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Showing content from https://pubmed.ncbi.nlm.nih.gov/12547483/ below:

An international comparison of breast cancer survival: Winnipeg, Manitoba and Des Moines, Iowa, metropolitan areas

Comparative Study

Affiliations

• ¹ School of Social Work, University of Windsor, Ontario, Canada. gorey@uwindsor.ca

• PMID: 12547483
• PMCID: PMC2908700
• DOI: 10.1016/s1047-2797(02)00259-4

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Comparative Study

Kevin M Gorey et al. Ann Epidemiol. 2003 Jan.

• ¹ School of Social Work, University of Windsor, Ontario, Canada. gorey@uwindsor.ca

• PMID: 12547483
• PMCID: PMC2908700
• DOI: 10.1016/s1047-2797(02)00259-4

Item in Clipboard

Purpose: Extending previous Canadian-United States cancer survival comparisons in large metropolitan areas, this study compares breast cancer survival in smaller metropolitan areas: Winnipeg, Manitoba and Des Moines, Iowa.

Methods: Manitoba and Iowa cancer registries, respectively, provided a total of 2,383 and 1,545 women with breast cancer (1984 to 1992, followed until December 31, 1997). Socioeconomic data for each person's residence at the time of diagnosis was taken from population censuses.

Results: Socioeconomic status and breast cancer survival were directly associated in the US cohort, but not in the Canadian cohort. Compared with similar patients in Des Moines, residents of the lowest fifth of income areas in Winnipeg experienced a significant 5-year survival advantage (survival rate ratio [SRR] = 1.14). In these lowest income areas, the Canadian survival advantage was larger among women aged 25 to 64 years (SRR = 1.23), and this was observed in the middle fifth of income areas among this younger cohort (SRR = 1.11). The Canadian survival advantage even seemed apparent in the poorest neighborhoods with relatively high representations of Aboriginal people (SRR = 1.16).

Conclusion: This study replicated the finding of advantaged Canadian cancer survival in smaller metropolitan areas that had been consistently observed in larger metropolitan areas. Canada's single payer health care system seems to offer similar advantages across a number of diverse urban contexts.

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• An international comparison of cancer survival: metropolitan Toronto, Ontario, and Honolulu, Hawaii.

  Gorey KM, Holowaty EJ, Fehringer G, Laukkanen E, Richter NL, Meyer CM. Gorey KM, et al. Am J Public Health. 2000 Dec;90(12):1866-72. doi: 10.2105/ajph.90.12.1866. Am J Public Health. 2000. PMID: 11111258 Free PMC article.

• An international comparison of cancer survival: relatively poor areas of Toronto, Ontario and three US metropolitan areas.

  Gorey KM, Holowaty EJ, Fehringer G, Laukkanen E, Richter NL, Meyer CM. Gorey KM, et al. J Public Health Med. 2000 Sep;22(3):343-8. doi: 10.1093/pubmed/22.3.343. J Public Health Med. 2000. PMID: 11077908

• Breast cancer survival in Canada and the USA: meta-analytic evidence of a Canadian advantage in low-income areas.

  Gorey KM. Gorey KM. Int J Epidemiol. 2009 Dec;38(6):1543-51. doi: 10.1093/ije/dyp193. Epub 2009 Apr 22. Int J Epidemiol. 2009. PMID: 19386825 Free PMC article. Review.

• An international comparison of cancer survival: Toronto, Ontario, and Detroit, Michigan, metropolitan areas.

  Gorey KM, Holowaty EJ, Fehringer G, Laukkanen E, Moskowitz A, Webster DJ, Richter NL. Gorey KM, et al. Am J Public Health. 1997 Jul;87(7):1156-63. doi: 10.2105/ajph.87.7.1156. Am J Public Health. 1997. PMID: 9240106 Free PMC article.

• Cancer survival in Ontario, 1986-2003: evidence of equitable advances across most diverse urban and rural places.

  Gorey KM, Fung KY, Luginaah IN, Bartfay E, Hamm C, Wright FC, Balagurusamy M, Mohammad A, Holowaty EJ, Tang KX. Gorey KM, et al. Can J Public Health. 2008 Jan-Feb;99(1):12-6. doi: 10.1007/BF03403733. Can J Public Health. 2008. PMID: 18435383 Free PMC article.

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  Kunitz SJ, Pesis-Katz I. Kunitz SJ, et al. Milbank Q. 2005;83(1):5-39. doi: 10.1111/j.0887-378X.2005.00334.x. Milbank Q. 2005. PMID: 15787952 Free PMC article. Review.

• Breast cancer care in the Canada and the United States: ecological comparisons of extremely impoverished and affluent urban neighborhoods.

  Gorey KM, Luginaah IN, Hamm C, Fung KY, Holowaty EJ. Gorey KM, et al. Health Place. 2010 Jan;16(1):156-63. doi: 10.1016/j.healthplace.2009.09.011. Epub 2009 Sep 30. Health Place. 2010. PMID: 19840902 Free PMC article.

• Effects of being uninsured or underinsured and living in extremely poor neighborhoods on colon cancer care and survival in California: historical cohort analysis, 1996-2011.

  Gorey KM, Luginaah IN, Holowaty EJ, Zou G, Hamm C, Bartfay E, Kanjeekal SM, Balagurusamy MK, Haji-Jama S, Wright FC. Gorey KM, et al. BMC Public Health. 2012 Oct 24;12:897. doi: 10.1186/1471-2458-12-897. BMC Public Health. 2012. PMID: 23092403 Free PMC article.

• Income and long-term breast cancer survival: comparisons of vulnerable urban places in Ontario and California.

  Gorey KM, Fung KY, Luginaah IN, Holowaty EJ, Hamm C. Gorey KM, et al. Breast J. 2010 Jul-Aug;16(4):416-9. doi: 10.1111/j.1524-4741.2010.00922.x. Epub 2010 Apr 21. Breast J. 2010. PMID: 20443784 Free PMC article.

• Effect of socioeconomic status as measured by education level on survival in breast cancer clinical trials.

  Herndon JE 2nd, Kornblith AB, Holland JC, Paskett ED. Herndon JE 2nd, et al. Psychooncology. 2013 Feb;22(2):315-23. doi: 10.1002/pon.2094. Epub 2011 Oct 20. Psychooncology. 2013. PMID: 22021121 Free PMC article.

1. 1. Gorey KM. What is wrong with the United States health care system? It does not effectively exist for one of every five Americans. Milbank Q. 1999;77:401–407. - PMC - PubMed
2. 1. Gorey KM, Holowaty EJ, Fehringer G, et al. An international comparison of cancer survival: Toronto, Ontario and Detroit, Michigan metropolitan areas. Am J Public Health. 1997;87:1156–1163. - PMC - PubMed
3. 1. Gorey KM, Holowaty EJ, Laukkanen E, Fehringer G, Richter NL. An international comparison of cancer survival: advantage of Canada’s poor over the near poor of the United States. Can J Public Health. 1998;89:102–104. - PMC - PubMed
4. 1. Gorey KM, Holowaty EJ, Fehringer G, Laukkanen E, Richter NL, Meyer CM. An international comparison of cancer survival: Toronto, Ontario and three relatively resourceful United States metropolitan areas. J Public Health Med. 2000;22:343–348. - PubMed
5. 1. Gorey KM, Holowaty EJ, Fehringer G, Laukkanen E, Richter NL, Meyer CM. An international comparison of cancer survival: Toronto, Ontario and Honolulu, Hawaii metropolitan areas. Am J Public Health. 2000;90:1866–1872. - PMC - PubMed

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