Combined effect of individual and neighborhood SES in esophageal cancer

1. Combined effect of individual and neighborhood SES in esophageal cancer 2013/7/16 吳晉嘉

2. Topic • Literature Review • Coding sheet of literature • Introduction • Result • Limitation

3. Combined effect of individual and neighborhood SES in esophageal cancer

4. Literature Review • Combined effect of individual and neighborhood SES in gastric cancer patients Literature. • Pubmed: “socioeconomic status” AND “esophageal cancer”

5. Coding Sheet

8. SES related to esophageal cancer incidence. • In developed country  EAC and ESCC related to high SES ( Denmark ) • In developing countries ESCC related to low SES • SES related to treatment choice of esophageal cancer • Surgery improved outcome • Low Neighborhood SES related higher post-esophagectomy mortality.

9. Plos one 2013 : neighborhood and individual SES, but no combination. • Limited literature about combined effect of neighborhood and individual SES

10. Study Design • Taiwan’s NHIRD for the years 2002 to 2006. • 6557 Esophageal cancer patient • Combined Individual SES and neighborhood SES survival • Individual: occupation and insurance income • Neighborhood: average household income

11. 台灣不分性別 每10萬人口標準化發生率 (2000年世界標準人口)，2002-2006年 國健局網站 癌登系統

13. <65 years old

14. >65years old

20. Limitation • No staging ( If limited to curative resection, may overcome this bias )  previous review showed that the most important factor is “curative resection” • No histopathological report ( more than 90% in Asian is SCC )