Limited improvement in prostate cancer mortality-to-incidence ratios in countries with high health care expenditures

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 310902500/24271

Please use this identifier to cite or link to this item: https://ir.csmu.edu.tw:8080/ir/handle/310902500/24271

Title:	Limited improvement in prostate cancer mortality-to-incidence ratios in countries with high health care expenditures
Authors:	Wang, SC;Chan, L;Hsieh, TY;Wang, CH;Chen, SL;Sung, WW
Keywords:	prostate cancer;mortality;incidence;mortality-to-incidence ratio;expenditure
Date:	2020
Issue Date:	2022-08-09T07:59:33Z (UTC)
Publisher:	IMPACT JOURNALS LLC
ISSN:	1945-4589
Abstract:	Prostate cancer mortality-to-incidence ratios (MIRs) are associated with the level of available healthcare. However, no data are currently available to show an association between differences in the prostate cancer MIRs and healthcare disparity. In the present study, changes in MIR over time (6MIR) were calculated as the difference between MIRs in 2018 and 2012. The significance between expenditures on healthcare and the human development index (HDI) were analyzed using Spearman's rank correlation coefficient. A total of 47 countries were studied. Countries were excluded based on inadequate data quality and missing data. The crude prostate cancer incidence rates, but not mortality rates, correlated with the HDI score and healthcare expenditure. A high HDI score and high healthcare expenditure were also significantly associated with a favorable MIR (rho =-0.704, p < 0.001; rho =-0.741, p < 0.001, respectively). Importantly, healthcare disparities were negatively associated with the improvement in 6MIR (rho =-0.556, p < 0.001; rho =-0.506, p < 0.001, respectively). These findings indicate that favorable prostate cancer MIRs are associated with higher healthcare expenditures, but the trends in MIR between 2012 and 2018 correlate negatively with HDI and healthcare expenditure.
URI:	https://www.webofscience.com/wos/woscc/full-record/WOS:000589933000001 https://ir.csmu.edu.tw:8080/handle/310902500/24271
Relation:	AGING-US ,2020 ,v12 ,issue 21 ,p21308-21315
Appears in Collections:	[中山醫學大學研究成果] 期刊論文

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