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El tiempo medio de seguimiento fue de La supervivencia observada SO fue de Los riesgos de morir Hazard Ratios estimados para RAS estuvieron en concordancia con los reportados por otros estudios 1. La magnitud de estas disparidades es similar a la encontrada en EE.

Investigadores locales han resaltado que la universalidad en nuestro sistema de salud no ha sido alcanzada y que hay un estancamiento en materia de acceso a los servicios y en la igualdad Al respecto, Brookfield et al. Similarmente, Niu et al. Estos resultados son contradictorios con los reportados en EE. National Center for Biotechnology Information , U. Journal List Colomb Med Cali v. Published online Mar Find articles by Nelson Enrique Arias-Ortiz. Author information Article notes Copyright and License information Disclaimer. Sede Versalles Universidad de Caldas.

None of the authors have any conflicts of interest to be reported. The funding had no influence in study design; in the collection, analysis and interpretation of data; in the writing of the report; neither in the decision to submit the article for publication. This article is distributed under the terms of the Creative Commons Attribution License http: Introduction Socio-economic differences in cancer survival have been well documented in the last two decades 1.

Materials and Methods Type of study Exploratory population-based cohort study. Clinical and demographic characteristics Information on histological subtype coded according to the International Classification of Diseases for Oncolgy, 3 rd revision -ICDO was available for Socioeconomic indicators Variables for socioeconomic position and health insurance were defined following categories previously used for a Colombian population by de Vries et al 8.

Statistical analysis Observed survival proportions at different times were obtained using Kaplan-Meier analyses, stratifying analyses by HIR and SS, age, sex, histological subtype and, for breast and cervical cancer only, clinical stage at diagnosis.

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Results Patient and tumour characteristics for all 1, incident cases are shown in Supplementary Table 1S. Table 1 Survival estimations by cancer site and prognostic factors. Open in a separate window. Observed survival by health insurance regime and cancer site. Observed survival by social strata and by cancer site.

Survival proportion by clinical stage at diagnosis for breast cancer based on cases with known clinical stage and cervix uteri cancer based on 95 cases.

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Table 2 Proportional risks Cox survival models by cancer site. Discussion This population-based study on population-based survival for five cancer sites in Manizales, Colombia, demonstrated significant differences in observed survival. Strengths and weaknesses The population-based nature of this work minimizes selection biases in the estimates and serves as a tool for policy-makers to evaluate access and quality of care.

Conclusions Important inequities in cancer survival exist in Manizales related to health insurance and socioeconomic position. Table S1 Sociodemographic and clinical characterization of cancer cases, by site.

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Origins of socio-economic inequalities in cancer survival a review. The impact of socioeconomic status on stage of cancer at diagnosis and survival A population-based study in Ontario, Canada. Social inequities along the cervical cancer continuum A structured review. Social inequalities in non-small cell lung cancer management and survival a population-based study in central Sweden.

Socioeconomic inequalities in prostate cancer survival A review of the evidence and explanatory factors. Disparities in survival of stomach cancer among different socioeconomic groups in North-East Netherlands. Gastric cancer survival and affiliation to health insurance in a middle-income setting.

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