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Widening NSW cancer survival gaps

Among 651,245 NSW cancer cases, people in more disadvantaged areas had higher cancer death risk, and disparities appeared to widen over time.

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Demographics?

55% male; 43.3% aged <65; 43.3% localised stage.

Source: Cancer survival disparities worsening by socio-economic disadvantage over the last 3 decades in new South Wales, Australia · DOI · quote verified

Key SES finding?

Most disadvantaged areas had SHR 1.15 vs least disadvantaged.

Source: Cancer survival disparities worsening by socio-economic disadvantage over the last 3 decades in new South Wales, Australia · DOI · quote verified

Authors’ conclusion?

Active attention needed; disparities appear to have increased.

Source: Cancer survival disparities worsening by socio-economic disadvantage over the last 3 decades in new South Wales, Australia · DOI · quote verified

Remoteness signal?

Outer regional/remote slightly higher cancer death risk vs major cities (SHR 1.05).

Source: Cancer survival disparities worsening by socio-economic disadvantage over the last 3 decades in new South Wales, Australia · DOI · quote verified

Analytic approach?

Results as sub-hazard ratios with 95% CIs.

Source: Cancer survival disparities worsening by socio-economic disadvantage over the last 3 decades in new South Wales, Australia · DOI · quote verified

Why study trends?

Unclear whether survival disparities are narrowing or widening internationally/in Australia.

Source: Cancer survival disparities worsening by socio-economic disadvantage over the last 3 decades in new South Wales, Australia · DOI · quote verified

Stakeholder call?

Collaboration among policy makers, government, and health providers needed.

Source: Cancer survival disparities worsening by socio-economic disadvantage over the last 3 decades in new South Wales, Australia · DOI · quote verified

Student takeaway?

Even in universal-ish systems, area disadvantage tracks excess cancer death risk.

Source: Cancer survival disparities worsening by socio-economic disadvantage over the last 3 decades in new South Wales, Australia · DOI · quote verified