Associations of Demographic and Socioeconomic Factors with Complete Treatment and Follow-up of Colon Cancer

Esmat Davoudi-Monfared; Mohammad Ali Heidarnia; Mohammad Esmail Akbari; Parvin Yavari; Alireza Abadi

International Journal of Cancer Management

The Official Journal of Cancer Research Center (CRC), Shahid Beheshti University of Medical Sciences

Outlines

Abstract
Copyright

Associations of Demographic and Socioeconomic Factors with Complete Treatment and Follow-up of Colon Cancer

Author(s):

Esmat Davoudi-Monfared¹,

Mohammad Ali Heidarnia^1,*,

Mohammad Esmail Akbari²,

Parvin Yavari¹,

Alireza Abadi¹

1Dept. of Community Medicine and Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran

2Cancer Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran

International Journal of Cancer Management:Vol. 5, issue 4; e80838

Published online:Dec 31, 2012

Article type:Research Article

Received:Jul 01, 2012

Accepted:Aug 05, 2012

How to Cite:Davoudi-Monfared E, Heidarnia MA, Akbari ME, Yavari P, Abadi A. Associations of Demographic and Socioeconomic Factors with Complete Treatment and Follow-up of Colon Cancer. Int J Cancer Manag. 2012;5(4):e80838. doi:

Abstract

Background: Cancer is the second cause of death in the world, and colon cancer is the third cause of death and is one of the most common cancers which will cure with early diagnosis, treatment and sufficient follow up. Assessing factors which affect this cancer is important for prolonging patient survival. Socioeconomic factors are among effective factors of cancer morbidity and mortality. Because mortality rates for colon cancers vary by socioeconomic characteristics, this study has been performed to recognize the relationship between socioeconomic factors with treatment and follow up of colon cancer.

Methods: This was a cross-sectional, descriptive study for patients with colon cancer registered in Cancer Research Center of Shahid Beheshti University of Medical Sciences from April 2005 to November 2006. Patients were selected randomly, and the study was conducted using questionnaires filled by interviewing the patients via phone (if a patient was dead, the questions were asked from their family members). Data analysis was done using SPSS (version 19) software.

Results: The study was performed on 520 colon cancer patients with age range of 23-88 years. The mean age of the patients was 63 (S.D.=11.8) and the median age was 64. Two hundred thirty seven (45.4%) patients were female and 283 (54.4%) were male. Using Chi-square test, age<60 (p=0.002) and female gender (p=0.034) had a significant correlation with complete treatment and there was a significant relationship between complete follow up and age<60 (p=0.037), academic education (p=0.02) and having insurance (p=0.021). Multiple logistic regression tests were used to evaluate concurrent effects of variables on treatment and follow up. Correlated variables to complete treatment include: age<60 (p=0.001), and female gender The Odds Ratio (OR) of completing treatment for patients under 60 years of age versus patients above 60 years was 3.13 (95% C.I. 1.55 to 6.34), and the OR of completing treatment for women versus men was 1.91(95% C.I. 1.33 to 2.74). Correlated variables to follow up were academic education ( ) and having insurance . The OR of cancer follow up in illiterate patients versus college-educated patients was 0.45 (95% C.I. 0.24 to 0.82), and the OR of cancer follow up in patients without insurance versus patients with health was 0.46 (95% C.I. 0.21 to 0.98).

Conclusion: Age is a correlated factor on completing colon cancer treatment. Women have more complete colon cancer treatment than men. Academic education and having insurance were the most important factors among socioeconomic factors observed in a five-year follow up after treatment. As the population of the old is increasing, executing effective interventions to improve treatment and follow up procedures for old patients is of prime importance. It seems that increasing the insurance contribution in follow up measures may lead to increase in the regular follow up and may affect patients' survival.

Keywords

Colon cancer

Treatment

Follow-up

Socioeconomic factors

Demography

Fulltext

Full text is available in PDF.

