https://doi.org/10.4081/aiua.2024.12305

The relationship between income, health insurance, and employment status as prognostic indicators of bladder cancer: A survival analysis

Vol. 96 No. 1 (2024)
Submitted: January 23, 2024
Accepted: February 10, 2024
Published: March 7, 2024
Bladder Cancer, Insurance, Outcomes, Income, Employment
Abstract Views: 321
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Authors

Wahjoe Djatisoesanto
wahjoe.djatisoesanto@fk.unair.ac.id
Department of Urology, Faculty of Medicine, Universitas Airlangga; Dr. Soetomo General-Academic Hospital, Surabaya, East Java, Indonesia.
Yufi Aulia Azmi
https://orcid.org/0000-0002-9947-2432
Department of Urology, Faculty of Medicine, Universitas Airlangga; Dr. Soetomo General-Academic Hospital, Surabaya, East Java, Indonesia.
Ida Bagus Gde Tirta Yoga Yatindra
Department of Urology, Faculty of Medicine, Universitas Airlangga; Dr. Soetomo General-Academic Hospital, Surabaya, East Java, Indonesia.

Background: Bladder cancer (BC) is one of the health problems. Socioeconomic status (SES) may correlate with patient treatment, possibly impacting patient prognosis. This study aimed to determine the relationship between income, health insurance, and employment status as prognostic indicators of BC.
Methods: A retrospective observational study for patients diagnosed with BC in a hospital during the 5-year period between January 2019 and December 2023. Kaplan-Meier test analysis was used to generate overall survival curves stratified by income, employment status, and health insurance. Multivariate Cox proportional-hazards regression was used to identify factors associated with worse overall survival.
Results: The results of the analysis on 219 patients showed no difference in patient survival based on income (p>0.05), while employment status and health insurance showed significant difference in patient survival (p<0.05). Moreover, there were 99 (45.2%) patients died, with the average patient being 58 years old and dominant in male patients.
Conclusions: Prevention of poor outcomes in patients needs to pay attention to certain characteristics, particularly for the loweconomic patients without appropriate national health insurance coverage.

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Yufi Aulia Azmi, Department of Urology, Faculty of Medicine, Universitas Airlangga; Dr. Soetomo General-Academic Hospital, Surabaya, East Java

Department of Health Sciences, University of Groningen, University Medical Center Groningen, The Netherlands

How to Cite

Djatisoesanto, W., Azmi, Y. A., & Yatindra, I. B. G. T. Y. (2024). The relationship between income, health insurance, and employment status as prognostic indicators of bladder cancer: A survival analysis. Archivio Italiano Di Urologia E Andrologia, 96(1). https://doi.org/10.4081/aiua.2024.12305
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