RESEARCH PAPER
Breast cancer survival gap between urban and rural female population in Podlaskie Voivodship, Poland, in 2001–2002. Population study.
| 1 | Medical University of Bialystok, Department of Public Health, Białystok, Poland |
| 2 | National Institute of Public Health – National Institute of Hygiene, Warsaw, Poland |
| 3 | Maria Skłodowska-Curie Bialystok Oncology Centre, Białystok, Poland |
| 4 | Medical University of Poznań, Department of Hygiene, Poznań, Poland |
CORRESPONDING AUTHOR
Ann Agric Environ Med. 2010;17(2):277–282
KEYWORDS
ABSTRACT
The aim of the study was to evaluate differences in breast cancer 5-year relative survival rates between the urban and rural female population in Podlaskie Voivodship in 2001-2002, before the introduction of the Population Screening Programme in 2006. The analysis was based on 659 breast cancer cases diagnosed in 2001-2002 and registered in CR in Białystok (Voivodship Cancer Registry). Relative survival and relative excess of risk of death after 5 years of diagnosis as function of age and stage among urban and rural women population were calculated. The results showed that survival rates in Podlaskie Voivodship were low (69.4%) in comparison to the European average (79.4%), and they differed between urban and rural areas. Patients living in rural areas had a much lower survival rate than those living in urban areas at local and regional stage of disease, whereas survivals were higher at the metastatic stage. In all age groups considered in the study, the survivals in rural areas were lower than in urban areas. The multivariate analysis confirmed that both the cancer stage and place of residence are independent prognostic factors. Relationship with age was not confirmed. The research results indicate low curability of breast cancer in Podlaskie Voivodship, and significant differences between urban and rural areas. These results need to be considered in the planning and monitoring of further intervention in order to increase the effectiveness of prevention and treatment standards for more disadvantaged rural areas. It is particularly significant when implementing the National Cancer Control Programme.
ACKNOWLEDGEMENTS
We thank Ewa Brdak for assistance and advice with the English.
The study has been supported by Ministry of Science and Higher
Education Grant No. N404161437.
REFERENCES (34)
1.
Bekas M, Pachocki KA, Różycki Z, Wieprzowski K, Farbiszewska E: Ocena aparatów mammograficznych w Polsce pod kątem spełniania wymagań aktualnych przepisów ochrony radiologicznej. Roczn PZH 2006, 1, 81–90.
2.
Berrino F, Capocaccia R: Survival of European cancer patients. In: Coleman MP (Ed): Responding to the Challenge of Cancer in Europe, 151–175. Institute of Public Health of the Republic of Slovenia, Ljubljana 2008.
3.
Bębenek M, Pudełko M, Błaszczyk J: Breast cancer incidence and ortality in Lower Silesia (Poland) between 1984 and 2003 – trends and perspectives. Cent Eur J Med 2007, 2, 208–215.
4.
Bielska-Lasota M, Krynicki R, Rabczenko D, Czerw-Głąb K, tarzewski J, Wronkowski Z, Zieliński J, Chil A, Hudała-Klecha J, Świercz A: Ocena przeżyć chorych na raka szyjki macicy w wybranych rejonach Polski w latach 1990–1996 z uwzględnieniem wybranych czynników rokowniczych. Przegl Epidemiol 2004, 3, 523–536.
5.
Carlsen K, Hoybye MT, Dalton SO, Tjonneland A: Social inequality and incidence of and survival from breast cancer in a population-based study in Denmark, 1994–2003. Eur J Cancer 2008, 44, 1996–2002.
6.
De Angelis R, Francisci S, Baili P, Marchesi F, Roazzi P, Belot A, Crocetti E, Pury P, Knijn A, Coleman M, Capocaccia R, the EURO-CARE Working Group: The EUROCARE-4 database on cancer survival in Europe: Data standardisation, quality control and methods of statistical analysis. Eur J Cancer 2009, 45, 909–930.
7.
El Saghir NS, Seoud M, Khalil MK, Charafeddine M, Salem ZK, Geara FB, Shamseddine AI: Effects of young age at presentation on survival in breast cancer. BMC Cancer 2006, 6, 194.
8.
Esteban D, Whelan S, Laudico A: Rejestracja zachorowań na nowotwory złośliwe. Podręcznik dla personelu rejestrów nowotworowych. Centrum Onkologii Instytut im. M. Skłodowskiej-Curie, Warsaw 2002.
9.
Gawełko J, Binkowska-Bury M, Marć M, Hejda G: Zachorowania na raka szyjki macicy na Podkarpaciu w latach 1995–2005. Zdr Publ 2008, 4, 432–436.
10.
Hakulinen T, Abeywickrama KH: A computer program package for relative survival analysis. Comput Programs Biomed 1985, 19, 197–207.
11.
Holli K, Isola J: Effect of age on the survival of breast cancer patients. Eur J Cancer 1997, 3, 425–428.
12.
