different countries. Among the regions, Asia had the highest number of new gastric cancer cases, gastric cancer-related deaths, age-standardized ratio of incidence, and mortality. Chile had the highest age-standardized ratio (ASR) for gastric cancer incidence and the highest ASR for mortality. Moreover, MIR was highest in Africa (0.91) and lowest in North America (0.43). Of note, MIR was negatively associated with HDI, current health expenditure (CHE) per capita, and CHE/GDP % and delta MIR was positively associated with CHE/GDP % in countries with very high HDI. However, delta MIR showed no significant associations with these indicators in the countries analyzed. In conclusion, increased HDI, CHE per capita, and CHE/GDP are associated with improved gastric cancer outcomes. In addition, the delta MIR could be an indicator that can be used to evaluate the improvement in cancer management outcomes over time.
URI:	http://dx.doi.org/10.3389/fpubh.2021.713895 https://www.webofscience.com/wos/woscc/full-record/WOS:000692324800001 https://ir.csmu.edu.tw:8080/handle/310902500/23925
Relation:	FRONTIERS IN PUBLIC HEALTH ,2021,v9
Appears in Collections:	[中山醫學大學研究成果] 期刊論文

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