Evidence map›Paper›PMID 20582599›Full record

ArticleLangenbeck's archives of surgery2010

Why so late?!--delay in treatment of colorectal cancer is socially determined.

Mike Ralf Langenbach, Stefan Sauerland, Karl-Wilhelm Kröbel, Hubert Zirngibl

Abstract read
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In one paragraph

Article in Langenbeck's archives of surgery, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Pre-to-post diagnosis weight trajectories in colorectal cancer patients with non-metastatic disease.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2019
    Observational
  6. Article
  7. Article
  8. Identification of patients with non-metastatic colorectal cancer in primary care: a case-control study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2016
    Article
  9. Research in cancer care disparities in countries with universal healthcare: mapping the field and its conceptual contours.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2014
    Review
  10. 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

4 authors.

Mike Ralf LangenbachHelios St. Elisabeth Klinik Oberhausen, Department of Surgery II, University of Witten/Herdecke, Oberhausen, Germany. mike-ralf.langenbach@helios-kliniken.de
Stefan Sauerland
Karl-Wilhelm Kröbel
Hubert Zirngibl

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe interval between symptom onset and therapy in patients with colorectal cancer was studied.

methodsOne hundred twenty three patients with colorectal cancer were included. Demography data, symptoms, consultations, and tumour stage were obtained by standardized questionnaires. Risk factors for delayed treatment were analysed.

resultsEighty six patients suffered from colonic cancer. The total time between the first symptoms and therapy ranged from 13 to 442 days (mean, 148). Delay of surgical therapy was responsible for significantly higher tumour grades. Delayed start of therapy was found to be correlated to the type of cancer, socioeconomic status, marital status, and quality of first consultation (univariate analysis). On multivariate analyses, type of cancer, marital and socioeconomic status remained significantly associated with delayed treatment (all p values ≤ 0.001, r(2) = 0.50).

conclusionsThe delay in treatment of colorectal cancer depends on socioeconomic status and family background. Achieving equity in colorectal cancer detection may require consideration of high-risk subgroups.

Indexed as

Delayed DiagnosisAgedColectomyColonic NeoplasmsFemaleHealth Services AccessibilityHumansMaleMarital StatusMiddle AgedNeoplasm StagingPrognosisRectal NeoplasmsReferral and ConsultationSocioeconomic FactorsTumor Burden

Identifiers

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.