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Document Typology: Report
Methodology addressed by the publication:Narrative medicine
Title of document: socioeconomic indicators of health care access
Name of author(s): Raisa Kontramaite
Name of publisher: Gydytojo zodis 2011 rugsejis
Language of the publication: English
Language of the review: English
It has been hypothesized that changes in diagnostic practices have driven the dramatic rise in thyroid cancer incidence over the past two decades. This study investigated the relation between the incidence of thyroid cancer and socioeconomic indicators of health care access.
in Lithuania.Authors examined thyroid chronic disease incidence trends in Lithuania, Poland between 2001 and 2010, according to patient and tumor characteristics. Ecologic analyses were conducted by county to examine the relation between thyroid cancer incidence and education, income, and health insurance coverage.
The results showed terrible facts.
The incidence of thyroid cancer nearly doubled in Lithuania between 2001 and 2010, with almost all of the increase occurring between 2001 and 2010, during which an annual change of 4.0% was observed. The bulk of the increase consisted of small, localized cancers of papillary histology. Ecologic analyses indicated moderate correlations by county between thyroid cancer incidence and median household income percent of residents with a college degree , and percent of residents with health insurance (
Reviewer's comments on the document:
The association between thyroid cancer incidence and socioeconomic indicators of health care access is consistent with the hypothesis that the rising incidence trend is attributable to utilization of new diagnostic practices. There has been debate on whether the increase is real or an artifact of improved diagnostic scrutiny.Because socioeconomic status (SES) may be a surrogate for access to diagnostic technology, we compared thyroid cancer incidence trends between high and low SES counties within the Surveillance, Epidemiology, and End Result.Enhanced detection likely contributed to the increased thyroid cancer incidence in the past decades but cannot fully explain the increase, suggesting that a true increase exists. Efforts should be made to identify the cause of this true increase.Our project is related in the researching way to arise an interest and make any efforts in this serious increased problem through all EU countries.
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