Changes in survival patterns in urban Chinese patients with liver cancer

Xi Shan Hao, Ke Xin Chen, Peizhong Peter Wang, Thomas E. Rohan

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Aim: To examine the survival patterns and determinants of primary liver cancer in a geographically defined Chinese population. Methods: Primary liver cancer cases (n=l3 685) diagnosed between 1981 and 2000 were identified by the Tianjin Cancer Registry. Age-adjusted and age-specific incidence rates were examined in both males and females. Proportional hazards (Cox) regression was utilized to explore the effects of time of diagnosis, sex, age, occupation, residence, and hospital of diagnosis on survival. Results: Crude and age-adjusted incidence rates in the study period were: 27.4/100 000 and 26.3/100 000 in males; and 11.5/100 000 and 10.4/100 000 in females, respectively. Cox regression analyses indicated that there was a significant improvement in survival rates over time. Industrial workers and older people had relatively poor survival rates. The hospital in which the liver cancer was diagnosed was a statistically significant predictor of survival; patients diagnosed in city hospitals were more likely to have better survival than those diagnosed in community/district hospitals. Conclusion: Patients diagnosed in recent years appeared to have a better outcome than those diagnosed in early times. There were also significant survival disparities with respect to occupation and hospital of diagnosis, which suggest that socioeconomic status may play an important role in determining prognosis.

Original languageEnglish (US)
Pages (from-to)1212-1215
Number of pages4
JournalWorld Journal of Gastroenterology
Volume9
Issue number6
StatePublished - Jun 15 2003

Fingerprint

Liver Neoplasms
Survival
Occupations
Survival Rate
District Hospitals
Urban Hospitals
Incidence
Community Hospital
Social Class
Registries
Regression Analysis
Population
Neoplasms

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Changes in survival patterns in urban Chinese patients with liver cancer. / Hao, Xi Shan; Chen, Ke Xin; Wang, Peizhong Peter; Rohan, Thomas E.

In: World Journal of Gastroenterology, Vol. 9, No. 6, 15.06.2003, p. 1212-1215.

Research output: Contribution to journalArticle

Hao, Xi Shan ; Chen, Ke Xin ; Wang, Peizhong Peter ; Rohan, Thomas E. / Changes in survival patterns in urban Chinese patients with liver cancer. In: World Journal of Gastroenterology. 2003 ; Vol. 9, No. 6. pp. 1212-1215.
@article{0d4f2f713b304a089ffc5e9e4d1e7367,
title = "Changes in survival patterns in urban Chinese patients with liver cancer",
abstract = "Aim: To examine the survival patterns and determinants of primary liver cancer in a geographically defined Chinese population. Methods: Primary liver cancer cases (n=l3 685) diagnosed between 1981 and 2000 were identified by the Tianjin Cancer Registry. Age-adjusted and age-specific incidence rates were examined in both males and females. Proportional hazards (Cox) regression was utilized to explore the effects of time of diagnosis, sex, age, occupation, residence, and hospital of diagnosis on survival. Results: Crude and age-adjusted incidence rates in the study period were: 27.4/100 000 and 26.3/100 000 in males; and 11.5/100 000 and 10.4/100 000 in females, respectively. Cox regression analyses indicated that there was a significant improvement in survival rates over time. Industrial workers and older people had relatively poor survival rates. The hospital in which the liver cancer was diagnosed was a statistically significant predictor of survival; patients diagnosed in city hospitals were more likely to have better survival than those diagnosed in community/district hospitals. Conclusion: Patients diagnosed in recent years appeared to have a better outcome than those diagnosed in early times. There were also significant survival disparities with respect to occupation and hospital of diagnosis, which suggest that socioeconomic status may play an important role in determining prognosis.",
author = "Hao, {Xi Shan} and Chen, {Ke Xin} and Wang, {Peizhong Peter} and Rohan, {Thomas E.}",
year = "2003",
month = "6",
day = "15",
language = "English (US)",
volume = "9",
pages = "1212--1215",
journal = "World Journal of Gastroenterology",
issn = "1007-9327",
publisher = "WJG Press",
number = "6",

}

TY - JOUR

T1 - Changes in survival patterns in urban Chinese patients with liver cancer

AU - Hao, Xi Shan

AU - Chen, Ke Xin

AU - Wang, Peizhong Peter

AU - Rohan, Thomas E.

PY - 2003/6/15

Y1 - 2003/6/15

N2 - Aim: To examine the survival patterns and determinants of primary liver cancer in a geographically defined Chinese population. Methods: Primary liver cancer cases (n=l3 685) diagnosed between 1981 and 2000 were identified by the Tianjin Cancer Registry. Age-adjusted and age-specific incidence rates were examined in both males and females. Proportional hazards (Cox) regression was utilized to explore the effects of time of diagnosis, sex, age, occupation, residence, and hospital of diagnosis on survival. Results: Crude and age-adjusted incidence rates in the study period were: 27.4/100 000 and 26.3/100 000 in males; and 11.5/100 000 and 10.4/100 000 in females, respectively. Cox regression analyses indicated that there was a significant improvement in survival rates over time. Industrial workers and older people had relatively poor survival rates. The hospital in which the liver cancer was diagnosed was a statistically significant predictor of survival; patients diagnosed in city hospitals were more likely to have better survival than those diagnosed in community/district hospitals. Conclusion: Patients diagnosed in recent years appeared to have a better outcome than those diagnosed in early times. There were also significant survival disparities with respect to occupation and hospital of diagnosis, which suggest that socioeconomic status may play an important role in determining prognosis.

AB - Aim: To examine the survival patterns and determinants of primary liver cancer in a geographically defined Chinese population. Methods: Primary liver cancer cases (n=l3 685) diagnosed between 1981 and 2000 were identified by the Tianjin Cancer Registry. Age-adjusted and age-specific incidence rates were examined in both males and females. Proportional hazards (Cox) regression was utilized to explore the effects of time of diagnosis, sex, age, occupation, residence, and hospital of diagnosis on survival. Results: Crude and age-adjusted incidence rates in the study period were: 27.4/100 000 and 26.3/100 000 in males; and 11.5/100 000 and 10.4/100 000 in females, respectively. Cox regression analyses indicated that there was a significant improvement in survival rates over time. Industrial workers and older people had relatively poor survival rates. The hospital in which the liver cancer was diagnosed was a statistically significant predictor of survival; patients diagnosed in city hospitals were more likely to have better survival than those diagnosed in community/district hospitals. Conclusion: Patients diagnosed in recent years appeared to have a better outcome than those diagnosed in early times. There were also significant survival disparities with respect to occupation and hospital of diagnosis, which suggest that socioeconomic status may play an important role in determining prognosis.

UR - http://www.scopus.com/inward/record.url?scp=0038390976&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0038390976&partnerID=8YFLogxK

M3 - Article

C2 - 12800226

AN - SCOPUS:0038390976

VL - 9

SP - 1212

EP - 1215

JO - World Journal of Gastroenterology

JF - World Journal of Gastroenterology

SN - 1007-9327

IS - 6

ER -