ArticleAmerican journal of public health2011
Effects of socioeconomic status on colon cancer treatment accessibility and survival in Toronto, Ontario, and San Francisco, California, 1996-2006.
Article in American journal of public health, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 1 of them a synthesis that pooled it.
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Who cites it
45 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.
- Association of insurance status among cancer patients and survival outcomes: a systematic review and meta-analysis.International journal for equity in health · 2025Pooled it
- Treatment, healthcare utilization and outcomes in patients with glioblastoma in Ontario: a 10-year cohort study.Journal of neuro-oncology · 2024Article
- Assessment of barriers to optimal cancer control in adult cancer treatment centres in Cameroon.Ecancermedicalscience · 2023Article
- Follow-up surveillance among colorectal cancer survivors of different sexual orientations.Journal of cancer survivorship : research and practice · 2022Article
- Prevalence of Colorectal Polyps Based on Cardiorespiratory Fitness, Muscle Strength, Health Behavior, and Abdominal Obesity in Asymptomatic Elderly.Healthcare (Basel, Switzerland) · 2021Article
- Association of Cumulative Social Risk and Social Support With Receipt of Chemotherapy Among Patients With Advanced Colorectal Cancer.JAMA network open · 2021Article
- Association of superoxide dismutase enzyme with staging and grade of differentiation colorectal cancer: A cross-sectional study.Annals of medicine and surgery (2012) · 2020Article
- Impact of Insurance Status on Survival in Gastroenteropancreatic Neuroendocrine Tumors.Annals of surgical oncology · 2020Article
- Nonadherence to Standard of Care for Locally Advanced Colon Cancer as a Contributory Factor for High Mortality Rates in Kentucky.Journal of the American College of Surgeons · 2020Article
- Utilization of Advanced Cardiovascular Therapies in the United States and Canada: An Observational Study of New York and Ontario Administrative Data.Circulation. Cardiovascular quality and outcomes · 2020Observational
- Palliative chemotherapy among people living in poverty with metastasised colon cancer: facilitation by primary care and health insurance.BMJ supportive & palliative care · 2019Article
- Wait lists and adult general surgery: is there a socioeconomic dimension in Canada?BMC health services research · 2019Article
- Care of acute conditions and chronic diseases in Canada and the United States: Rapid systematic review and meta-analysis.Journal of public health research · 2019Article
- Neighborhood Characteristics and Colorectal Cancer Survivors' Quality of Care.Health equity · 2019Article
- Breast Cancer Care in California and Ontario: Primary Care Protections Greatest Among the Most Socioeconomically Vulnerable Women Living in the Most Underserved Places.Journal of primary care & community health · 2017Article
- Prognostic factors and survival of colorectal cancer in Kurdistan province, Iran: A population-based study (2009-2014).Medicine · 2017Observational
- Article
- Gender differences on the interacting effects of marital status and health insurance on long-term colon cancer survival in California, 1995-2014.Public health · 2016Article
- A Social History of Disease: Contextualizing the Rise and Fall of Social Inequalities in Cause-Specific Mortality.Demography · 2016Article
- Article
Corrections and comments
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
Abstract
objectivesWe examined the differential effects of socioeconomic status on colon cancer care and survival in Toronto, Ontario, Canada, and San Francisco, California.
methodsWe analyzed registry data for colon cancer patients from Ontario (n = 930) and California (n = 1014), diagnosed between 1996 and 2000 and followed until 2006, on stage, surgery, adjuvant chemotherapy, and survival. We obtained socioeconomic data for individuals' residences from population censuses.
resultsIncome was directly associated with lymph node evaluation, chemotherapy, and survival in San Francisco but not in Toronto. High-income persons had better survival rates in San Francisco than in Toronto. After adjustment for stage, survival was better for low-income residents of Toronto than for those of San Francisco. Middle- to low-income patients were more likely to receive indicated chemotherapy in Toronto than in San Francisco.
conclusionsSocioeconomic factors appear to mediate colon cancer care in urban areas of the United States but not in Canada. Improvements are needed in screening, diagnostic investigations, and treatment access among low-income Americans.
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Registered trials
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.