Evidence map›Paper›PMID 27368025›Full record

ArticleMedicine2016

Social isolation and cancer management after the 2011 triple disaster in Fukushima, Japan: A case report of breast cancer with patient and provider delay.

Akihiko Ozaki, Claire Leppold, Masaharu Tsubokura, Tetsuya Tanimoto, Shigehira Saji, Shigeaki Kato, Masahiro Kami, Manabu Tsukada, Hiromichi Ohira

Open access · goldAbstract readCase Reports
In one paragraph

Article in Medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
2.8field-weighted citation impact, top 10% of its field
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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Climate disasters and oncology care: a systematic review of effects on patients, healthcare professionals, and health systems.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Pooled it
  2. Cancer Patients During and after Natural and Man-Made Disasters: A Systematic ReviewAsian Pacific journal of cancer prevention : APJCP · 2018
    Pooled it
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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

9 authors at 3 institutions in 1 country.

Akihiko OzakiaDepartment of Surgery bDepartment of Research cDepartment of Radiation Protection, Minamisoma Municipal General Hospital, Minamisoma, Fukushima dDepartment of Internal Medicine, Jyoban Hospital of Tokiwakai Group, Iwaki eDepartment of Medical Oncology, Fukushima Medical University fResearch Institute of Innovative Medicine, Jyoban Hospital, Iwaki, Fukushima gMedical Governance Research Institute, Minato-ku, Tokyo, Japan.
Claire Leppold
Masaharu Tsubokura
Tetsuya Tanimoto
Shigehira Saji
Shigeaki Kato
Masahiro Kami
Manabu Tsukada
Hiromichi Ohira
Jyoban Hospital · JPFukushima Medical University · JPMedical Governance Research Institute · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Breast cancer patients may present with patient delay or experience provider delay-2 factors which can lead to a late-stage diagnosis and poor prognosis. Mass disasters drastically change social structures, and have the potential to contribute to these delays. However, there is little information available on patient and provider delay related to cancer after disasters. In March 2011, an earthquake, followed by a tsunami and nuclear accident struck Fukushima, Japan. In July 2014, a 59 year-old Japanese widow, living alone, presented to our hospital with a lump and pain in her right breast, which had originally appeared in April 2011 and continuously deteriorated for 3 years and 3 months. She was diagnosed with stage IIIB right breast cancer. Detailed history revealed that she was exposed to social isolation in the aftermath of the disasters due to evacuation of her friends and daughter. Although she regularly saw her general practitioner, she did not disclose her breast symptoms for 1 year and 5 months, at which time she was falsely diagnosed with intercostal neuralgia. She did not seek further medical attention for the breast symptoms for another 1 year and 10 months, despite multiple clinic visits for unrelated reasons. The present disasters, particularly the nuclear disaster, seem to have led to the social isolation of local residents, reducing their opportunities to discuss health concerns with others and seek subsequent medical attention.This case highlights that social isolation may contribute to patient and provider delay in breast cancer patients, as accentuated in this disaster setting.

Indexed as

DisastersFukushima Nuclear AccidentSocial IsolationBreast NeoplasmsDelayed DiagnosisFemaleHumansJapanMiddle AgedTime Factors

Identifiers

PMID27368025
PMCPMC4937939
OpenAlexW2470844658

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.