title: The Effect of Socio-Economic Status on Severity of Periocular Basal Cell Carcinoma at Presentation.
abstract: OBJECTIVE
  To evaluate the influence of socio-economic factors on size of periocular basal cell carcinoma at presentation.
  
  
  METHODS
  All periocular basal cell carcinoma cases receiving treatment from the oculoplastics team in South Glasgow Hospitals NHS Trust, Glasgow, between 1999 and 2009, were identified retrospectively. Information collected included demographic details of patients, side and site of lesions, type of lesions, and size of lesions. The size of lesion was defined as small for any dimension not exceeding 5 mm, medium for dimensions between 6 mm and 10 mm, and large for dimensions exceeding 11 mm. Home address was used to determine the Scottish Index of Multiple Deprivation rank. The demographics, size of lesion, and Scottish Index of Multiple Deprivation rank were investigated using the general linear regression modelling.
  
  
  RESULTS
  Of the 67 cases, 24 were men and 43 were women. The mean age was 71.5 years. There were a total of 67 identified cases, of which 38 presented with small-size lesions, 24 with medium-size lesions, and 5 with large-size lesions. Scottish Index of Multiple Deprivation is related to the presenting incidence of basal cell carcinoma, with the lower ranks presenting more frequently.
  
  
  CONCLUSIONS
  Socio-economic deprivation is associated with larger and more frequent presentation of periocular basal cell carcinoma. This highlights the importance of raising awareness among populations of the more deprived areas of the significance of lumps and bumps within the periocular regions.
authors.affiliation: *Tennent Institute of Ophthalmology, Gartnavel General Hospital, Glasgow, United Kingdom; †Princess Alexandra Eye Pavilion, Edinburgh, United Kingdom; ‡Department of Mathematics and Statistics, University of Strathclyde, Glasgow, United Kingdom; §Monklands Hospital, Airdrie, North Lanarkshire, United Kingdom; and ‖Southern General Hospital, Glasgow, Lanarkshire, United Kingdom.
authors.forename: Lik Thai
authors.initials: LT
authors.lastname: Lim
authors.forename: Pankaj K
authors.initials: PK
authors.lastname: Agarwal
authors.forename: David
authors.initials: D
authors.lastname: Young
authors.forename: Elliott Yann
authors.initials: EY
authors.lastname: Ah-Kee
authors.forename: Charles J M
authors.initials: CJ
authors.lastname: Diaper
mesh_terms: D000368:Aged; D002280:Basal Cell Carcinoma / Q000453:epidemiology / Q000473:pathology*; D005142:Eyelid Neoplasms / Q000453:epidemiology / Q000473:pathology*; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D012189:Retrospective Studies; D012720:Severity of Illness Index; D012878:Skin Neoplasms / Q000453:epidemiology / Q000473:pathology*; D012923:Social Class