Disease mapping of early- and late-stage cancer to monitor inequalities in early detection: a study of cutaneous malignant melanoma
| العنوان: | Disease mapping of early- and late-stage cancer to monitor inequalities in early detection: a study of cutaneous malignant melanoma |
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| المؤلفون: | Ulf Strömberg, Stefan Peterson, Anders Holmén, Frédéric B. Piel, Amir Baigi, Erik Holmberg, Brandon L. Parkes |
| المساهمون: | Wellcome Trust |
| المصدر: | European Journal of Epidemiology |
| بيانات النشر: | Springer Netherlands, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Skin Neoplasms, Epidemiology, Population, Disease, DIAGNOSIS, 1117 Public Health and Health Services, 03 medical and health sciences, 0302 clinical medicine, SMALL-AREA, Methods, Medicine, Humans, 030212 general & internal medicine, Registries, Stage (cooking), education, Melanoma, Public, Environmental & Occupational Health, Aged, Neoplasm Staging, Aged, 80 and over, Sweden, education.field_of_study, ENVIRONMENT, Science & Technology, business.industry, Epidemiological monitoring, Incidence (epidemiology), Population size, Incidence, Cancer, Middle Aged, medicine.disease, 3. Good health, Social Class, Socioeconomic Factors, 030220 oncology & carcinogenesis, Early detection of cancer, SURVIVAL, Female, business, Cartography, Life Sciences & Biomedicine |
| الوصف: | We consider disease mapping of early- and late-stage cancer, in order to identify and monitor inequalities in early detection. Our method is demonstrated by mapping cancer incidence at high geographical resolution using data on 10,302 cutaneous malignant melanoma (CMM) cases within the 3.7 million population of South-West Sweden. The cases were geocoded into small-areas, each with a population size between 600 and 2600 and accessible socio-demographic data. Using the disease mapping application Rapid Inquiry Facility (RIF) 4.0, we produced regional maps to visualise spatial variations in stage I, II and III–IV CMM incidences, complemented by local maps to explore the variations within two urban areas. Pronounced spatial disparities in stage I CMM incidence were revealed by the regional and local maps. Stage I CMM incidence was markedly higher in wealthier small-areas, in particular within each urban area. A twofold higher stage I incidence was observed, on average, in the wealthiest small-areas (upper quintile) than in the poorest small-areas (lower quintile). We identified in the regional map of stage III–IV CMM two clusters of higher or lower than expected late-stage incidences which were quite distinct from those identified for stage I. In conclusion, our analysis of CMM incidences supported the use of this method of cancer stage incidence mapping for revealing geographical and socio-demographic disparities in cancer detection. Electronic supplementary material The online version of this article (10.1007/s10654-020-00637-0) contains supplementary material, which is available to authorized users. |
| اللغة: | English |
| تدمد: | 1573-7284 0393-2990 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::733cf1b157b4add185fc98af0cc8f921 http://europepmc.org/articles/PMC7320924 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....733cf1b157b4add185fc98af0cc8f921 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15737284 03932990 |
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