Survivorship and Inequality in Cancer

Group leader: Susanne Oksbjerg Dalton

We investigate the influence of social circumstances on life after cancer for patients and their family. In our studies, we investigate somatic, psychological and social late effects after cancer and its treatment in adult cancer survivors. Our focus is on identifying patients who are at high risk of developing late effects, with a view towards developing and testing targeted interventions to improve care and support for high-risk patients. 

Fortunately, survival is increasing for most cancer sites, however, we have demonstrated a marked social inequality in relative survival after almost all major cancer sites in Denmark, even though the Danish health care system ensures tax-funded and equal access to health care at all levels from the GP to the highly specialized oncologist.

We continue to work towards mapping and documenting how social factors that characterize each and everyone of us in society are associated with cancer outcomes – both survival, access to diagnosis, treatment, rehabilitation, return to work and the development of both somatic and psychological late effects after treatment. Through this evidence we strive to develop interventions that may address and manage adverse effects of cancer in vulnerable patients or patients groups.

Susanne Oksbjerg Dalton

Susanne Oksbjerg Dalton

Survivorship and Inequality in Cancer is headed by Senior Researcher, MD, PhD, Susanne Oksbjerg Dalton and the group consists of researchers with backgrounds in medicine, public health, molecular biology, physiotherapy and nursing.

Several MDs affiliated with the group are employed in shared positions between the cancer clinic and our group; as such they can bring their clinical experience into the work of SIC.

Five selected publications:

Suppli, N. P., Johansen, C., Kessing, L. V., Tønder, A., Kroman, N., Ewertz, M., Dalton, S. O.
Survival after early-stage breast cancer of women previously treated for depression: A nationwide Danish cohort study.
J.Clin.Oncol. 2017: 35(3), 334-342

Kjær, T., Dalton, S. O., Andersen, E., Karlsen, R., Nielsen, A. L., Hansen, M. K., Frederiksen, K., Johansen, C.
A controlled study of use of patient-reported outcomes to improve assessment of late effects after treatment for head-and-neck cancer.
Radiother.Oncol. 2016: 119(2), 221-228

Ibfelt, E. H., Dalton, S. O., Høgdall, C., Fagö-Olsen, C. L., Steding-Jessen, M., Osler, M., Johansen, C., Frederiksen, K., Kjær, S. K.
Do stage of disease, comorbidity or access to treatment explain socioeconomic differences in survival after ovarian cancer? - A cohort study among Danish women diagnosed 2005-2010.
Cancer Epidemiol. 2015: 39(3), 353-359

Dalton, S. O., Steding-Jessen, M., Jakobsen, E., Mellemgaard, A., Østerlind, K., Schüz, J., Johansen, C.
Socioeconomic position and survival after lung cancer: Influence of stage, treatment and comorbidity among Danish patients with lung cancer diagnosed in 2004-2010.
Acta Oncol. 2015: 54(5), 797-804

Suppli, N. P., Johansen, C., Christensen, J., Kessing, L. V., Kroman, N., Dalton, S. O.
Increased risk for depression after breast cancer: a nationwide population-based cohort study of associated factors in Denmark, 1998-2011.
J.Clin.Oncol. 2014: 32(34), 3831-3839


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