SP7.1.11 Deprivation has No Effect on Oesophagogastric Cancer Outcomes in North of Scotland

Abstract

Abstract Introduction Despite advances in medical therapies and surgical techniques, oesophagogastric cancer survival remains low. Poorer survival and outcomes from colorectal cancer have been reported for patients living in areas of higher socioeconomic deprivation1. Our aim was to determine if deprivation affected oesophagogastric cancer survival in North East of Scotland. Methods A prospective, single-centre observation study was conducted utilising data from oesophago-gastric cancer MDT referrals and outcomes from January 2013 to December 2019. Patient postcodes were cross-referenced with the Scottish Index of Multiple Deprivation (SIMD) 2020 tool which provided a level of deprivation for each address. Survival outcomes were compared across demographic factors, disease factors and stage at presentation across deprivation quintiles. Results 1046 patients were included in this study. There were fewer patients in the most deprived (1st) quintile (n = 65) than in the least deprived (5th) quintile (n = 245). There was no significant difference between oesophageal versus gastric cancer presentations nor was there any difference between T, N or M stage at presentation between the most and least deprived groups. No difference was identified between those commenced on a radical therapy with other treatment plans. No difference in survival time was noted between the groups. Discussion No difference in survival was demonstrated across areas of deprivation within this catchment area. However, Aberdeenshire is an affluent area with less overall deprivation compared with other areas of Scotland.