{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T14:14:28Z","timestamp":1790259268403,"version":"4.1.0"},"reference-count":36,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,5,19]],"date-time":"2025-05-19T00:00:00Z","timestamp":1747612800000},"content-version":"vor","delay-in-days":18,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100009228","name":"Region \u00d6rebro l\u00e4n","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100009228","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100012538","name":"Swedish Cancer Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100012538","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100002794","name":"Cancerfonden","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002794","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study aimed to estimate the impact of socioeconomic status on the probability of receiving open (OPEN) or minimally invasive surgery (MIS) for curative abdominal rectal cancer resection.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>All patients diagnosed with rectal cancer clinical Stage I\u2013III during the period 2010\u20132021 who underwent curative abdominal resection surgery, MIS or OPEN, were included. Patients were identified in the Colorectal Cancer Database, a register\u2010linkage based on the Swedish Colorectal Cancer Register and linked to several national Swedish health\u2010related and demographic registers. Socioeconomic factors, sex, patient and tumour characteristics, number of previous surgical procedures and category of hospital were collected. Exposures were level of education (categorized as 6\u20139, 10\u201312, &gt;12\u2009years), household income (quartiles 1\u20134) and country of birth (Sweden, Nordic countries outside Sweden, Europe outside the Nordic countries, outside Europe), and outcome was MIS or OPEN. Multivariable logistic regression models were fitted for each exposure, adjusted for age, sex, cT and cN, level of tumour, and number of previous abdominal surgical procedures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 13\u2009778 patients were included of whom 43.6% underwent MIS (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20096007) and 56.4% OPEN (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20097771). Highest level of education (OR for highest vs. lowest level of education 1.15; 95% CI 1.03\u20131.29) and highest household income quartile (OR for highest vs. lowest household income quartile 1.27; 95% CI 1.12\u20131.44) increased the likelihood of receiving MIS.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Despite the tax\u2010financed healthcare system in Sweden, rectal cancer patients with the highest level of education and the highest household income had an increased probability of receiving MIS.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/codi.70111","type":"journal-article","created":{"date-parts":[[2025,5,19]],"date-time":"2025-05-19T07:46:17Z","timestamp":1747640777000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Does socioeconomic status influence the choice of surgical technique in abdominal rectal cancer surgery?"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6671-7130","authenticated-orcid":false,"given":"Kaveh","family":"Dehlaghi Jadid","sequence":"first","affiliation":[{"name":"Department of Surgery, School of Medicine and Health Sciences \u00d6rebro University  \u00d6rebro Sweden"},{"name":"Department of Surgery \u00d6rebro University Hospital  \u00d6rebro Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2813-2019","authenticated-orcid":false,"given":"Soran","family":"Gadan","sequence":"additional","affiliation":[{"name":"Department of Surgery, School of Medicine and Health Sciences \u00d6rebro University  \u00d6rebro Sweden"},{"name":"Department of Surgery \u00d6rebro University Hospital  \u00d6rebro Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G\u00f6ran","family":"Wallin","sequence":"additional","affiliation":[{"name":"Department of Surgery, School of Medicine and Health Sciences \u00d6rebro University  \u00d6rebro Sweden"},{"name":"Department of Surgery \u00d6rebro University Hospital  \u00d6rebro Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Nordenvall","sequence":"additional","affiliation":[{"name":"Department of Pelvic Cancer, GI Oncology and Colorectal Surgery Unit Karolinska University Hospital  Stockholm Sweden"},{"name":"Department of Medicine Solna, Clinical Epidemiology Division Karolinska Institutet  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sol Erika","family":"Boman","sequence":"additional","affiliation":[{"name":"Department of Molecular Medicine and Surgery Karolinska Institutet  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ida Hed","family":"Myrberg","sequence":"additional","affiliation":[{"name":"Department of Molecular Medicine and Surgery Karolinska Institutet  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Matthiessen","sequence":"additional","affiliation":[{"name":"Department of Surgery, School of Medicine and Health Sciences \u00d6rebro University  \u00d6rebro Sweden"},{"name":"Department of Surgery \u00d6rebro University Hospital  \u00d6rebro Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,5,19]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"Kvalitetsregisterrapport \u00c4ndtarmscancer 2021. 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