International Statistical Classification of Diseases and Health Related Problems: Tenth Revision. 2 nd ed. World Health Organization, Geneva 2004.
13.
Jokiel M, Bielska-Lasota M, Kraszewska E: Poinformowanie i zachowania zdrowotne kobiet dotyczące profilaktyki raka piersi w latach 1998–2002. Przegl Epidemiol 2003, 3, 521–530.
14.
Kaffashian F, Godward S, Davies T, Solomon L, McCann J, Duffy SW: Socioeconomic effects on breast cancer survival: proportion attributable to stage and morphology. Br J Cancer 2003, 89, 1693–1696.
15.
Karwat ID, Gorczyca R, Krupa S: Causes and consequences of head injuries among rural population hospitalized in the ward for multiorgan injuries. I. Demographic and social structure. Ann Agric Environ Med 2009, 16, 15–22.
16.
Kogevinas M, Pearce N, Susser M, Boffetta P: Social Inequalities and Cancer. IARC Scientific Publication No. 138 . International Agency for Research on Cancer, Lyon 1997.
17.
Krzyżak M, Maślach D, Juczewska M, Lasota W, Rabczenko D, Marcinkowski JT, Szpak A: Differences in breast cancer incidence and stage distribution between urban and rural female population in Podlaskie Voivodship, Poland in years 2001–2002. Ann Agric Environ Med 2010, 17, 159–162.
18.
Kuszewski K, Gericke Ch: Health Systems in Transition: Poland. WHO Regional Office for Europe on behalf of the European Observatory on Health Systems and Policies, Copenhagen 2005.
19.
Maggard MA, O’Connell JB, Lane KE, Liu JH, Etzioni DA, Ko CY: Do young breast cancer patients have worse outcomes? J Surg Res 2003, 1, 109–113.
20.
Mariotto A, Capocaccia R, Verdecchia A, Micheli A, Feuer EJ, Pickle L, Clegg LX: Projecting SEER cancer survival rates to the US: an ecological regression approach. Cancer Causes Control 2002, 13, 101–111.
21.
Micheli A, Baili P: Information on cancer. In: Coleman MP (Ed): Responding to the challenge of cancer in Europe, 177–189. Institute of Public Health of the Republic of Slovenia 2008.
22.
Newman LA, Martin IK: Disparities in breast cancer. Curr Probl Cancer 2007, 31, 134–156.
23.
Pohar M, Stare J: Making relative survival analysis relatively easy. Comput Biol Med 2007, 37, 1741–1749.
24.
Pohar M, Stare J: Relative survival analysis in R. Comput Methods Programs Biomed 2006, 81, 272–278.
25.
Urząd Statystyczny w Białymstoku: Rocznik Statystyczny Województwa Podlaskiego 2002. Urząd Statystyczny w Białymstoku, Białystok 2003.
26.
Sant M, Allemani C, Capocaccia R, Hakulinen T, Aareleid T, Coebergh JW, Coleman MP, Grosclaude P, Martinez C, Bell J, Youngson J, Berrino F and EUROCARE Working Group: Stage at diagnosis is a key explanation of differences in breast cancer survival across Europe. Int J Cancer 2003, 1, 416–422.
27.
Sant M, Allemani C, Santaquilani M, Knijn A, Marchesi F, Capocaccia R, the EUROCARE Working Group EUROCARE-4. Survival of cancer patients diagnosed in 1995–1999. Results and commentary. Eur J Cancer 2009, 45, 931–991.
28.
Ustawa z dnia 1 lipca 2005 r. o ustanowieniu programu wieloletniego “Narodowy program zwalczania chorób nowotworowych”. DzU 2005 No. 143 item 1200.
29.
Verdecchia A, Baili P, Quaglia A, Kunkler I, Ciampichini R, Berrino F, Micheli A: Patient survival for all cancers combined as indicator of cancer control in Europe. Eur J Public Health 2008, 18, 527–532.
30.
Verdecchia A, Mariano Santaquilani M, Sant M: Survival for cancer patients in Europe. Ann Ist Super Sanita 2009, 45, 315–324.
31.
Wojciechowska U, Didkowska J, Zatoński W: Rejestracja Nowotworów Złośliwych. Zasady i Metody. Centrum Onkologii Instytut im. M. Skłodowskiej-Curie, Warsaw 2007.
32.
Wojtyniak B, Goryński P: Stan Zdrowia Ludności Polski. Narodowy Instytut Zdrowia Publicznego – Państwowy Zakład Higieny, Warsaw 2008.
33.
Główny Urząd Statystyczny [Internet]. TERYT Krajowy Rejestr Urzędowy Podziału Terytorialnego Kraju [cited 15 Feb 2010]. Available from: http://www.stat.gov.pl/broker/...
34.
Yu XQ, O’Connell DL, Gibberd RW, Armstrong BK: Assessing the impact of socio-economic status on cancer survival in New South Wales, Australia 1996–2001. Cancer Causes Control 2008, 19, 1383–1390.
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