{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T23:33:27Z","timestamp":1791502407438,"version":"4.3.4"},"reference-count":42,"publisher":"Universidad del Valle","issue":"1","license":[{"start":{"date-parts":[[2018,3,25]],"date-time":"2018-03-25T00:00:00Z","timestamp":1521936000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0"},{"start":{"date-parts":[[2018,3,25]],"date-time":"2018-03-25T00:00:00Z","timestamp":1521936000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":["colombiamedica.univalle.edu.co"],"crossmark-restriction":true},"short-container-title":["Colomb Med"],"abstract":"<jats:p>Objective: To analyze differences in survival of breast, cervical, lung, prostate and stomach cancer by health insurance regime (HIR) and socioeconomic position (SEP) in an intermediate city in a middle-income country.Methods: All patients with breast, cervix uteri, lung, prostate and stomach cancer\u00a0 diagnosed between 2003 and 2007 and characterized by the Manizales population-based Cancer Registry (MCR) were included and followed up to a maximum of 5 years for identifying deaths. Survival probabilities estimated by HIR were defined according to the type of affiliation at the date of diagnosis, and by socioeconomic stratification of residence (SS) as indicator of SEP, stratifying for other prognostic factors using Kaplan-Meier methods. Cox proportional hazard models were fitted for multivariate analysis.Results: A total of 1,384 cases and 700 deaths were analyzed. Five-year observed survival\u00a0 was 71.0% (95% IC: 66.1-75.3) for breast, 51.4% (95% IC: 44.6-57.9) for cervix, 15.4% (95% IC: 10.7-20.8) for lung, 71.1% (95% IC: 65.3-76.1) for prostate and 23.8% (95% IC: 19.3-28.6) for stomach. Statistically significant differences in survival by HIR were observed for breast, lung, prostate, and stomach - with poorer survival for the subsidized and uninsured patients. Differences by SS were observed for lung and prostate. Differences in survival by HIR were independent of SS, and viceversa.Conclusions: Important inequities in cancer survival exist related to HIR and SEP. Possible explanations include underlying comorbidities, late stage at diagnosis, or barriers to timely and effective treatment.\u00a0<\/jats:p>","DOI":"10.25100\/cm.v49i1.3629","type":"journal-article","created":{"date-parts":[[2018,6,20]],"date-time":"2018-06-20T21:00:36Z","timestamp":1529528436000},"page":"63-72","update-policy":"https:\/\/doi.org\/10.25100\/cm.v42i.3","source":"Crossref","is-referenced-by-count":31,"title":["Health inequities and cancer survival in Manizales, Colombia: a population-based study"],"prefix":"10.25100","volume":"49","author":[{"given":"Nelson Enrique","family":"Arias-Ortiz","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esther","family":"De Vries","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10728","published-online":{"date-parts":[[2018,3,25]]},"reference":[{"key":"70954","doi-asserted-by":"publisher","DOI":"10.1093\/annonc\/mdj007"},{"key":"70955","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.25427"},{"key":"70956","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.23875"},{"key":"70957","doi-asserted-by":"publisher","DOI":"10.1007\/s10552-004-1290-y"},{"key":"70958","doi-asserted-by":"publisher","DOI":"10.1136\/thx.2009.125914"},{"key":"70959","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2015.07.006"},{"key":"70960","doi-asserted-by":"publisher","DOI":"10.1016\/j.canep.2011.02.015"},{"key":"70961","doi-asserted-by":"publisher","DOI":"10.1016\/j.canep.2014.10.012"},{"key":"70962","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)31392-7"},{"key":"70963","unstructured":"Congreso de la Rep\u00fablica. Ley 100 de 1993, Por la cual se crea el sistema de seguridad social integral y se dictan otras disposiciones. Diario Oficial No. 41.148 de 23 de diciembre de 1993: Bogot\u00e1, D. C.; 1993."