{"id":1090,"date":"2024-10-08T05:44:57","date_gmt":"2024-10-08T05:44:57","guid":{"rendered":"https:\/\/medical-article.com\/?p=1090"},"modified":"2024-10-08T05:44:57","modified_gmt":"2024-10-08T05:44:57","slug":"do-wait-times-for-breast-cancer-surgery-in-the-uk-vary-by-socioeconomic-status","status":"publish","type":"post","link":"https:\/\/medical-article.com\/?p=1090","title":{"rendered":"Do wait times for breast cancer surgery in the UK vary by socioeconomic status?"},"content":{"rendered":"<p>One of the key benefits of the UK health system is that everyone has access to care.  However, is care provided equally to all people?  <\/p>\n<p>A paper by <a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/full\/10.1002\/hec.4906\">Matias et al. (2024)<\/a> examines whether or not there are any inequalities in waiting times by socioeconomic status for women diagnosed with breast cancer in England and who require either a mastectomy or breast conserving surgery.\u00a0 The authors use data from <a href=\"https:\/\/digital.nhs.uk\/data-and-information\/data-tools-and-services\/data-services\/hospital-episode-statistics\">Hospital Episode Statistics (HES)<\/a> between 2015 and 2022 to measure wait time between a specialist\u2019s diagnosis and time to surgery.  Inequalities are measured based on income deprivation by geographic area [specifically, the <a href=\"https:\/\/www.datadictionary.nhs.uk\/nhs_business_definitions\/lower_layer_super_output_area.html\">Lower Super Output Area (LSOA)<\/a>].  The analysis controls for a variety of patient characteristics as well as hospital fixed effects. <\/p>\n<p>Using this approach, they find that:<\/p>\n<p> In the pre-COVID-19 period, we do not find statistically significant associations between income deprivation in the patient\u2019s area of residence and waiting times for surgery. In the COVID-19 period, we find that patients living in the most deprived areas have longer waiting times by 0.7\u00a0days (given a mean waiting time of 20.6\u00a0days). <\/p>\n<p>While we do see inequalities appear in the post-COVID period, the difference is fairly modest (about 1 day). Further, other studies (e.g., <a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/full\/10.1002\/hec.4906\">Saito et al. 2021<\/a>) found little difference in cancer surgery wait times by socio-economic status (although this was pre-COVID levels).  In short, NHS still appears to be highly egalitarian, but there are the beginnings of some worrying trends. <\/p>","protected":false},"excerpt":{"rendered":"<p>One of the key benefits of the UK health system is that everyone has access to care. However, is care provided equally to all people? A paper by Matias et al. (2024) examines whether or not there are any inequalities in waiting times by socioeconomic status for women diagnosed with breast cancer in England and&#8230;<\/p>\n","protected":false},"author":0,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2],"tags":[],"class_list":["post-1090","post","type-post","status-publish","format-standard","hentry","category-articles"],"_links":{"self":[{"href":"https:\/\/medical-article.com\/index.php?rest_route=\/wp\/v2\/posts\/1090"}],"collection":[{"href":"https:\/\/medical-article.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medical-article.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"replies":[{"embeddable":true,"href":"https:\/\/medical-article.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1090"}],"version-history":[{"count":0,"href":"https:\/\/medical-article.com\/index.php?rest_route=\/wp\/v2\/posts\/1090\/revisions"}],"wp:attachment":[{"href":"https:\/\/medical-article.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1090"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medical-article.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1090"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medical-article.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1090"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}