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Unfavorable Mortality-To-Incidence Ratio of Lung Cancer Is Associated with Health Care Disparity

Author

Listed:
  • Cheng-Yu Huang

    (Department of Urology, National Taiwan University Hospital, Taipei 10002, Taiwan
    Cheng-Yu Huang and Kwong-Kwok Au contribute equally in this manuscript.)

  • Kwong-Kwok Au

    (Division of Thoracic Surgery, Department of Surgery, Chung Shan Medical University Hospital, Taichung 40201, Taiwan
    Cheng-Yu Huang and Kwong-Kwok Au contribute equally in this manuscript.)

  • Sung-Lang Chen

    (Department of Urology, Chung Shan Medical University Hospital, Taichung 40201, Taiwan
    School of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan
    Institute of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan)

  • Shao-Chuan Wang

    (Department of Urology, Chung Shan Medical University Hospital, Taichung 40201, Taiwan
    School of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan
    Institute of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan)

  • Chi-Yu Liao

    (Department of Surgery, Chung Shan Medical University Hospital, Taichung 40201, Taiwan)

  • Hui-Hsiang Hsu

    (Department of Medical Education, Chung Shan Medical University Hospital, Taichung 40201, Taiwan)

  • Wen-Wei Sung

    (Department of Urology, Chung Shan Medical University Hospital, Taichung 40201, Taiwan
    School of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan
    Institute of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan)

  • Yao-Chen Wang

    (School of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan
    Institute of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan
    Department of Internal Medicine, Chung Shan Medical University Hospital, Taichung 40201, Taiwan)

Abstract

The mortality-to-incidence ratio (MIR) is associated with the clinical outcome of cancer treatment. For several cancers, countries with relatively good health care systems have favorable MIRs. However, the association between lung cancer MIR and health care expenditures or rankings has not been evaluated. We used linear regression to analyze the correlation between lung cancer MIRs and the total expenditures on health/gross domestic product (e/GDP) and the World Health Organization (WHO) rankings. We included 57 countries, for which data of adequate quality were available, and we found high rates of incidence and mortality but low MIRs in more developed regions. Among the continents, North America had the highest rates of incidence and mortality, whereas the highest MIRs were in Africa, Asia, Latin America, and the Caribbean. Globally, favorable MIRs correlated with high e/GDP and good WHO ranking (regression coefficient, −0.014 and 0.001; p = 0.004, and p = 0.014, respectively). In conclusion, the MIR for lung cancer in different countries varies with the expenditure on health care and health system rankings.

Suggested Citation

  • Cheng-Yu Huang & Kwong-Kwok Au & Sung-Lang Chen & Shao-Chuan Wang & Chi-Yu Liao & Hui-Hsiang Hsu & Wen-Wei Sung & Yao-Chen Wang, 2018. "Unfavorable Mortality-To-Incidence Ratio of Lung Cancer Is Associated with Health Care Disparity," IJERPH, MDPI, vol. 15(12), pages 1-9, December.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:12:p:2889-:d:191098
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    Citations

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    Cited by:

    1. Wen-Wei Sung & Yong-Chen Hsu & Chen Dong & Ying-Ching Chen & Yu-Chi Chao & Chih-Jung Chen, 2021. "Favorable Lip and Oral Cancer Mortality-to-Incidence Ratios in Countries with High Human Development Index and Expenditures on Health," IJERPH, MDPI, vol. 18(11), pages 1-8, June.
    2. Wen-Jung Chen & Cheng-Yu Huang & Yu-Hui Huang & Shao-Chuan Wang & Tzuo-Yi Hsieh & Sung-Lang Chen & Wen-Wei Sung & Tsung-Hsien Lee, 2019. "Correlations between Mortality-to-Incidence Ratios and Health Care Disparities in Testicular Cancer," IJERPH, MDPI, vol. 17(1), pages 1-10, December.

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