Evidence map›Paper›PMID 27942934›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2017

Socio-economic disparities in long-term cancer survival-10 year follow-up with individual patient data.

Susanne Singer, Michael Bartels, Susanne Briest, Jens Einenkel, Dietger Niederwieser, Kirsten Papsdorf, Jens-Uwe Stolzenburg, Sophie Künstler, Sabine Taubenheim, Oliver Krauß

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Social inequalities in cancer in Germany: a call to action.Journal of cancer research and clinical oncology · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. The association of low socioeconomic status with advanced stage thyroid cancer.Journal of Taibah University Medical Sciences · 2021
    Article
  9. Persistent Disparity: Socioeconomic Deprivation and Cancer Outcomes in Patients Treated in Clinical Trials.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2021
    Observational
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Socioeconomic status and quality of life in patients with locally advanced head and neck cancer.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2018
    Article
  17. 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

10 authors.

Susanne SingerInstitute of Medical Biostatistics, Epidemiology and Informatics, Division of Epidemiology and Health Services Research, University Medical Centre Mainz, Obere Zahlbacher Straße 69, 55131, Mainz, Germany. singers@uni-mainz.de.ORCID 0000-0001-5784-7964
Michael BartelsDepartment of General and Visceral Surgery, Helios Park Clinic, Leipzig, Germany.
Susanne BriestDepartment of Gynaecology, University Medical Centre Leipzig, Leipzig, Germany.
Jens EinenkelDepartment of Gynaecology, University Medical Centre Leipzig, Leipzig, Germany.
Dietger NiederwieserDepartment of Medical Oncology, University Medical Centre Leipzig, Leipzig, Germany.
Kirsten PapsdorfDepartment of Radiation Oncology, University Medical Centre Leipzig, Leipzig, Germany.
Jens-Uwe StolzenburgDepartment of Urology, University Medical Centre Leipzig, Leipzig, Germany.
Sophie KünstlerDepartment of Social Pedagogy and Adult Education, Faculty of Educational Sciences, Goethe University, Frankfurt, Germany.
Sabine TaubenheimRegional Clinical Cancer Registry Leipzig, University Medical Centre Leipzig, Leipzig, Germany.
Oliver KraußDepartment of Psychotherapy, Helios Park Clinic, Leipzig, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeReasons for the social gradient in cancer survival are not fully understood yet. Previous studies were often only able to determine the socio-economic status of the patients from the area they live in, not from their individual socio-economic characteristics.

methodsIn a multi-centre cohort study with 1633 cancer patients and 10-year follow-up, individual socio-economic position was measured using the indicators: education, job grade, job type, and equivalence income. The effect on survival was measured for each indicator individually, adjusting for age, gender, and medical characteristics. The mediating effect of health behaviour (alcohol and tobacco consumption) was analysed in separate models.

resultsPatients without vocational training were at increased risk of dying (rate ratio (RR) 1.5, 95% confidence interval (CI) 1.1-2.2) compared to patients with the highest vocational training; patients with blue collar jobs were at increased risk (RR 1.2; 95% CI 1.0-1.5) compared to patients with white collar jobs; income had a gradual effect (RR for the lowest income compared to highest was 2.7, 95% CI 1.9-3.8). Adding health behaviour to the models did not change the effect estimates considerably. There was no evidence for an effect of school education and job grade on cancer survival.

conclusionsPatients with higher income, better vocational training, and white collar jobs survived longer, regardless of disease stage at baseline and of tobacco and alcohol consumption.

Indexed as

AdultAgedAged, 80 and overAge FactorsFemaleFollow-Up StudiesGermanyHealth Status DisparitiesHumansIncomeMaleMiddle AgedNeoplasmsPovertySex FactorsSocial ClassCancerDisparitiesEducationHealth inequalityHealth inequityIncomeJob gradeSocio-economic positionSocio-economic statusSurvival

Identifiers

What OpenQuestion holds

Textmetadata
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.