AccScience Publishing / GHES / Online First / DOI: 10.36922/ghes.3216
ORIGINAL RESEARCH ARTICLE

Disparities in cancer outcomes: A comprehensive analysis of cancer incidence, mortality, and prevalence in Europe

Maria Asensio1* Elena Amaral2
Show Less
1 Department of Political Science and Public Policy, Centre for Research and Studies in Sociology, University Institute of Lisbon, Lisbon, Portugal
2 Faculty of Medical Science, NOVA Medical School, Lisbon, Portugal
Submitted: 20 March 2024 | Accepted: 24 April 2024 | Published: 5 June 2024
© 2024 by the Author(s). This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )
Abstract

Cancer poses a substantial challenge in Europe’s public health landscape, contributing significantly to illness burden, diminished productivity, and escalating health-care costs. This article investigates the extent to which disparities in cancer outcomes are associated with factors influencing the performance of cancer control initiatives within the European Union (EU). The characteristics of health-care systems play a pivotal role in shaping cancer outcomes through three key mechanisms: (i) Access to screening programs; (ii) quality and efficiency of health-care services; and (iii) health education and awareness programs. A multifactorial regression analysis was employed, utilizing the GLOBOCAN 2020 projections of cancer incidence, mortality, and prevalence based on the data from the International Agency for Research on Cancer. This analysis was delineated across 36 distinct cancer classifications by both gender and age categories. In countries with incomplete population coverage, patients may face limitations in accessing certain services or contend with significant financial obstacles. Furthermore, disparities in health-care service implementation, including diagnostic procedures, treatment modalities, and follow-up care, significantly affect cancer outcomes. In addition, systematic distinctions in care quality, such as early diagnosis, timely access to specialized care, and the presence of coordinated efforts, contribute significantly to diverse cancer outcomes. In conclusion, this article highlights the variations in cancer care provision across European countries, offering valuable insights for enhancing cancer patient care.

Keywords
Public healthcare
European countries
Cancer outcomes
Public policies
GLOBOCAN 2020
Funding
None.
Conflict of interest
The authors declare that they have no competing interests.
References

Ades, F., Senterre, C., de Azambuja, E., Sullivan, R., Popescu, R., Parent, F., et al. (2013). Discrepancies in cancer incidence and mortality and its relationship to health expenditure in the 27 European Union member states. Annals of Oncology, 24(11):2897-2902. https://doi.org/10.1093/annonc/mdt352

 

Afshar, N., English, D.R., Blakely, T., Thursfield, V., Farrugia, H., Giles, G.G., et al. (2020). Differences in cancer survival by area-level socio-economic disadvantage: A population-based study using cancer registry data. PLoS One, 15(1):e0228551. https://doi.org/10.1371/journal.pone.0228551

 

AlSaud, A.J.M., Taddese, H.B., & Filippidis, T. (2018). Trends and correlates of the public’s perception of healthcare systems in the European Union: A multilevel analysis of eurobarometer survey data from 2009 to 2013. BMJ Open, 8(1):e018178. https://doi.org/10.1136/bmjopen-2017-018178

 

Asandului, L., Roman, M., & Fatulescu, P. (2013). The efficiency of healthcare systems in Europe: A data envelopment analysis approach. Procedia Economics and Finance, 10:261-268. https://doi.org/10.1016/S2212-5671(14)00301-3

 

Bastos, J., Peleteiro, B., Gouveia, J., Coleman, M.P., & Lunet, N. (2010). The state of the art of cancer control in 30 European countries in 2008. International Journal of Cancer, 126(11):2700-2715. https://doi.org/10.1002/ijc.24963

 

Bettio, M., Carvalho, R.N., Dimitrova, N., Dyba, T., Flego, M., Giusti F., et al. (2019). Measuring the cancer burden in Europe: The European Cancer Information System (ECIS). Annals of Oncology, 30(Supplement 5):v675. https://doi.org/10.1093/annonc/mdz263.014

 

Duggan, C., Trapani, D., Ilbawi, A.M., Fidarova, E., Laversanne, M., Curigliano, G., et al. (2021). National health system characteristics, breast cancer stage at diagnosis, and breast cancer mortality: A population-based analysis. The Lancet Oncology, 22(11):1632-1642. https://doi.org/10.1016/S1470-2045(21)00462-9

 

ECIS - European Cancer Information System. Incidence and Mortality Estimate 2023. Available from: https://ecis.jrc. ec.europa.eu [Last accessed on 2023 Jun 08].

