Survival of non-Western first generations immigrants with stomach cancer in North East Netherlands: Short communication

Siemerink, E.J.M. and Aa van der, M.A. and Siesling, S. and Hospers, G.A.P. and Mulder, N.H. (2011) Survival of non-Western first generations immigrants with stomach cancer in North East Netherlands: Short communication. British Journal of Cancer, 104 . pp. 1193-1195. ISSN 0007-0920

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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 χ2 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
Item Type:	Article
Copyright:	© 2011 Nature Publishing Group
Faculty:	Management and Governance (SMG)
Research Group:	Health Technology & Services Research (HTSR)
Link to this item:	http://purl.utwente.nl/publications/77771
Official URL:	http://dx.doi.org/10.1038/bjc.2011.64
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Metis ID: 274990