British Journal of Cancer
Volume 104, Issue 7, 2011, Pages 1193-1195

Survival of non-Western first generations immigrants with stomach cancer in North East Netherlands (Article) (Open Access)

Siemerink E.J.M. , Van Der Aa M.A. , Siesling S. , Hospers G.A.P. , Mulder N.H.
  • a University of Groningen, University Medical Centre Groningen, Department of Medical Oncology, P.O. Box 30001, 9700 RB, Groningen, Netherlands
  • b Comprehensive Cancer Centre North-East, P.O. Box 330, 9700 AH, Groningen, Netherlands
  • c Comprehensive Cancer Centre North-East, P.O. Box 330, 9700 AH, Groningen, Netherlands, Health Technology and Services Research, University of Twente, P.O. Box 217, 7500 AE, Enschede, Netherlands
  • d University of Groningen, University Medical Centre Groningen, Department of Medical Oncology, P.O. Box 30001, 9700 RB, Groningen, Netherlands
  • e University of Groningen, University Medical Centre Groningen, Department of Medical Oncology, P.O. Box 30001, 9700 RB, Groningen, Netherlands

Abstract

Background:Isolated groups, such as first generation non-Western immigrants, are at risk for suboptimal utilisation of the health care system resulting in a worse outcome.Methods:From 1989 to 2007, all patients with stomach cancer were selected from the Comprehensive Cancer Centre North-East cancer registry. Associations between country of birth and patient, tumour and treatment characteristics were determined using 2 analysis. Relative survival analysis was used to estimate relative excess risk of dying according to country of birth (non-Western vs Western).Results:After adjusting for confounding factors (patient, tumour and treatment related), the risk of dying was lower for first generation non-Western immigrants (relative excess risk 0.55, 95% confidence interval 0.43-0.70) compared with Western patients.Conclusion: Although the better survival of first generation non-Western immigrants with stomach cancer remains unexplained, it argues against accessibility problems within the Dutch health care system. © 2011 Cancer Research UK All rights reserved.

Author Keywords

Outcome Stomach cancer North East Netherlands first generation immigrants

Index Keywords

Netherlands immigrant survival rate human middle aged cancer survival priority journal Aged Stomach Neoplasms Humans Adolescent male Emigrants and Immigrants female Aged, 80 and over geographic origin cancer registry Article cancer mortality health care utilization adult stomach cancer
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-79953183309&doi=10.1038%2fbjc.2011.64&partnerID=40&md5=4f0ed1479ae776c3567c40b4c8fd1917
DOI: 10.1038/bjc.2011.64
ISSN: 00070920
Cited by: 1
Original Language: English