},{"key":"70964","unstructured":"As\u00ed vamos en Salud. Indicadores de aseguramiento [Internet]. As\u00ed vamos en salud. Bogot\u00e1; 2017. Cited: 2017 Sep 15. Available from: https:\/\/www.asivamosensalud.org\/indicadores\/aseguramiento\/aseguramiento-georeferenciado."},{"key":"70965","unstructured":"Valenzuela S. Buscan remedio a modelo de salud de los maestros. El Colombiano: Medell\u00edn; 2017."},{"key":"70966","unstructured":"Redacci\u00f3n El Tiempo. Revolc\u00f3n en el modelo de salud de las FFMM y de Polic\u00eda. El Tiempo: Bogot\u00e1, D. C.; 2016."},{"key":"70967","unstructured":"Congreso de la Rep\u00fablica de Colombia. Ley 1438 del 19 de enero de 2011. Por medio de la cual se reforma el Sistema General de Seguridad Social en Salud y se dictan otras disposiciones. Diario Oficial 47957 de Enero 19 de 2011. Colombia. Available from: http:\/\/www.alcaldiabogota.gov.co\/sisjur\/normas\/Norma1.jsp?i=41355."},{"key":"70968","unstructured":"Congreso de la Rep\u00fablica de Colombia. Ley estatutaria No. 1751 Por medio de la cual se regula el derecho fundamental a la salud y se dictan otras disposiciones. Diario Oficial No. 49427 del 16 de febrero de 2015. Available"},{"key":"70969","unstructured":"from: https:\/\/www.minsalud.gov.co\/Normatividad_Nuevo\/Ley%201751%20de%202015.pdf"},{"key":"70970","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2012.301143"},{"key":"70971","doi-asserted-by":"publisher","DOI":"10.1136\/jech-2014-204650"},{"key":"70972","unstructured":"DANE. Estimaciones y proyecciones de poblaci\u00f3n, 1985-2020. Estimaci\u00f3n y proyecci\u00f3n de poblaci\u00f3n nacional, departamentales y municipales por grupos quinquenales de edad y edades simples de 0 a 26 a\u00f1os, 1985-2020; 2007. Cited 2017 Sep 26. Available from: http:\/\/www.dane.gov.co\/index.php?option=com_content&view=article&id=75&Itemid=72."},{"key":"70973","doi-asserted-by":"publisher","DOI":"10.1016\/S0123-9015(13)70160-4"},{"key":"70974","doi-asserted-by":"publisher","DOI":"10.25100\/cm.v43i4.1197"},{"key":"70975","unstructured":"Pardo C, Cendales R. Incidencia, mortalidad y prevalencia de C\u00e1ncer en Colombia 2007-2011. Instituto Nacional De Cancerologia: Bogot\u00e1; 2015. 148 p."},{"key":"70976","unstructured":"Forman D, Bray F, Brewster D, Gombe-Mbalawa C, Kohler B, Pi\u00f1eros M, et al., editors. Cancer Incidence in Five Continents, vol. X. IARC Scientific Publication No164. Lyon: International Agency for Research on Cancer WHO; 2014."},{"key":"70977","unstructured":"Tyczynski J, Demaret E, Parkin D. Standards and Guidelines for Cancer Registration in Europe. IARC Technical Publication No. 40. WHO: France; 2003."},{"key":"70978","unstructured":"Singh GK, Miller BA, Hankey BF, Edwards B. Area socioeconomic variations in U.S CAncer incidence, mortality, stage, treatment and survival, 1975-1999. NCI Cancer Surveillance Monogrph Series. Bethesda, MD; 2003."},{"key":"70979","doi-asserted-by":"publisher","DOI":"10.1590\/S1413-81232011000600020"},{"key":"70980","unstructured":"Bonilla L. Dimensi\u00f3n regional de las desigualdades en Colombia. 1a Ed. Bogot\u00e1: Banco de la Rep\u00fablica; 2011. 340 p."},{"key":"70981","unstructured":"Allemani C, Weir HK, Carreira H, Harewood R, Spika D, Wang XS, et al. Global surveillance of cancer survival 1995-2009: Analysis of individual data for 25 676 887 patients from 279 population-based registries in 67 countries (CONCORD-2). 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