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@ARTICLE{Jansen:176900,
      author       = {L. Jansen$^*$ and C. Erb and A. Nennecke and I. Finke$^*$
                      and R. Pritzkuleit and B. Holleczek and H. Brenner$^*$},
      collaboration = {G. C. S. W. Group},
      title        = {{S}ocioeconomic deprivation and cancer survival in a
                      metropolitan area: {A}n analysis of cancer registry data
                      from {H}amburg, {G}ermany.},
      journal      = {The lancet / Regional health. Europe},
      volume       = {4},
      issn         = {2666-7762},
      address      = {[Amsterdam]},
      publisher    = {Elsevier},
      reportid     = {DKFZ-2021-02142},
      pages        = {100063},
      year         = {2021},
      note         = {#EA:C070#LA:C070#},
      abstract     = {Few studies have investigated socioeconomic inequalities
                      within cities. Yet, such analyses are particularly important
                      given the increasing international trend to urbanization.
                      Here we investigated area-based socioeconomic inequalities
                      in cancer survival in Hamburg, a port city in the North of
                      Germany (population: 1.84 million people).Patients with a
                      diagnosis of colorectal, lung, female breast, and prostate
                      cancer in 2004-2018 (follow-up until 31.12.2018) and
                      registered in the Hamburg cancer registry were included.
                      Area-based socioeconomic deprivation on urban district level
                      was assigned to the patients and grouped in five quintiles.
                      Relative survival in 2014-2018 was calculated using the
                      period approach. Trend analyses between 2004 and 2018 were
                      conducted. Relative excess risks adjusted for age and stage
                      were computed with model-based period analyses.For the
                      73,106 included patients, age-standardized 5-year relative
                      survival in 2014-2018 decreased with increasing deprivation
                      with significant differences between the most and least
                      deprived group of 14·7 (prostate), 10·8 (colorectal), 8·0
                      (breast), and 2·5 (lung) percent units. Standardization by
                      cancer stage decreased the difference for prostate cancer to
                      8·5 percent units and for breast cancer to 3·6 percent
                      units but had only a minor effect for colorectal and lung
                      cancer. Similar socioeconomic inequalities were already
                      present in 2004-08.Strong socioeconomic inequalities in
                      cancer survival were observed in Hamburg, which could be
                      partly explained by differences in the stage distribution.
                      Further research including information on screening
                      participation as well as information on cancer care are
                      important to further understand and finally overcome these
                      inequalities.German Cancer Aid.},
      cin          = {C070 / C120 / HD01},
      ddc          = {610},
      cid          = {I:(DE-He78)C070-20160331 / I:(DE-He78)C120-20160331 /
                      I:(DE-He78)HD01-20160331},
      pnm          = {313 - Krebsrisikofaktoren und Prävention (POF4-313)},
      pid          = {G:(DE-HGF)POF4-313},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {pmid:34557810},
      pmc          = {pmc:PMC8454769},
      doi          = {10.1016/j.lanepe.2021.100063},
      url          = {https://inrepo02.dkfz.de/record/176900},
}