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Favorable mortality-to-incidence ratios of kidney Cancer are associated with advanced health care systems.


ABSTRACT:

Background

The advancements in cancer therapy have improved the clinical outcomes of cancer patients in recent decades. However, advanced cancer therapy is expensive and requires good health care systems. For kidney cancer, no studies have yet established an association between clinical outcome and health care disparities.

Methods

We used the mortality-to-incidence ratio (MIR) for kidney cancer as a marker of clinical outcome to compare World Health Organization (WHO) country rankings and total expenditures on health/gross domestic product (e/GDP) using linear regression analyses.

Results

We included 57 countries based on data from the GLOBOCAN 2012 database. We found that more highly developed regions have higher crude and age-standardized rates of kidney cancer incidence and mortality, but a lower MIR, when compared to less developed regions. North America has the highest crude rates of incidence, but the lowest MIRs, whereas Africa has the highest MIRs. Furthermore, favorable MIRs are correlated with countries with good WHO rankings and high e/GDP expenditures (p?ConclusionsKidney cancer MIRs are positively associated with the ranking of health care systems and health care expenditures.

SUBMITTER: Sung WW 

PROVIDER: S-EPMC6091202 | biostudies-literature | 2018 Aug

REPOSITORIES: biostudies-literature

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Publications

Favorable mortality-to-incidence ratios of kidney Cancer are associated with advanced health care systems.

Sung Wen-Wei WW   Wang Shao-Chuan SC   Hsieh Tzuo-Yi TY   Ho Cheng-Ju CJ   Huang Cheng-Yu CY   Kao Yu-Lin YL   Chen Wen-Jung WJ   Chen Sung-Lang SL  

BMC cancer 20180806 1


<h4>Background</h4>The advancements in cancer therapy have improved the clinical outcomes of cancer patients in recent decades. However, advanced cancer therapy is expensive and requires good health care systems. For kidney cancer, no studies have yet established an association between clinical outcome and health care disparities.<h4>Methods</h4>We used the mortality-to-incidence ratio (MIR) for kidney cancer as a marker of clinical outcome to compare World Health Organization (WHO) country rank  ...[more]

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