What factors affect the odds of NSW cancer patients presenting with localised as opposed to more advanced cancer

摘要: The purpose was to examine the odds of presenting with localised as opposed more advanced cancer by place residence gain evidence for planning early detection initiatives. Design, settings and participant’s cases invasive reported NSW population-based Cancer Registry 1980–2008 diagnostic periods. Main outcome measure(s) between 1980 2008, 293,848 (40.2%), had at diagnosis. Logistic regression analysis undertaken determine all cancers sites combined while adjusting age, sex, period diagnosis, socioeconomic status, migrant status prognosis (as inferred from type). Multivariate logistic indicated that patients rural areas were less likely than urban present after other socio-demographic factors type (regardless how rurality classified). difference ranged 4% remote (OR = 0.96, 95% CI 0.95–0.98) 14% (OR = 0.86, 0.79–0.84) very compared highly accessible areas. It is estimated a maximum 4,205 fewer occurred in over study expected stage distribution patients. Residents aged 30 74 years age diagnosis those living high cancer. By contrast, people 75 years or older migrants non-English-speaking countries diagnosed recent periods Targeted strategies specifically encourage earlier treatment may subsequently influence better survival are required increase proportion residents