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ORIGINAL ARTICLE Negative Impact of Rurality on Lung Cancer Survival in a Population-based Study Virginie Westeel, MD, PhD, Alexandre Pitard, MD, Mael Martin, MD, Isabelle Thaon, MD, Alain Depierre, MD, Jean-Charles Dalphin, MD, and Patrick Arveux, MD a population at risk of poorer prognosis. Several studies Introduction: Several studies have suggested that rurality is a risk focusing on lung cancer have used the distance to the nearest factor for worse prognosis in cancer. 5–9 cancer treatment center as the definition of rurality. Only Methods: The study population included the 2268 lung cancer cases one of these studies analyzed survival and showed that collected between 1981 and 1996 in the Doubs Cancer Registry patients from outlying areas had poorer survival. Simplicity (France). is the main advantage of this definition. However, only one Results: The numbers of patients were 849 (31.8%) in rural areas component of the multidimensional concept of rurality is and 89 (3.3%) in very rural areas. The relative 5-year survival was taken into account. Besides being usually remote from spe- 15.2% in rural areas and 13.4% in urban areas (p 0.5), and 2.7% cialized health centers, rural areas also have economic and in very rural areas and
Journal of Thoracic Oncology – Wolters Kluwer Health
Published: Jul 1, 2007
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