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Favorable Lip and Oral Cancer Mortality-to-Incidence Ratios in Countries with High Human Development Index and Expenditures on Health.
Sung, Wen-Wei; Hsu, Yong-Chen; Dong, Chen; Chen, Ying-Ching; Chao, Yu-Chi; Chen, Chih-Jung.
Afiliación
  • Sung WW; Department of Urology, Chung Shan Medical University Hospital, Taichung 40201, Taiwan.
  • Hsu YC; School of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan.
  • Dong C; Institute of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan.
  • Chen YC; Department of Pathology and Laboratory Medicine, Taichung Veterans General Hospital, Taichung 40201, Taiwan.
  • Chao YC; School of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan.
  • Chen CJ; School of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan.
Int J Environ Res Public Health ; 18(11)2021 06 03.
Article en En | MEDLINE | ID: mdl-34205053
BACKGROUND: The incidence rates of lip and oral cancer have continued to increase, and prognosis is associated with a country's socioeconomic status. The mortality-to-incidence ratio (MIR) is a reasonable indicator of disparities in cancer screening and treatment. In this study, we aimed to understand the association between economic status and cancer prognosis. METHODS: Data were obtained from the Global Cancer Observatory (GLOBOCAN) and the World Health Organization (WHO). The MIRs were compared to evaluate the correlation with the human development index (HDI), the current health expenditure (CHE), and the ratio of CHE over gross domestic product (CHE/GDP) disparities via Spearman's rank correlation coefficient. RESULTS: The results showed that Asia had the most cases and deaths. In addition, they showed a significant association (p < 0.001, p = 0.005, and p < 0.001, respectively) of the crude rate (CR) of incidence with the HDI, the CHE, and the CHE/GDP. However, their associations with mortality rate (p = 0.303, p = 0.997, and p = 0.101) were not significant. Regarding the correlation of the MIRs, the results revealed a significant association with the HDI, the CHE, and the CHE/GDP (p < 0.001, p < 0.001, and p < 0.001, respectively). CONCLUSION: Countries with higher HDI, CHE per capita, and CHE/GDP tend to have lower MIRs, which indicates favorable clinical outcomes.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias de la Boca / Gastos en Salud Tipo de estudio: Health_economic_evaluation / Incidence_studies / Prognostic_studies / Risk_factors_studies Límite: Humans País/Región como asunto: Asia Idioma: En Revista: Int J Environ Res Public Health Año: 2021 Tipo del documento: Article País de afiliación: Taiwán Pais de publicación: Suiza
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias de la Boca / Gastos en Salud Tipo de estudio: Health_economic_evaluation / Incidence_studies / Prognostic_studies / Risk_factors_studies Límite: Humans País/Región como asunto: Asia Idioma: En Revista: Int J Environ Res Public Health Año: 2021 Tipo del documento: Article País de afiliación: Taiwán Pais de publicación: Suiza