Evidence map›Paper›PMID 25848938›Full record

Trial reportBMC public health2015

Socioeconomic indicators of health inequalities and female mortality: a nested cohort study within the United Kingdom Collaborative Trial of Ovarian Cancer Screening (UKCTOCS).

Katharine Bailey, Andy Ryan, Sophia Apostolidou, Evangelia Fourkala, Matthew Burnell, Aleksandra Gentry-Maharaj, Jatinderpal Kalsi, Max Parmar, Ian Jacobs, Hynek Pikhart and 1 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. 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

11 authors.

Katharine Bailey
Andy Ryan
Sophia Apostolidou
Evangelia Fourkala
Matthew Burnell
Aleksandra Gentry-Maharaj
Jatinderpal Kalsi
Max Parmar
Ian Jacobs
Hynek Pikhart
Usha Menon

Funding

Cancer Research UK 12127Department of HealthMedical Research Council G0801228Medical Research Council MC_U122861379Medical Research Council MC_UU_12023/9
6 · The paper itself

Abstract

backgroundEvidence is mounting that area-level socioeconomic indicators are important tools for predicting health outcomes. However, few studies have examined these alongside individual-level education. This nested cohort study within the control arm of the United Kingdom Collaborative Trial of Ovarian Cancer Screening (UKCTOCS) assesses the association of mutually adjusted individual (education) and area-level (Index of Multiple Deprivation-IMD 2007) socioeconomic status indicators and all-cause female mortality.

methodsParticipants resident in England who had completed both baseline (Wave 1) and follow up (Wave 2) questionnaires were included. Follow-up was through the Health and Social Care Information Centre with deaths censored on 31st December 2012. IMD, education and a range of covariates were explored. Cox regression models adjusted for all covariates were used. Sensitivity analysis using imputation was performed (1) including those with missing data and (2) on the entire cohort who had completed the baseline questionnaire.

resultsOf the 54,539 women resident in England who completed both Wave 1 and Wave 2 questionnaires, 4,510 had missing data. The remaining 50,029 women were included in the primary analysis. Area-level IMD was positively associated with all-cause mortality for the most deprived group compared to the least deprived (HR=1.42, CI=1.14-1.78) after adjusting for all potential confounders. Sensitivity analyses showed similar results with stronger associations in the entire cohort (HR=1.90, CI=1.68-2.16). The less educated an individual, the higher the mortality risk (test for trend p=<0.001). However, the crude effect on mortality of having no formal education compared to college/university education disappeared when adjusted for IMD rank (HR=1.08, CI=0.93-1.26).

conclusionWomen living in more deprived areas continue to have higher mortality even in this less deprived cohort and after adjustment for a range of potential confounders.

trial registrationThis study is registered as an International Standard Randomised Controlled Trial, number ISRCTN22488978.

Indexed as

Early Detection of CancerHealth Status DisparitiesAgedCohort StudiesCooperative BehaviorFemaleHumansMiddle AgedOvarian NeoplasmsProportional Hazards ModelsSocioeconomic FactorsSurveys and QuestionnairesTime FactorsUnited Kingdom

Identifiers

PMID25848938
PMCPMC4367890

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.