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Impact of Socio-economic Class on Colorectal Cancer Patient Outcomes in Kuala Lumpur and Kuching, Malaysia

Objective: Research over the past several decades has indicated that low socioeconomic class has a direct effect on health outcomes. In Malaysia, class distribution may differ with the region. The objective of this study was to compare the presentation and survival of colorectal cancer patients in t...

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Main Authors: Kong, Chee Kwan, Roslani, April Camilla, Law, Chee Wei, Law, Diana Suk Chin, Arumugam, Kulenthran
Format: Article
Published: Asian Pacific Organization for Cancer Prevention 2010
Subjects:
R Medicine (General)
Online Access:http://eprints.um.edu.my/219/
http://journal.waocp.org/article_25314_a6a364eed75a4535e13a4065eef0e652.pdf
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spelling my.um.eprints.2192019-11-11T04:26:21Z http://eprints.um.edu.my/219/ Impact of Socio-economic Class on Colorectal Cancer Patient Outcomes in Kuala Lumpur and Kuching, Malaysia Kong, Chee Kwan Roslani, April Camilla Law, Chee Wei Law, Diana Suk Chin Arumugam, Kulenthran R Medicine (General) Objective: Research over the past several decades has indicated that low socioeconomic class has a direct effect on health outcomes. In Malaysia, class distribution may differ with the region. The objective of this study was to compare the presentation and survival of colorectal cancer patients in two dissimilar cities, Kuala Lumpur and Kuching, Sarawak. Methods: All patients diagnosed with a malignancy of the colon or rectum in Sarawak General Hospital and University of Malaya Medical Center from 1st Jan 2000-31st Dec 2006 were recruited. Data on presentation, socio-economic class and survival were obtained. The survival duration was categorized into more than three years or three years and less. Testing for significance was performed using the chi-square test, with p values less than 0.05 considered statistically significant. Results: A total of 565 patients in UMMC and 642 patients in SGH had a new diagnosis of colorectal carcinoma. Patients in Kuching had a longer duration of symptoms and more advanced stage at presentation, but this was not statistically significant. Lower socio-economic class was a significant factor for late and more advanced stage at diagnosis, as well as poorer three and five year survival rates. However, survival was lower for patients in Kuching compared to Kuala Lumpur, even after matching for socio-economic class. Conclusion: There is near-zero awareness of colorectal cancer screening in Malaysia. These findings support reaching out to communities of lower socioeconomic backgrounds to improve the colorectal cancer survival rates. Asian Pacific Organization for Cancer Prevention 2010 Article PeerReviewed Kong, Chee Kwan and Roslani, April Camilla and Law, Chee Wei and Law, Diana Suk Chin and Arumugam, Kulenthran (2010) Impact of Socio-economic Class on Colorectal Cancer Patient Outcomes in Kuala Lumpur and Kuching, Malaysia. Asian Pacific Journal of Cancer Prevention, 11 (4). pp. 969-974. ISSN 1513-7368 http://journal.waocp.org/article_25314_a6a364eed75a4535e13a4065eef0e652.pdf 21133609
institution Universiti Malaya
building UM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaya
content_source UM Research Repository
url_provider http://eprints.um.edu.my/
topic R Medicine (General)
spellingShingle R Medicine (General)
Kong, Chee Kwan
Roslani, April Camilla
Law, Chee Wei
Law, Diana Suk Chin
Arumugam, Kulenthran
Impact of Socio-economic Class on Colorectal Cancer Patient Outcomes in Kuala Lumpur and Kuching, Malaysia
description Objective: Research over the past several decades has indicated that low socioeconomic class has a direct effect on health outcomes. In Malaysia, class distribution may differ with the region. The objective of this study was to compare the presentation and survival of colorectal cancer patients in two dissimilar cities, Kuala Lumpur and Kuching, Sarawak. Methods: All patients diagnosed with a malignancy of the colon or rectum in Sarawak General Hospital and University of Malaya Medical Center from 1st Jan 2000-31st Dec 2006 were recruited. Data on presentation, socio-economic class and survival were obtained. The survival duration was categorized into more than three years or three years and less. Testing for significance was performed using the chi-square test, with p values less than 0.05 considered statistically significant. Results: A total of 565 patients in UMMC and 642 patients in SGH had a new diagnosis of colorectal carcinoma. Patients in Kuching had a longer duration of symptoms and more advanced stage at presentation, but this was not statistically significant. Lower socio-economic class was a significant factor for late and more advanced stage at diagnosis, as well as poorer three and five year survival rates. However, survival was lower for patients in Kuching compared to Kuala Lumpur, even after matching for socio-economic class. Conclusion: There is near-zero awareness of colorectal cancer screening in Malaysia. These findings support reaching out to communities of lower socioeconomic backgrounds to improve the colorectal cancer survival rates.
format Article
author Kong, Chee Kwan
Roslani, April Camilla
Law, Chee Wei
Law, Diana Suk Chin
Arumugam, Kulenthran
author_facet Kong, Chee Kwan
Roslani, April Camilla
Law, Chee Wei
Law, Diana Suk Chin
Arumugam, Kulenthran
author_sort Kong, Chee Kwan
title Impact of Socio-economic Class on Colorectal Cancer Patient Outcomes in Kuala Lumpur and Kuching, Malaysia
title_short Impact of Socio-economic Class on Colorectal Cancer Patient Outcomes in Kuala Lumpur and Kuching, Malaysia
title_full Impact of Socio-economic Class on Colorectal Cancer Patient Outcomes in Kuala Lumpur and Kuching, Malaysia
title_fullStr Impact of Socio-economic Class on Colorectal Cancer Patient Outcomes in Kuala Lumpur and Kuching, Malaysia
title_full_unstemmed Impact of Socio-economic Class on Colorectal Cancer Patient Outcomes in Kuala Lumpur and Kuching, Malaysia
title_sort impact of socio-economic class on colorectal cancer patient outcomes in kuala lumpur and kuching, malaysia
publisher Asian Pacific Organization for Cancer Prevention
publishDate 2010
url http://eprints.um.edu.my/219/
http://journal.waocp.org/article_25314_a6a364eed75a4535e13a4065eef0e652.pdf
_version_ 1651867305362063360
score 13.211869

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