Geographic remoteness and risk of advanced colorectal cancer at diagnosis in Queensland: a multilevel study

Baade, P. D., Dasgupta, P., Aitken, J. and Turrell, G. (2011) Geographic remoteness and risk of advanced colorectal cancer at diagnosis in Queensland: a multilevel study. British Journal of Cancer, 105 7: 1039-1041. doi:10.1038/bjc.2011.356


Author Baade, P. D.
Dasgupta, P.
Aitken, J.
Turrell, G.
Title Geographic remoteness and risk of advanced colorectal cancer at diagnosis in Queensland: a multilevel study
Journal name British Journal of Cancer   Check publisher's open access policy
ISSN 0007-0920
1532-1827
Publication date 2011-09
Sub-type Article (original research)
DOI 10.1038/bjc.2011.356
Open Access Status DOI
Volume 105
Issue 7
Start page 1039
End page 1041
Total pages 3
Place of publication London, United Kingdom
Publisher Nature Publishing Group
Collection year 2012
Language eng
Formatted abstract
BACKGROUND: We examine the relationships between geographic remoteness, area disadvantage and risk of advanced colorectal cancer.

METHODS: Multilevel models were used to assess the area- and individual-level contributions to the risk of advanced disease among people aged 20 – 79 years diagnosed with colorectal cancer in Queensland, Australia between 1997 and 2007 (n = 18 561).

RESULTS: Multilevel analysis showed that colorectal cancer patients living in inner regional (OR = 1.09, 1.01 – 1.19) and outer regional (OR = 1.11, 1.01 – 1.22) areas were significantly more likely to be diagnosed with advanced cancer than those in major cities (P = 0.045) after adjusting for individual-level variables. The best-fitting final model did not include area disadvantage. Stratified analysis suggested this remoteness effect was limited to people diagnosed with colon cancer (P = 0.048) and not significant for rectal cancer patients (P = 0.873). 

CONCLUSION: Given the relationship between stage and survival outcomes, it is imperative that the reasons for these rurality inequities in advanced disease be identified and addressed.  
Keyword Colorectal cancer
Stage
Health inequality
Rural health
Socio-economic status
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2012 Collection
School of Public Health Publications
 
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