Rural and urban differences in stage at diagnosis of colorectal and lung cancers

N C Campbell, A M Elliott, L Sharp, L D Ritchie, J Cassidy, J Little

Research output: Contribution to journalArticle

140 Citations (Scopus)

Abstract

There is evidence that patients living in outlying areas have poorer survival from cancer. This study set out to investigate whether they have more advanced disease at diagnosis. Case notes of 1323 patients in north and northeast Scotland who were diagnosed with lung or colorectal cancer in 1995 or 1996 were reviewed. Of patients with lung cancer, 42% (69/164) living 58 km or more from a cancer centre had disseminated disease at diagnosis compared to 33% (71/215) living within 5 km. For colorectal cancer the respective figures were 24% (38/161) and 16% (31/193). For both cancers combined, the adjusted odds ratio for disseminated disease at diagnosis in furthest group compared to the closest group was 1.59 (P = 0.037). Of 198 patients with non-small-cell lung cancer in the closest group, 56 (28%) had limited disease (stage I or II) at diagnosis compared to 23 of 165 (14%) of the furthest group (P = 0.002). The respective figures for Dukes A and B colorectal cancer were 101 of 196 (52%) and 67 of 172 (39%) (P = 0.025). These findings suggest that patients who live remote from cities and the associated cancer centres have poorer chances of survival from lung or colorectal cancer because of more advanced disease at diagnosis. This needs to be taken into account when planning investigation and treatment services.

Original languageEnglish
Pages (from-to)910-4
Number of pages5
JournalBritish Journal of Cancer
Volume84
Issue number7
DOIs
Publication statusPublished - 6 Apr 2001
Externally publishedYes

Fingerprint

Colorectal Neoplasms
Lung Neoplasms
Neoplasms
Survival
Scotland
Non-Small Cell Lung Carcinoma
Odds Ratio
Therapeutics

Cite this

Campbell, N C ; Elliott, A M ; Sharp, L ; Ritchie, L D ; Cassidy, J ; Little, J. / Rural and urban differences in stage at diagnosis of colorectal and lung cancers. In: British Journal of Cancer. 2001 ; Vol. 84, No. 7. pp. 910-4.
@article{af346760e9f241deaddf536bdf468a11,
title = "Rural and urban differences in stage at diagnosis of colorectal and lung cancers",
abstract = "There is evidence that patients living in outlying areas have poorer survival from cancer. This study set out to investigate whether they have more advanced disease at diagnosis. Case notes of 1323 patients in north and northeast Scotland who were diagnosed with lung or colorectal cancer in 1995 or 1996 were reviewed. Of patients with lung cancer, 42{\%} (69/164) living 58 km or more from a cancer centre had disseminated disease at diagnosis compared to 33{\%} (71/215) living within 5 km. For colorectal cancer the respective figures were 24{\%} (38/161) and 16{\%} (31/193). For both cancers combined, the adjusted odds ratio for disseminated disease at diagnosis in furthest group compared to the closest group was 1.59 (P = 0.037). Of 198 patients with non-small-cell lung cancer in the closest group, 56 (28{\%}) had limited disease (stage I or II) at diagnosis compared to 23 of 165 (14{\%}) of the furthest group (P = 0.002). The respective figures for Dukes A and B colorectal cancer were 101 of 196 (52{\%}) and 67 of 172 (39{\%}) (P = 0.025). These findings suggest that patients who live remote from cities and the associated cancer centres have poorer chances of survival from lung or colorectal cancer because of more advanced disease at diagnosis. This needs to be taken into account when planning investigation and treatment services.",
author = "Campbell, {N C} and Elliott, {A M} and L Sharp and Ritchie, {L D} and J Cassidy and J Little",
note = "Copyright 2001 Cancer Research Campaign http://www.bjcancer.com",
year = "2001",
month = "4",
day = "6",
doi = "10.1054/bjoc.2000.1708",
language = "English",
volume = "84",
pages = "910--4",
journal = "British Journal of Cancer",
issn = "0007-0920",
publisher = "Nature Publishing Group",
number = "7",

}

Rural and urban differences in stage at diagnosis of colorectal and lung cancers. / Campbell, N C; Elliott, A M; Sharp, L; Ritchie, L D; Cassidy, J; Little, J.

In: British Journal of Cancer, Vol. 84, No. 7, 06.04.2001, p. 910-4.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Rural and urban differences in stage at diagnosis of colorectal and lung cancers

AU - Campbell, N C

AU - Elliott, A M

AU - Sharp, L

AU - Ritchie, L D

AU - Cassidy, J

AU - Little, J

N1 - Copyright 2001 Cancer Research Campaign http://www.bjcancer.com

PY - 2001/4/6

Y1 - 2001/4/6

N2 - There is evidence that patients living in outlying areas have poorer survival from cancer. This study set out to investigate whether they have more advanced disease at diagnosis. Case notes of 1323 patients in north and northeast Scotland who were diagnosed with lung or colorectal cancer in 1995 or 1996 were reviewed. Of patients with lung cancer, 42% (69/164) living 58 km or more from a cancer centre had disseminated disease at diagnosis compared to 33% (71/215) living within 5 km. For colorectal cancer the respective figures were 24% (38/161) and 16% (31/193). For both cancers combined, the adjusted odds ratio for disseminated disease at diagnosis in furthest group compared to the closest group was 1.59 (P = 0.037). Of 198 patients with non-small-cell lung cancer in the closest group, 56 (28%) had limited disease (stage I or II) at diagnosis compared to 23 of 165 (14%) of the furthest group (P = 0.002). The respective figures for Dukes A and B colorectal cancer were 101 of 196 (52%) and 67 of 172 (39%) (P = 0.025). These findings suggest that patients who live remote from cities and the associated cancer centres have poorer chances of survival from lung or colorectal cancer because of more advanced disease at diagnosis. This needs to be taken into account when planning investigation and treatment services.

AB - There is evidence that patients living in outlying areas have poorer survival from cancer. This study set out to investigate whether they have more advanced disease at diagnosis. Case notes of 1323 patients in north and northeast Scotland who were diagnosed with lung or colorectal cancer in 1995 or 1996 were reviewed. Of patients with lung cancer, 42% (69/164) living 58 km or more from a cancer centre had disseminated disease at diagnosis compared to 33% (71/215) living within 5 km. For colorectal cancer the respective figures were 24% (38/161) and 16% (31/193). For both cancers combined, the adjusted odds ratio for disseminated disease at diagnosis in furthest group compared to the closest group was 1.59 (P = 0.037). Of 198 patients with non-small-cell lung cancer in the closest group, 56 (28%) had limited disease (stage I or II) at diagnosis compared to 23 of 165 (14%) of the furthest group (P = 0.002). The respective figures for Dukes A and B colorectal cancer were 101 of 196 (52%) and 67 of 172 (39%) (P = 0.025). These findings suggest that patients who live remote from cities and the associated cancer centres have poorer chances of survival from lung or colorectal cancer because of more advanced disease at diagnosis. This needs to be taken into account when planning investigation and treatment services.

U2 - 10.1054/bjoc.2000.1708

DO - 10.1054/bjoc.2000.1708

M3 - Article

C2 - 11286470

VL - 84

SP - 910

EP - 914

JO - British Journal of Cancer

JF - British Journal of Cancer

SN - 0007-0920

IS - 7

ER -