IMPLICATIONS
Altogether, the results have strong implications for healthcare policies on cancer, among which, the following stand out:
- the urgency to develop consensual strategies to address the surgical treatment of cancers which show a greater surgical variability, particularly, prostate cancer;
- the need to estimate the health impact of screening programs compared to, opportunistic systematic approaches, the utilisation of services following detection–be them true cases of cancer or false positives- should be considered not having sufficient evidence of therir impact on populations survival;
- the need to understand the existing differences in the utilisation of oncological surgery between areas with higher and lower socioeconomic level, and the extent to wich these are expression of an inequity issue.