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dc.contributor.authorFranklyn, J
dc.contributor.authorLomax, J
dc.contributor.authorBaker, A
dc.contributor.authorAbdalkoddus, M
dc.contributor.authorHosking, J
dc.contributor.authorColeman, MG
dc.contributor.authorSmolarek, S
dc.date.accessioned2023-08-02T11:31:49Z
dc.date.available2023-08-02T11:31:49Z
dc.date.issued2023-07
dc.identifier.issn0930-2794
dc.identifier.issn1432-2218
dc.identifier.urihttps://pearl.plymouth.ac.uk/handle/10026.1/21132
dc.description.abstract

BACKGROUND: Regional variations in healthcare outcomes in England have been historically reported. This study analyses the variations in long term colorectal cancer survival across different regions in England. METHODS: Relative survival analysis of population data obtained from all cancer registries in England between 2010 and 2014. RESULTS: Totally, 167,501 patients were studied. Regions in the southern England had better outcomes with Southwest and Oxford registries having 63.5 and 62.7% 5 year relative survival. In contrast, Trent and Northwest cancer registries had 58.1% relative survival (p < 0.01). The regions in the north fared below the national average. The survival outcomes reflected socio-economic deprivation status, the best performing regions in the south having low levels of deprivation (5.3 and 6.5% having maximum deprivation in Southwest and Oxford, respectively). The regions with worst long term cancer outcomes had high levels of deprivation with 25% and 17% having high levels of deprivation in Northwest and Trent regions. CONCLUSION: There are significant variations in long term colorectal cancer survival between different regions in England, southern England had better relative survival when compared with the northern regions. Disparities in socio-economic depravation status in different regions may be associated with worse colorectal cancer outcomes.

dc.format.extent5340-5350
dc.format.mediumPrint-Electronic
dc.languageen
dc.publisherSpringer Science and Business Media LLC
dc.subjectGeographical variations
dc.subjectColorectal cancer
dc.subjectSocio-economic deprivation
dc.titleGeographical variations in long term colorectal cancer outcomes in England: a contemporary population analysis revealing the north–south divide in colorectal cancer survival
dc.typejournal-article
dc.typeArticle
plymouth.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/36991267
plymouth.issue7
plymouth.volume37
plymouth.publisher-urlhttp://dx.doi.org/10.1007/s00464-023-10003-2
plymouth.publication-statusPublished
plymouth.journalSurgical Endoscopy
dc.identifier.doi10.1007/s00464-023-10003-2
plymouth.organisational-group|Plymouth
plymouth.organisational-group|Plymouth|Research Groups
plymouth.organisational-group|Plymouth|Faculty of Health
plymouth.organisational-group|Plymouth|Research Groups|Institute of Translational and Stratified Medicine (ITSMED)
plymouth.organisational-group|Plymouth|Research Groups|Institute of Translational and Stratified Medicine (ITSMED)|CBBB
plymouth.organisational-group|Plymouth|REF 2021 Researchers by UoA
plymouth.organisational-group|Plymouth|Users by role
plymouth.organisational-group|Plymouth|Users by role|Academics
plymouth.organisational-group|Plymouth|Users by role|Post-Graduate Research Students
plymouth.organisational-group|Plymouth|REF 2021 Researchers by UoA|UoA03 Allied Health Professions, Dentistry, Nursing and Pharmacy
plymouth.organisational-group|Plymouth|Faculty of Health|Peninsula Medical School
plymouth.organisational-group|Plymouth|Research Groups|Plymouth Institute of Health and Care Research (PIHR)
dc.publisher.placeGermany
dcterms.dateAccepted2023-03-03
dc.date.updated2023-08-02T11:31:49Z
dc.rights.embargodate10000-01-01
dc.identifier.eissn1432-2218
dc.rights.embargoperiodforever
rioxxterms.versionofrecord10.1007/s00464-023-10003-2


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