Evidence map›Paper›PMID 18435383›Full record

ArticleCanadian journal of public health = Revue canadienne de sante publique

Cancer survival in Ontario, 1986-2003: evidence of equitable advances across most diverse urban and rural places.

Kevin M Gorey, Karen Y Fung, Isaac N Luginaah, Emma Bartfay, Caroline Hamm, Frances C Wright, Madhan Balagurusamy, Aziz Mohammad, Eric J Holowaty, Kathy X Tang

Abstract readComparative Study
In one paragraph

Article in Canadian journal of public health = Revue canadienne de sante publique. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. The supply of physicians and care for breast cancer in Ontario and California, 1998 to 2006.Canadian journal of rural medicine : the official journal of the Society of Rural Physicians of Canada = Journal canadien de la medecine rurale : le journal officiel de la Societe de medecine rurale du Canada · 2011
    Article
  4. Article
  5. Article
  6. Physician supply and breast cancer survival.Journal of the American Board of Family Medicine : JABFM
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Kevin M GoreySchool of Social Work, University of Windsor, Windsor, ON, Canada. gorey@uwindsor.ca
Karen Y Fung
Isaac N Luginaah
Emma Bartfay
Caroline Hamm
Frances C Wright
Madhan Balagurusamy
Aziz Mohammad
Eric J Holowaty
Kathy X Tang

Funding

CIHR 42633CIHR 42633-1CIHR 67161CIHR 67161-1
6 · The paper itself

Abstract

objectivesThis study examined whether place and socio-economic status had differential effects on the survival of women diagnosed with breast cancer in Ontario during the 1980s and the 1990s.

methodsThe Ontario Cancer Registry provided 29,934 primary malignant breast cancer cases. Successive historical cohorts (1986-1988 and 1995-1997) were, respectively, followed until 1994 and 2003. Diverse places were compared: the greater metropolitan Toronto area, other cities, ranging in size from 50,000 to a million people, smaller towns and villages, and rural and remote areas. Socio-economic data for each woman's residence at the time of diagnosis were taken from population censuses.

resultsVery small cities (6%) with populations between 50,000 and 100,000 were the only places where breast cancer survival had advanced less compared to the province as a whole. Income gradients began to appear, however, in larger cities. Urban residents in the lowest income areas were significantly disadvantaged compared to the highest income areas during the 1990s, but not during the 1980s.

conclusionThis historical analysis of breast cancer survival evidenced remarkably equitable advances across nearly all of Ontario's diverse places. The most likely explanation for such substantial equity seems to be Canada's universally accessible, single-payer, health care system.

Indexed as

Health Services AccessibilityUniversal Health InsuranceAdultBreast NeoplasmsFemaleHumansIncidenceIncomeOntarioRegistriesRural PopulationSocioeconomic FactorsUrban Population

Identifiers

PMID18435383
PMCPMC2920898

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.