gms | German Medical Science

MAINZ//2011: 56. GMDS-Jahrestagung und 6. DGEpi-Jahrestagung

Deutsche Gesellschaft für Medizinische Informatik, Biometrie und Epidemiologie e. V.
Deutsche Gesellschaft für Epidemiologie e. V.

26. - 29.09.2011 in Mainz

Cancer and area-based social deprivation

Meeting Abstract

  • Ron Pritzkuleit - Institute for cancer epidemiology, Cancer registry Schleswig-Holstein, Lübeck
  • Andreas Mielck - Institutefor health economics and health care management, Helmholtz Zentrum, München
  • Martin Meyer - Population based cancer registry Bavaria, München
  • Alexander Katalinic - Institute for cancer epidemiology, Cancer registry Schleswig-Holstein, Lübeck

Mainz//2011. 56. Jahrestagung der Deutschen Gesellschaft für Medizinische Informatik, Biometrie und Epidemiologie (gmds), 6. Jahrestagung der Deutschen Gesellschaft für Epidemiologie (DGEpi). Mainz, 26.-29.09.2011. Düsseldorf: German Medical Science GMS Publishing House; 2011. Doc11gmds614

doi: 10.3205/11gmds614, urn:nbn:de:0183-11gmds6148

Published: September 20, 2011

© 2011 Pritzkuleit et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.



Background: The CANADA project (CANcer And Deprivation Analyses) had the aim to develop an index or to choose relevant indicators to measure the social deprivation on an area level. Two reasons for such an index are given - first, to do ecological analyses and second to estimate the social deprivation as a confounder in the analyses of cancer registry data. The project was planned for 36 month and approved as a feasibility study for 12 month to show the availability of data on a small area level.

Methods: Potential data of social deprivation on the county level (Landkreise) and on the level of municipals (Gemeinden) which routinely provided were collected. Sample data of cancer incidence from the cancer registries on the county level were brought together. An interdisciplinary workshop about area-based deprivation indices was organized. All collected data were stored in a geographical information system (GIS).

Results: A lot of potential indicators of area-based social deprivation could be identified on the county level. Only few indicators could be identified on the level of municipals. Cancer incidence data from 13.5 federal states were stored in the GIS as age-standardized rates. The workshop pointed out the relevance of using an area-based deprivation value. The use of a single index or a multi-dimensional index or a single indicator guided by hypothesis was discussed contrary. Up to the end no solution were found to deal with metropolises. From the data point of view metropolises are municipals or counties, respectively. Social data on a smaller area level in the metropolises will not be provided centrally, standardized and routinely.

Discussion and perspectives: The CANADA project were approved under the condition of a successful feasibility study. The feasibility study was finished in December 2009. Further research is needed.