Background:Cancer survivors represent a growing proportion of the UK population and often experience higher multimorbidity and healthcare needs. However, limited research in the UK has explored ethnic and socioeconomic disparities in healthcare resource use among long-term cancer survivors.Methods:Using linked primary care (Clinical Practice Research Data) and secondary care (Hospital Episode Statistics–Admitted Patient Care) data between 2010 and 2020, this population-based cohort study compared healthcare utilisation among 170,352 cancer survivors and 415,975 matched controls without a cancer diagnosis. Outcomes included primary care consultations and hospital admissions (planned and emergency). Analyses adjusted for age, sex, body mass index, smoking, ethnicity, and the Index of Multiple Deprivation. Negative binomial models were used to estimate incidence rate ratios (IRRs).Results:Cancer survivors averaged 33 more primary-care consultations over ten years than controls, with Pakistani, Indian, and White survivors recording the higher rates. Hospital admissions were consistently higher among survivors across all age groups, peaking in those aged 60–75 years. Planned admissions were highest among Black Caribbean (IRR 1.80 (95% CI 1.73–1.87)), Pakistani (IRR 1.71 (1.63–1.78)), and Bangladeshi (IRR 1.66 (1.53–1.80)) groups. Emergency admissions followed a similar trend, remaining statistically significant only for Pakistani survivors (IRR 1.23 (1.16–1.30)). A strong socioeconomic gradient was observed, with healthcare utilisation increasing as deprivation worsened.Conclusions:Cancer survivors experience substantially greater healthcare use than matched controls, with persistent ethnic and socioeconomic disparities. Strategies to reduce disparities should focus on earlier diagnosis, enhanced long-term care coordination, and culturally informed interventions addressing both cancer survivorship and multimorbidity.
背景：在英国人口中，癌症幸存者比例日益增长，他们通常面临更高的共病率和医疗需求。然而，英国目前针对长期癌症幸存者医疗资源使用中的种族与社会经济差异研究仍较为有限。 方法：本研究基于2010年至2020年间关联的一级医疗（临床实践研究数据库）与二级医疗（医院就诊统计-住院患者诊疗）数据，开展了一项基于人群的队列研究，比较了170,352名癌症幸存者与415,975名匹配的非癌症对照者的医疗资源使用情况。观察指标包括初级保健就诊次数和住院情况（计划性与急诊住院）。分析中对年龄、性别、体重指数、吸烟状况、种族及多重剥夺指数进行了调整，并采用负二项回归模型计算发病率比。 结果：在十年间，癌症幸存者平均比对照组多接受33次初级保健就诊，其中巴基斯坦裔、印度裔和白人幸存者的就诊率更高。所有年龄段的幸存者住院率均持续高于对照组，60-75岁年龄组达到峰值。计划性住院率在加勒比黑人（IRR 1.80，95% CI 1.73-1.87）、巴基斯坦裔（IRR 1.71，1.63-1.78）和孟加拉裔（IRR 1.66，1.53-1.80）群体中最高。急诊住院呈现相似趋势，但仅在巴基斯坦裔幸存者中保持统计学显著性（IRR 1.23，1.16-1.30）。研究观察到显著的社会经济梯度现象，医疗资源使用随剥夺程度加剧而增加。 结论：癌症幸存者的医疗资源使用量显著高于匹配对照组，且存在持续的种族与社会经济差异。减少差异的策略应聚焦于早期诊断、加强长期照护协调，以及实施兼顾癌症幸存与共病管理的文化适应性干预措施。
肿瘤(癌症)患者之家