 

European Commission. (2019). Defining Value in Value-based Healthcare. Opinion by the Expert Panel on Effective Ways of Investing in Health. Available from: https://health. ec.europa.eu/system/files/2019-11/2019_defining-value-vbhc_factsheet_en_0.pdf. [Last accessed on 2023 May 08].

 

European Commission. (2021). Europe’s Beating Cancer Plan. Communication from the Commission to the European Parliament and the Council. Available from: https://eur-lex.europa.eu/legal-content/en/txt/ html/?uri=celex:52021dc0044&rid=3 [Last accessed on 2023 May 09].

 

European Commission. (2022). European Health Union: A new EU Approach on Cancer Detection-screening More and Screening Better. Available from: https://ec.europa.eu/ commission/presscorner/detail/en/ip_22_5562 [Last accessed on 2023 May 08].

 

GLOBOCAN. (2020). Database. Available from: https://gco.iarc. fr/today [Last accessed on 2023 Jun 08].

 

Immergut, E.M. (2021). Health politics today. In Health Politics in Europe. Oxford: Oxford University Press. https://doi.org/10.1093/oso/9780198860525.001.0001

 

Karanikolos, M., Ellis, L., Coleman, M.P., & McKee, M. (2013). Health systems performance and cancer outcomes. Journal of the National Cancer Institute Monographs, 2013(46):7-12. https://doi.org/10.1093/jncimonographs/lgt003

 

Kieny, M.P., Bekedam, H., Dovlo, D., Fitzgerald, J., Habicht, J., Harrison, G., et al. (2017). Strengthening health systems for universal health coverage and sustainable development. Bulletin of the World Health Organization, 95(7):537-539. https://doi.org/10.2471/BLT.16.187476

 

La Vecchia, C., Rota, M., Malvezzi, M., & Negri, E. (2015). Potential for improvement in cancer management: Reducing mortality in the European Union. Oncologist, 20(5):495-498. https://doi.org/10.1634/theoncologist.2015-0011

 

Lo, S.H., Waller, J., Wardle, J., & von Wagner, C. (2013). Comparing barriers to colorectal cancer screening with barriers to breast and cervical screening: A population-based survey of screening-age women in Great Britain. Journal of Medical Screening, 20(2):73-79. https://doi.org/10.1177/0969141313492508

 

Loud, J.T., & Murphy, J. (2017). Cancer screening and early detection in the 21st century. Seminars in Oncology Nursing, 33(2):121-128. https://doi.org/10.1016/j.soncn.2017.02.002

 

Maruthappu, M., Watkins. J., Noor, A.M., Williams, C., Ali, R., Sullivan, R., et al. (2016). Economic downturns, universal health coverage, and cancer mortality in high-income and middle-income countries, 1990-2010: A longitudinal Analysis. The Lancet, 388(10045):684-695. https://doi.org/10.1016/S0140-6736(16)00577-8

 

Patel, M.I., Lopez, A.M., Blackstock, W., Reeder-Hayes, K., Moushey, E.A., Phillips, J., et al. (2020). Cancer disparities and health equity: A policy statement from the American Society of Clinical Oncology. Journal of Clinical Oncology, 38(29):3439-3448. https://doi.org/10.1200/JCO.20.00642

 

Pucci, C., Martinelli, C., & Ciofani, G. (2019). Innovative approaches for cancer treatment: Current perspectives and new challenges. Ecancermedicalscience, 13:961. https://doi.org/10.3332/ecancer.2019.961

 

Renzi, C., Odelli, S., Morani, F., Benitez Majano, S., & Signorelli, C. (2023). Delays in cancer diagnosis: Challenges and opportunities in europe. Acta Biomedica, 94(S3):e2023161. https://doi.org/10.23750/abm.v94iS3.14513

 

Santucci, C., Carioli, G., Bertuccio, P., Malvezzi, M., Pastorino, U., Boffetta, P., et al. (2020). Progress in cancer mortality, incidence, and survival: A global overview. European Journal of Cancer Prevention, 29(5):367-381. https://doi.org/10.1097/CEJ.0000000000000594

 

Teisberg, E., Wallace, S., & O’Hara, S. (2020). Defining and implementing value-based health care: A strategic framework. Academic Medicine, 95(5):682-685. https://doi.org/10.1097/ACM.0000000000003122

 

WHO. (2020). Global Spending on Health 2020: Weathering the Storm. Available from: https://apps.who.int/iris/ handle/10665/337859 [Last accessed on 2023 May 08].

Share
Back to top
Global Health Economics and Sustainability, Electronic ISSN: 2972-4570 Published by AccScience Publishing