Cancer News
OncoLink Cancer News - HealthDay


Socioeconomic Status Affects Cancer Trial Referrals

Thursday, December 6, 2012 (Last Updated: 12/07/2012)

THURSDAY, Dec. 6 (HealthDay News) -- Patients of lower socioeconomic status are less likely to be referred to participate in early-phase cancer trials compared with patients of higher socioeconomic status, according to research published online Dec. 3 in the Journal of Clinical Oncology.

Aisyah Mohd Noor, M.D., of King's College London, and colleagues used data from 10,784 incident cases to examine the effect of patient socioeconomic status on access to early-phase cancer trials.

The researchers found that 430 patients were referred to an early-phase oncology trials unit. Patients in the more-deprived quintiles were significantly less likely to be referred compared with patients in the less-deprived quintiles (odds ratio, 0.53). After review in the unit, trial enrollment was not affected by socioeconomic status. Non-white patients were significantly less likely to be recruited (odds ratio, 0.48), but after adjustment for age, gender, cancer type, and deprivation index, the association did not persist.

"The least-deprived patients are almost twice as likely to be referred compared with the most deprived," the authors write. "This may be because more-deprived patients are less suitable for a trial -- as a result of comorbidities, for example -- or because of inequalities that could be addressed by patient or referrer education. Once reviewed at the unit, enrollment onto a trial is not affected by deprivation."

Abstract
Full Text (subscription or payment may be required)

Specialties Hematology & Oncology
Nursing
OBGYN & Women's Health

Copyright © 2012 HealthDay. All rights reserved.


I Wish You Knew

Understanding prostate cancer screening

View More



Blogs and Web Chats

OncoLink Blogs give our readers a chance to react to and comment on key cancer news topics and provides a forum for OncoLink Experts and readers to share opinions and learn from each other.




OncoLink OncoPilot

Facing a new cancer diagnosis or changing the course of your current treatment? Let our cancer nurses help you through!

Learn More