Geographical inequalities in surgical treatment for localized female breast cancer, Queensland, Australia 1997–2011: Improvements over time but inequalities remain

P D Baade; P Dasgupta; Philippa H Youl; C Pyke; J F Aitken

doi:10.3390/ijerph13070729

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Geographical inequalities in surgical treatment for localized female breast cancer, Queensland, Australia 1997–2011: Improvements over time but inequalities remain

Journal article

Open access

Peer reviewed

Geographical inequalities in surgical treatment for localized female breast cancer, Queensland, Australia 1997–2011: Improvements over time but inequalities remain

P D Baade, P Dasgupta, Philippa H Youl, C Pyke and J F Aitken

International Journal of Environmental Research and Public Health, Vol.13(7), 729

2016

DOI: https://doi.org/10.3390/ijerph13070729

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Abstract

breast cancer

breast conserving surgery

geography

inequalities

mastectomy

socioeconomic

The uptake of breast conserving surgery (BCS) for early stage breast cancer varies by where women live. We investigate whether these geographical patterns have changed over time using population-based data linkage between cancer registry records and hospital inpatient episodes. The study cohort consisted of 11,631 women aged 20 years and over diagnosed with a single primary invasive localised breast cancer between 1997 and 2011 in Queensland, Australia who underwent either BCS (n = 9223, 79%) or mastectomy (n = 2408, 21%). After adjustment for socio-demographic and clinical factors, compared to women living in very high accessibility areas, women in high (Odds Ratio (OR) 0.58 (95% confidence intervals (CI) 0.49, 0.69)), low (OR 0.47 (0.41, 0.54)) and very low (OR 0.44 (0.34, 0.56)) accessibility areas had lower odds of having BCS, while the odds for women from middle (OR 0.81 (0.69, 0.94)) and most disadvantaged (OR 0.87 (0.71, 0.98)) areas was significantly lower than women living in affluent areas. The association between accessibility and the type of surgery reduced over time (interaction p = 0.028) but not for area disadvantage (interaction p = 0.209). In making informed decisions about surgical treatment, it is crucial that any geographical-related barriers to implementing their preferred treatment are minimised. © 2016 by the authors; licensee MDPI, Basel, Switzerland.

Details

Title: Geographical inequalities in surgical treatment for localized female breast cancer, Queensland, Australia 1997–2011: Improvements over time but inequalities remain
Authors: P D Baade (Author) - Cancer Council Queensland
P Dasgupta (Author) - Cancer Council Queensland
Philippa H Youl (Author) - Griffith University
C Pyke (Author) - Mater Medical Centre
J F Aitken (Author) - Cancer Council Queensland
Publication details: International Journal of Environmental Research and Public Health, Vol.13(7), 729; 14
Publisher: MDPI AG
Date published: 2016
DOI: 10.3390/ijerph13070729
ISSN: 1661-7827
Copyright note: Copyright © 2016 The Author. This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).
Organisation Unit: University of the Sunshine Coast, Queensland; School of Health and Sport Sciences - Legacy
Language: English
Record Identifier: 99451033302621
Output Type: Journal article

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