標題: Favorable liver cancer mortality-to-incidence ratios of countries with high health expenditure
作者: Wang, Chi-Chih
Tsai, Ming-Chang
Peng, Cheng-Ming
Lee, Hsiang-Lin
Chen, Hsuan-Yi
Yang, Tzu-Wei
Sung, Wen-Wei
Lin, Chun-Che
生物科技學系
Department of Biological Science and Technology
關鍵字: expenditure;incidence;liver cancer;mortality;mortality-to-incidence ratio
公開日期: 1-Dec-2017
摘要: Objective Health expenditure is a marker associated with an advanced healthcare system, which contributes toward the good prognosis of patients. Mortality-to-incidence ratios (MIRs) are one of the predictors that reflect the prognosis of cancer patients. There remains some uncertainty on the correlation of MIRs of liver cancer with the health expenditure of countries. Methods We therefore analyzed the correlation of MIRs from the GLOBOCAN 2012 database with the WHO rankings and the total expenditures on health/gross domestic product from WHO by linear regression analyses. A total of 29 countries were selected in this study according to the data quality and the incidence number. Results The results showed high rates of incidence/mortality and MIRs in less developed regions (0.92 vs. 0.96 for more vs. less developed regions). Among the continents, Asia has the highest incidence/mortality in case number, crude rate, and age-standardized rate. In terms of the MIR, Northern America has the lowest MIR and Latin America and the Caribbean have the highest MIRs (0.82 and 1.04, respectively). Finally, favorable MIRs are associated significantly with good WHO ranking and high expenditures on gross domestic product (P = 0.048 and 0.025, respectively). Conclusion The MIR variation for liver cancer is thus found to be associated with the health expenditure and WHO ranking. Copyright (C) 2017 Wolters Kluwer Health, Inc. All rights reserved.
URI: http://dx.doi.org/10.1097/MEG.0000000000000969
http://hdl.handle.net/11536/144192
ISSN: 0954-691X
DOI: 10.1097/MEG.0000000000000969
期刊: EUROPEAN JOURNAL OF GASTROENTEROLOGY & HEPATOLOGY
Volume: 29
起始頁: 1397
結束頁: 1401
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