Inicio  /  Cancers  /  Vol: 13 Par: 22 (2021)  /  Artículo
ARTÍCULO
TITULO

Excess Mortality by Multimorbidity, Socioeconomic, and Healthcare Factors, amongst Patients Diagnosed with Diffuse Large B-Cell or Follicular Lymphoma in England

Matthew James Smith    
Aurélien Belot    
Matteo Quartagno    
Miguel Angel Luque Fernandez    
Audrey Bonaventure    
Susan Gachau    
Sara Benitez Majano    
Bernard Rachet and Edmund Njeru Njagi    

Resumen

Diffuse large B-cell (DLBCL) and follicular lymphoma (FL) account for most non-Hodgkin lymphoma diagnoses: around 35% and 20% in England, respectively. Despite the vast contrast in survival between the subtypes, similar socioeconomic inequalities in survival have persisted over the past two decades, possibly due to the presence of comorbidities. The aim of our study was to assess the association between socioeconomic status and survival from DLBCL or FL accounting for patient and health system characteristics. We found that, for both DLBCL and FL, the most deprived patients had a higher excess mortality hazard compared to the least deprived, regardless of the comorbidity status. Our results show the need for the current framework of the National Health Service to improve the survival of DLBCL and FL patients in the most deprived areas of England, and further consideration is needed for patient-tailored management plans amongst patients with comorbidities or multimorbidities.

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