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- Title
Disparities on prostate cancer survival in Mexico: a retrospective cohort study.
- Authors
Torres-Sánchez, Luisa; Gibran Hernández-Pérez, Jesús; Escamilla-Nuñez, Consuelo; Rodríguez-Covarrubias, Francisco; Manzanilla-García, Hugo; Mohar, Alejandro; Morales-Carmona, Evangelina; Iván Espin-Arellano, Lucino; Eugenio Hernández-Ávila, Juan; Lajous, Martin
- Abstract
Objective. To estimate prostate cancer (PC) survival in Mexico and explore survival disparities according to the marginalization level of residence place. Materials and methods. A nationwide administrative claims database (4 110 men) whose PC treatment was financed by Seguro Popular between 2012-2016, was cross-linked to the National Mortality Registry up to December 2019. Patients were classified according to their oncological risk at diagnosis and the marginalization level of the residence municipality. Cox proportional hazards regression was used to estimate multivariable survival functions. Results. Five-years PC survival (69%; 95%CI: 68,71%) ranged from 72% to 54% at very low and very high marginalization, respectively (p for trend<0.001). The lowest PC survival was observed in men with high-risk PC (47%; 95%CI: 33,66%) residents in very high marginalization municipalities. Conclusions. Overall, PC survival was lower than that reported in other Latin American countries. The distribution of oncologic risk and survival differences across marginalization levels suggests limited early detection and cancer health disparities.
- Subjects
MEXICO; PROSTATE cancer; EARLY detection of cancer; COHORT analysis; HEALTH equity; DATABASES
- Publication
Salud Pública de México, 2023, Vol 65, Issue 3, p236
- ISSN
0036-3634
- Publication type
Article
- DOI
10.21149/14266