Is place or person more important in determining higher rural cancer mortality?: A datalinkage study to compare individual versus area-based measures of deprivation

Peter Murchie; Shona Fielding; Melanie Turner; Lisa Iversen; Chris Dibben

doi:10.23889/ijpds.v6i1.1403

Is place or person more important in determining higher rural cancer mortality? A datalinkage study to compare individual versus area-based measures of deprivation

Peter Murchie^* (Corresponding Author), Shona Fielding, Melanie Turner, Lisa Iversen, Chris Dibben

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

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Abstract

Data from Northeast Scotland for 11,803 cancer patients (diagnosed 2007-13) was linked to UK Censuses to explore relationships between hospital travel-time, timely-treatment and one-year-mortality, adjusting for both area and individual-level socioeconomic status (SES). Adjusting for area-based SES, those living >60 minutes from hospital received timelytreatment more often than those living <15 minutes. Substituting individual-level SES changed little. Adjusting for area-based SES those living >60 minutes from hospital died within one year more often than those living <15 minutes. Again, substituting individuallevel SES changed little. In Northeast Scotland distance to services, rather than individual SES, likely explains poorer rural cancer survival.

Original language	English
Article number	11
Number of pages	24
Journal	International Journal of Population Data Science
Volume	6
Issue number	1
DOIs	https://doi.org/10.23889/ijpds.v6i1.1403
Publication status	Published - 1 Apr 2021

Keywords

cancer
rurality
geography
Data-linkage
Delay
Primary care
Treatment
Mortality
Census

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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Is place or person more important in determining higher rural cancer mortality? A datalinkage study to compare individual versus area-based measures of deprivation . / Murchie, Peter (Corresponding Author); Fielding, Shona ; Turner, Melanie et al.

In: International Journal of Population Data Science, Vol. 6, No. 1, 11, 01.04.2021.

Research output: Contribution to journal › Article › peer-review

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abstract = "Data from Northeast Scotland for 11,803 cancer patients (diagnosed 2007-13) was linked to UK Censuses to explore relationships between hospital travel-time, timely-treatment and one-year-mortality, adjusting for both area and individual-level socioeconomic status (SES). Adjusting for area-based SES, those living >60 minutes from hospital received timelytreatment more often than those living <15 minutes. Substituting individual-level SES changed little. Adjusting for area-based SES those living >60 minutes from hospital died within one year more often than those living <15 minutes. Again, substituting individuallevel SES changed little. In Northeast Scotland distance to services, rather than individual SES, likely explains poorer rural cancer survival. ",

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note = "FUNDING This project was conducted without external funding and with the support of the Administrative Data Research Network as an exemplar project to demonstrate the feasibility of linking clinical datasets to data from the UK Census. ACKNOWLEDGEMENTS We acknowledge the support from three sources to conduct this project. We are grateful for support from Professor Corri Black, Dr Joanne Lumsden and Dr Vicky Munro at the Data Safe Haven (DaSH) of NHS Grampian and University of Aberdeen. We also gratefully for the support received from Amy Tilbrook, Suhail Iqbal and Julian Augley from the Electronic Data Research and Innovation Service (eDRIS) of Public Health Scotland. We also acknowledge the support of the Scottish Centre for Administrative Data Research (ADR Scotland). ",

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