The association of socioeconomic status on treatment strategy in patients with stage I and II breast cancer in the Netherlands

• DOI: 10.1007/s10549-021-06308-2
• Publication Date: 2021-06-26T18:02:15Z
• Authors: M. D. Filipe; S. Siesling; M. R. Vriens; P. van Diest; A. J. Witkamp
• Keywords: Decile

Abstract Background Previous studies have shown that socioeconomic status (SES) influences breast cancer therapy. However, these were performed in countries with unequal access to healthcare. Therefore, the aim of this study is investigate whether SES also contributes likelihood receiving a certain therapy Netherlands, country supposedly equal Materials and methods From Netherlands Cancer Registry, 105,287 patients newly diagnosed stage I or II between 2011 2018 selected for analysis. was calculated from average incomes each postal code, which divided into 10 deciles. Primary outcome effect on undergoing surgery secondary type surgery. Both outcomes corrected patient, tumor, hospital characteristics expressed as odds ratio (OR) 95% confidence interval (CI). Results did not affect patient undergo (OR 1.00 per 10% stratum). In contrast, increased age higher tumor most important factors determining underwent Patients less likely mastectomy 0.98). Additionally, more recently 0.93 year) while 3.42). Conclusion does undergoes surgery; however, BCT.