ArticleHealth & place2012
Geographic disparities in late-stage cancer diagnosis: multilevel factors and spatial interactions.
Article in Health & place, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Geographic and sociodemographic access to systemic anticancer therapies for secondary breast cancer: a systematic review.Systematic reviews · 2024Pooled it
- Geospatial Genomics: Operationalizing Multilevel Conceptual Frameworks of Cancer Health Outcomes to Account for Gene-Person-Place Relationships.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2025Article
- Disparities in Late-Stage Breast and Colorectal Cancer Diagnosis Among Hispanic, Non-Hispanic White, and Non-Hispanic Black Patients: a Retrospective Cohort Study of Texas Medicare Beneficiaries.Journal of racial and ethnic health disparities · 2023Article
- Geographic Disparities in Late-Stage Breast Cancer Diagnosis Rates and Their Persistence Over Time.Journal of women's health (2002) · 2021Article
- Mapping Variation in Breast Cancer Screening: Where to Intervene?International journal of environmental research and public health · 2019Article
- Article
- Epidemiological Determinants of Advanced Prostate Cancer in Elderly Men in the United States.Clinical Medicine Insights. Oncology · 2019Article
- Ethnic density and cancer: A review of the evidence.Cancer · 2018Review
- A statewide program providing colorectal cancer screening to the uninsured of South Carolina.Cancer · 2018Article
- Racial and ethnic disparities among state Medicaid programs for breast cancer screening.Preventive medicine · 2017Article
- Geographic and population-level disparities in colorectal cancer testing: A multilevel analysis of Medicaid and commercial claims data.Preventive medicine · 2017Article
- Modeling Geospatial Patterns of Late-Stage Diagnosis of Breast Cancer in the US.International journal of environmental research and public health · 2017Article
- Demographic Disparities in Late-Stage Diagnosis of Breast and Colorectal Cancers Across the USA.Journal of racial and ethnic health disparities · 2017Article
- Using residential segregation to predict colorectal cancer stage at diagnosis: two different approaches.Annals of epidemiology · 2017Article
- How generalizable are the SEER registries to the cancer populations of the USA?Cancer causes & control : CCC · 2016Article
- United States Health Policies and Late-stage Breast and colorectal cancer diagnosis: Why such disparities by age?Health economics review · 2015Article
- Geographic disparities in late stage breast cancer incidence: results from eight states in the United States.International journal of health geographics · 2015Article
- Geographic and Demographic Disparities in Late-stage Breast and Colorectal Cancer Diagnoses Across the US.AIMS public health · 2015Article
- Macro-level factors impacting geographic disparities in cancer screening.Health economics review · 2014Article
- Urban sprawl, obesity, and cancer mortality in the United States: cross-sectional analysis and methodological challenges.International journal of health geographics · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
In 2009 in the United States, breast cancer was the most common cancer in women, and colorectal cancer was the third most common cancer in both men and women. Currently, over 40% of these cancers are diagnosed at an advanced stage, which results in higher morbidity and mortality than would obtain with optimal cancer screening utilization. To provide information that might improve these cancer outcomes we use spatial analysis to answer questions related to both Why and Where disparities in late-stage cancer diagnoses are observed. In examining Why, we include state level characteristics reflecting characteristics of states' cancer control planning, insurance markets and managed care environments to help model the spatial heterogeneity from place to place. To answer questions related to Where disparities are observed, we generate county level predictions of late-stage cancer rates from a random-intercept multilevel model estimated on the population data from 11 pooled SEER Registries. The findings allow for comparisons across states that reveal logical starting points for a national effort to control cancer.
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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.