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: 319
PDF: 206
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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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Citations

Crossref
Scopus
Google Scholar
Europe PMC
Kaseb H, NR. A. Bladder Cancer. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing. 2023.
IARC. Bladder cancer. 2023; Available from: https://www.iarc.who.int/cancer-type/bladder-cancer/
Saginala K, Barsouk A, Aluru JS, et al. Epidemiology of Bladder Cancer. Med Sci. 2020;8:15. DOI: https://doi.org/10.3390/medsci8010015
Cumberbatch MGK, Noon AP. EAU on behalf of the Young Academic Urologists- Urothelial Cancer Working party. Epidemiology, aetiology and screening of bladder cancer. Transl Androl Urol 2019;8:5-11. DOI: https://doi.org/10.21037/tau.2018.09.11
Ripoll J, Ramos M, Montaño J, et al. Cancer-specific survival by stage of bladder cancer and factors collected by Mallorca Cancer Registry associated to survival. BMC Cancer 2021;21:676. DOI: https://doi.org/10.1186/s12885-021-08418-y
Rezaianzadeh A, Mohammadbeigi A, Mobaleghi J, Mohammadsalehi N. Survival analysis of patients with bladder cancer, life table approach. J Midlife Health. 2012;3:88-92. DOI: https://doi.org/10.4103/0976-7800.104468
Bethesda (MD): National Cancer Institute (US). PDQ Cancer Information Summaries: Bladder Cancer Treatment: Patient Version. 2023; Available from: https://www.ncbi.nlm.nih.gov/books/NBK66044/
Afshar N, English DR, Blakely T, et al. Differences in cancer survival by area-level socio-economic disadvantage: A population-based study using cancer registry data. PLoS One 2020;15:e0228551. DOI: https://doi.org/10.1371/journal.pone.0228551
Michaeli JC, Boch T, Albers S, et al. Socio-economic burden of disease: Survivorship costs for bladder cancer. J Cancer Policy 2022;32:100326. DOI: https://doi.org/10.1016/j.jcpo.2022.100326
Russell B, Häggström C, Holmberg L, et al. Systematic review of the association between socioeconomic status and bladder cancer survival with hospital type, comorbidities, and treatment delay as mediators. BJUI Compass. 2021;2:140-58. DOI: https://doi.org/10.1002/bco2.65
Taylor A, Gallegos JM, Verplancke K, et al. Socioeconomic factors associated with stages of bladder cancer at diagnosis: Analysis of the National Cancer Database. J Clin Oncol 2022;40:e16531-e16531. DOI: https://doi.org/10.1200/JCO.2022.40.16_suppl.e16531
Nazemi A, Ghodoussipour S, Pearce S, et al. Socioeconomic and insurance status are independent prognostic indicators of higher disease stage and worse prognosis in bladder cancer. Urol Oncol Semin Orig Investig 2019;37:784-90. DOI: https://doi.org/10.1016/j.urolonc.2019.04.021
Fang W, Yang ZY, Chen TY, et al. Ethnicity and survival in bladder cancer: a population-based study based on the SEER database. J Transl Med 2020;18:145. DOI: https://doi.org/10.1186/s12967-020-02308-w
Andreassen BK, Grimsrud TK, Haug ES. Bladder cancer survival: Women better off in the long run. Eur J Cancer 2018; 95:52-8. DOI: https://doi.org/10.1016/j.ejca.2018.03.001
Sukartini T, Arifin H, Kurniawati Y, et al. Factors Associated with National Health Insurance Coverage in Indonesia. F1000 Res. 2021;10:563. DOI: https://doi.org/10.12688/f1000research.53672.1
Amiri M, Heshmatollah S, Esmaeilnasab N, et al. Survival rate of patients with bladder cancer and its related factors in Kurdistan Province (2013-2018): a population-based study. BMC Urol 2020;20:1-9. DOI: https://doi.org/10.1186/s12894-020-00769-1
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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