Majda Lamkaddem|Marloes A.G. Elferink|M. C. Seeleman|Evelien Dekker|Cornelis J.A. Punt|Otto Visser|M. L. Essink-Bot
Ethnic differences in colon cancer care in the Netherlands: a nationwide registry-based study
Academic Medical Center|Netherlands Comprehensive Cancer Organisation|Academic Medical Center|Academic Medical Center|Academic Medical Center|Netherlands Comprehensive Cancer Organisation|Academic Medical Center
ethnic differences colon cancer cc care shown united states results directly applicable european countries due fundamental healthcare system differences first study addressing ethnic differences treatment survival cc netherlandsdata 101882 patients diagnosed cc 19962011 selected netherlands cancer registry linked databases statistics netherlands ethnic differences lymph node ln evaluation anastomotic leakage adjuvant chemotherapy analysed using stepwise logistic regression models stepwise cox regression used examine influence ethnic differences adjuvant chemotherapy 5year allcause colorectal cancerspecific survivaladequate ln evaluation significantly likely patients western countries dutch 109 95 ci 101116 western patients significantly higher risk anastomotic leakage resection 124 95 ci 105147 patients moroccan origin significantly less likely receive adjuvant chemotherapy 027 95 ci 013059 ethnic differences fully explained differences socioeconomic hospitalrelated characteristics higher 5year allcause mortality moroccan patients hr 164 95 ci 103261 statistically explained differences adjuvant chemotherapy receiptthese results suggest presence ethnic inequalities cc care netherlands recommend analysis role comorbidity communication patientprovider interaction patients health literacy looking ethnic differences treatment cc