SynthesisThorax2017
Socio-economic inequalities in stage at diagnosis, and in time intervals on the lung cancer pathway from first symptom to treatment: systematic review and meta-analysis.
Synthesis in Thorax, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses 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
33 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Guideline
- Multilevel factors associated with timeliness of care along the lung cancer care continuum: A systematic review.Journal of the American Pharmacists Association : JAPhAPooled it
- Socioeconomic Disadvantage and Care Proximity Influence Stage at Presentation in Head and Neck Cancer.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2026Article
- Diagnostic pathways for lung cancer patients in Denmark: General practice events, first referral and stage at diagnosis.Acta oncologica (Stockholm, Sweden) · 2026Article
- Prevalence of multiple lung diseases among the people and associated with wealth status and behavior factors: a longitudinal study in West Bengal.Journal of health, population, and nutrition · 2025Article
- Article
- Spatiotemporal disparities in the diagnosis, treatment, and mortality of respiratory tract cancers in Brazil.PloS one · 2025Article
- An umbrella review of socioeconomic status and cancer.Nature communications · 2024Review
- Influencing factors of delay in seeking medical attention of patients with obstructive sleep apnea based on the Model of Pathways to Treatment in China: a qualitative analysis.Sleep & breathing = Schlaf & Atmung · 2024Article
- Socio-demographic determinants of myelofibrosis outcomes in an underserved center and the SEER national database.Annals of hematology · 2024Article
- Smoking, Lung Cancer Stage, and Prognostic Factors-Findings from the National Lung Screening Trial.International journal of environmental research and public health · 2024Article
- Article
- Machine Learning Techniques to Predict Timeliness of Care among Lung Cancer Patients.Healthcare (Basel, Switzerland) · 2023Article
- Inequalities in survival and care across social determinants of health in a cohort of advanced lung cancer patients in Quebec (Canada): A high-resolution population-level analysis.Cancer medicine · 2023Article
- A population-based study on social inequality and barriers to healthcare-seeking with lung cancer symptoms.NPJ primary care respiratory medicine · 2022Article
- Work-Related Factors and Lung Cancer Survival: A Population-Based Study in Switzerland (1990-2014).International journal of environmental research and public health · 2022Article
- Article
- Prevalence of Cardiovascular Disease in Patients With Potentially Curable Malignancies: A National Registry Dataset Analysis.JACC. CardioOncology · 2022Article
- Diagnosing pancreatic cancer in general practice: a cross-sectional study on associations between suspicion of cancer, urgent referral and time to diagnosis.Scandinavian journal of primary health care · 2022Article
- Socio-Economic Inequalities in Lung Cancer Outcomes: An Overview of Systematic Reviews.Cancers · 2022Review
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
Cancer diagnosis at an early stage increases the chance of curative treatment and of survival. It has been suggested that delays on the pathway from first symptom to diagnosis and treatment may be socio-economically patterned, and contribute to socio-economic differences in receipt of treatment and in cancer survival. This review aimed to assess the published evidence for socio-economic inequalities in stage at diagnosis of lung cancer, and in the length of time spent on the lung cancer pathway. MEDLINE, EMBASE and CINAHL databases were searched to locate cohort studies of adults with a primary diagnosis of lung cancer, where the outcome was stage at diagnosis or the length of time spent within an interval on the care pathway, or a suitable proxy measure, analysed according to a measure of socio-economic position. Meta-analysis was undertaken when there were studies available with suitable data. Of the 461 records screened, 39 papers were included in the review (20 from the UK) and seven in a final meta-analysis for stage at diagnosis. There was no evidence of socio-economic inequalities in late stage at diagnosis in the most, compared with the least, deprived group (OR=1.04, 95% CI=0.92 to 1.19). No socio-economic inequalities in the patient interval or in time from diagnosis to treatment were found. Socio-economic inequalities in stage at diagnosis are thought to be an important explanatory factor for survival inequalities in cancer. However, socio-economic inequalities in stage at diagnosis were not found in a meta-analysis for lung cancer. PROSPERO PROTOCOL REGISTRATION NUMBER: CRD42014007145.
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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.