ArticleAmerican journal of public health2008
An exploration of urban and rural differences in lung cancer survival among medicare beneficiaries.
Article in American journal of public health, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.
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Who cites it
40 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Psychosocial well-being and supportive care needs of cancer patients and survivors living in rural or regional areas: a systematic review from 2010 to 2021.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Pooled it
- Social disruption after cancer: longitudinal changes in marital status, residence, and income among over 450,000 cancer patients.Cancer causes & control : CCC · 2026Article
- Health Insurance Type and Lung Cancer Stage Shift Following Coverage of Screening.Health services research · 2026Article
- Association of rurality with brain metastasis at initial diagnosis of lung cancer.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026Article
- Sex-Based Disparities in Interval Time to Receipt of Surgical Treatment of Invasive Lung Cancer in Tennessee.Research square · 2026Article
- Association of rurality status with all-cause and cancer-specific survival: a systematic review and meta-analysis adjusting for clinical factors, demographics, and geographical remoteness.The Lancet regional health. Western Pacific · 2026Review
- Association of Hospital Surgical Volume With Outcomes in Resected Stage I Non-Small Cell Lung Cancer.The Journal of surgical research · 2025Article
- Article
- Is underutilization of adjuvant therapy in resected non-small-cell lung cancer associated with socioeconomic disparities?European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2023Article
- Representativeness of Patients Enrolled in the Lung Cancer Master Protocol (Lung-MAP).JCO precision oncology · 2023Article
- Community socioeconomic status and rural/racial disparities in HPV-/+ head and neck cancer.Technical innovations & patient support in radiation oncology · 2023Article
- Designing home-based physical activity programs for rural cancer survivors: A survey of technology access and preferences.Frontiers in oncology · 2023Article
- Longitudinal patient-reported outcomes and survival among early-stage non-small cell lung cancer patients receiving stereotactic body radiotherapy.Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology · 2022Article
- Neighborhood and Individual Socioeconomic Disadvantage and Survival Among Patients With Nonmetastatic Common Cancers.JAMA network open · 2021Article
- The need to study rural cancer outcome disparities at the local level: a retrospective cohort study in Kansas and Missouri.BMC public health · 2021Article
- Lung Cancer Staging at Diagnosis in the Veterans Health Administration: Is Rurality an Influencing Factor? A Cross-Sectional Study.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2020Article
- Expect delays: poor connections between rural and urban health systems challenge multidisciplinary care for rural Americans with diabetic foot ulcers.Journal of foot and ankle research · 2020Article
- 30-Day Emergency Department Revisit Rates among Older Adults with Documented Dementia.Journal of the American Geriatrics Society · 2019Observational
- Socioeconomic status and survival outcomes in elderly cancer patients: A national health insurance service-elderly sample cohort study.Cancer medicine · 2019Article
- Brain cancer survival in Canada 1996-2008: effects of sociodemographic characteristics.Current oncology (Toronto, Ont.) · 2019Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectivesWe tested the relationship between urban or rural residence as defined by rural-urban commuting area codes and risk of mortality in a sample of Medicare beneficiaries with lung cancer.
methodsWe used Surveillance, Epidemiology, and End Results data linked with Medicare claims to build proportional hazards models. The models tested hypothesized relationships between individual and community characteristics and overall survival for a cohort of Medicare beneficiaries 65 years and older who were diagnosed with lung cancer between 1995 and 1999 (N=26073).
resultsWe found no evidence that lung cancer patients in rural areas have poorer survival than those in urban areas. Rather, individual (Medicaid coverage) and regional (lower census tract-level median income) socioeconomic factors and a smaller supply of subspecialists per 10000 individuals 65 years and older were positively associated with a higher risk of mortality.
conclusionsAlthough urban versus rural residence did not directly influence survival, rural residents were more likely to live in poorer areas with a smaller supply of health care providers. Therefore, we still need to be aware of rural beneficiaries' potential disadvantage when it comes to receiving needed care in a timely fashion.
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