Bladder cancer stage and mortality: urban vs. rural residency

Published on Feb 1, 2021in Cancer Causes & Control2.375
· DOI :10.1007/S10552-020-01366-1
Marina Deuker5
Estimated H-index: 5
(UdeM: Université de Montréal),
L. Franziska Stolzenbach2
Estimated H-index: 2
(UdeM: Université de Montréal)
+ 10 AuthorsPierre I. Karakiewicz116
Estimated H-index: 116
(UdeM: Université de Montréal)
Sources
Abstract
Objective Relative to urban populations, rural patients may have more limited access to care, which may undermine timely bladder cancer (BCa) diagnosis and even survival. Methods We tested the effect of residency status (rural areas [RA Results Of 222,330 patients, 3496 (1.6%) resided in RA, 25,462 (11.5%) in UC and 193,372 (87%) in UA. Age, tumor stage, radical cystectomy rates or chemotherapy use were comparable between RA, UC and UA (all p > 0.05). At 10 years, RA was associated with highest OCM followed by UC and UA (30.9% vs. 27.7% vs. 25.6%, p Conclusion We did not observe meaningful differences in access to treatment or stage distribution, according to residency status. However, RA and to a lesser extent UC residency status, were associated with higher OCM and marginally higher CSM in T1N0M0 patients. This observation should be further validated or refuted in additional epidemiological investigations.
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