Relationships between Family Levels of Socioeconomic Status and Distribution of Breast Cancer Risk Factors

Pegah Mohaghegh,

Parvin Yavari,

Mohammad Esmaeil Akbari,

Alireza Abadi,

Farzaneh Ahmadi,

Zeinab Shormeij

Mohaghegh P, Yavari P, Esmaeil Akbari M, Abadi A, Ahmadi F, et al. Relationships between Family Levels of Socioeconomic Status and Distribution of Breast Cancer Risk Factors. Int J Cancer Manag. 2015;8(1):e80584. doi:

31

Dec

2014

The Correlation between the Family Levels of Socioeconomic Status and Stage at Diagnosis of Breast Cancer

Pegah Mohaghegh,

Parvin Yavari,

Mohammad Esmail Akbari,

Alireza Abadi,

Farzane Ahmadi

Mohaghegh P, Yavari P, Akbari ME, Abadi A, Ahmadi F. The Correlation between the Family Levels of Socioeconomic Status and Stage at Diagnosis of Breast Cancer. Int J Cancer Manag. 2014;7(4):e80563. doi:

25

Sep

2010

Comparison of influential factors affecting survival of patients with colon and rectum cancer using competing risks model

Mohammad Reza Akhond,

Anoshirvan Kazemnejad,

Ebrahim Hajizadeh,

Ali GhanbariMotlagh,

Mohammad Reza Zali

Akhond MR, Kazemnejad A, Hajizadeh E, GhanbariMotlagh A, Zali MR. Comparison of influential factors affecting survival of patients with colon and rectum cancer using competing risks model. koomesh. 2011;12(2):e153808. doi:

24

Apr

2016

Association Between Socioeconomic Status and Participation in Colonoscopy Screening Program in First Degree Relatives of Colorectal Cancer Patients

Arezoo Chouhdari,

Parvin Yavari,

Mohammad Amin Pourhoseingholi,

Mohammad-Reza Sohrabi

Chouhdari A, Yavari P, Pourhoseingholi MA, Sohrabi M. Association Between Socioeconomic Status and Participation in Colonoscopy Screening Program in First Degree Relatives of Colorectal Cancer Patients. Int J Cancer Manag. 2016;9(2):e4809. doi: https://doi.org/10.17795/ijcp-4809

19

Nov

2024

Survival of Patients with Right-Sided and Left-Sided Colon Cancer: Insights from an Iranian Medical Center

Alimohammad Bananzadeh,

Sara Shojaei-Zarghani,

Amir Reza Bahadori,

Ali Reza Safarpour

Bananzadeh A, Shojaei-Zarghani S, Bahadori AR, Safarpour AR. Survival of Patients with Right-Sided and Left-Sided Colon Cancer: Insights from an Iranian Medical Center. Shiraz E-Med J. 2024;25(12):e150628. doi: https://doi.org/10.5812/semj-150628

Import into EndNote Import into BibTex

Share on

Comments

Number of Comments:0

Cited by

Scopus by DOI: 0
Last Update: 1 month ago
Scopus by Title: 5
Last Update: 1 month ago
Scopus by Title (Ref): 0
Last Update: 1 month ago
CrossRef: 0
Last Update: 1 day ago

Metrics

Ordering Reprints

Articles are published under the Creative Commons license stated on each article. No permission or royalty fee is required for uses permitted by that license. CCC handles optional bulk and customized reprint orders. Any quotation covers production and delivery services only, not copyright permission. > Request Reprints from CCC

Search Relations

Author(s):

Esmat Davoudi-Monfared:[PubMed][Scholar]
Mohammad Ali Heidarnia:[PubMed][Scholar]
Mohammad Esmail Akbari:[PubMed][Scholar]
Parvin Yavari:[PubMed][Scholar]
Alireza Abadi:[PubMed][Scholar]

The Official Journal of Cancer Research Center (CRC), Shahid Beheshti University of Medical Sciences

Outlines

Associations of Demographic and Socioeconomic Factors with Complete Treatment and Follow-up of Colon Cancer

Abstract

Fulltext

Similar Articles

Relationships between Family Levels of Socioeconomic Status and Distribution of Breast Cancer Risk Factors

The Correlation between the Family Levels of Socioeconomic Status and Stage at Diagnosis of Breast Cancer

Comparison of influential factors affecting survival of patients with colon and rectum cancer using competing risks model

Association Between Socioeconomic Status and Participation in Colonoscopy Screening Program in First Degree Relatives of Colorectal Cancer Patients

Survival of Patients with Right-Sided and Left-Sided Colon Cancer: Insights from an Iranian Medical Center

Last Update: 1 month ago

Last Update: 1 month ago

Last Update: 1 month ago

Last Update: 1 day ago