NDLI: Low socioeconomic position is a risk factor for delay to treatment and mortality of testicular cancer patients in Hungary, a prospective study

Content Provider	Springer Nature : BioMed Central
Author	Küronya, Zsófia Fröhlich, Georgina Ladányi, Andrea Martin, Tamás Géczi, Lajos Gyergyai, Fruzsina Horváth, Orsolya Kiszner, Gergő Kovács, Ágnes Dienes, Tamás Lénárt, Enikő Nagyiványi, Krisztián Szarvas, Tibor Szőnyi, Mihály Tóth, Attila Biró, Krisztina
Abstract	Background In Hungary, the mortality rate for testicular germ cell cancer (TGCC) is 0,9/100000 which is significantly higher than the EU average. We prospectively evaluated the effect of socioeconomic position on patient delay and therapy outcomes. Methods Questionnaires on subjective social status (MacArthur Subjective Status Scale), objective socioeconomic position (wealth, education, and housing data), and on patient’s delay were completed by newly diagnosed TGCC patients. Results Patients belonged to a relatively high socioeconomic class, a university degree was double the Hungarian average, Cancer-specific mortality in the highest social quartile was 1.56% while in the lowest social quartile 13.09% (p = 0.02). In terms of patient delay, 57.2% of deceased patients waited more than a year before seeking help, while this number for the surviving patients was 8.0% (p = 0.0000). Longer patient delay was associated with a more advanced stage in non-seminoma but not in seminoma, the correlation coefficient for non-seminoma was 0.321 (p < 0.001). For patient delay, the most important variables were the mother’s and patient’s education levels (r = − 0.21, p = 0.0003, and r = − 0.20, p = 0.0005), respectively. Since the patient delay was correlated with the social quartile and resulted in a more advanced stage in non-seminoma, the lower social quartile resulted in higher mortality in non-seminoma patients (p = 0.005) but not in seminoma patients (p = 0.36) where the patient delay was not associated with a more advanced stage. Conclusions Based on our result, we conclude that to improve survival, we should promote testicular cancer awareness, especially among the most deprived populations, and their health care providers.
Related Links	https://bmcpublichealth.biomedcentral.com/counter/pdf/10.1186/s12889-021-11720-w.pdf
Ending Page	11
Page Count	11
Starting Page	1
File Format	HTM / HTML
ISSN	14712458
DOI	10.1186/s12889-021-11720-w
Journal	BMC Public Health
Issue Number	1
Volume Number	21
Language	English
Publisher	BioMed Central
Publisher Date	2021-09-19
Access Restriction	Open
Subject Keyword	Public Health Medicine Epidemiology Biostatistics Vaccine Environmental Health Testicular cancer Socioeconomic position Patient delay Medicine/Public Health
Content Type	Text
Resource Type	Article
Subject	Public Health, Environmental and Occupational Health
Journal Impact Factor	3.5/2023
5-Year Journal Impact Factor	3.9/2023

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Investigating socioeconomic disparities in lung cancer diagnosis, treatment and mortality: an Italian cohort study

Socioeconomic inequalities in cause specific mortality among older people in France

Chronic pain is a risk factor for all-cause and cancer-specific mortality in cancer survivors: a population-based cohort study

Common risk factor approach to address socioeconomic inequality in the oral health of preschool children – a prospective cohort study

The burden of diabetes mortality in Finland 1988-2007 - A brief report

Socioeconomic inequalities in cardiovascular mortality and the role of childhood socioeconomic conditions and adulthood risk factors: a prospective cohort study with 17-years of follow up

Association of serum folate concentrations with cancer mortality among patients with arthritis: a prospective cohort study

Association between socioeconomic position and diabetic foot ulcer outcomes: a population-based cohort study in South Korea

Socioeconomic factors and low birth weight in Mexico

Low socioeconomic position is a risk factor for delay to treatment and mortality of testicular cancer patients in Hungary, a prospective study

Similar Documents

Investigating socioeconomic disparities in lung cancer diagnosis, treatment and mortality: an Italian cohort study

Socioeconomic inequalities in cause specific mortality among older people in France

Chronic pain is a risk factor for all-cause and cancer-specific mortality in cancer survivors: a population-based cohort study

Common risk factor approach to address socioeconomic inequality in the oral health of preschool children – a prospective cohort study

The burden of diabetes mortality in Finland 1988-2007 - A brief report

Socioeconomic inequalities in cardiovascular mortality and the role of childhood socioeconomic conditions and adulthood risk factors: a prospective cohort study with 17-years of follow up

Association of serum folate concentrations with cancer mortality among patients with arthritis: a prospective cohort study

Association between socioeconomic position and diabetic foot ulcer outcomes: a population-based cohort study in South Korea

Socioeconomic factors and low birth weight in Mexico

Low socioeconomic position is a risk factor for delay to treatment and mortality of testicular cancer patients in Hungary, a prospective study