Evidence map›Paper›PMID 29167866›Full record

ArticleJAMA oncology2018

Prevalence of Prior Cancer Among Persons Newly Diagnosed With Cancer: An Initial Report From the Surveillance, Epidemiology, and End Results Program.

Caitlin C Murphy, David E Gerber, Sandi L Pruitt

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in JAMA oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06189547 (Master's Student in Gastrointestinal Surgery at the First Affiliated Hospital of Guangzhou Medical University), which is not on this map. Cited by 93 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
93citing papers in PubMed, 3 pooled it
7.1field-weighted citation impact, top 2% 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.

NCT06189547 completednot on this mapstarted 2023, after this paper: background citation

Master's Student in Gastrointestinal Surgery at the First Affiliated Hospital of Guangzhou Medical University

TypeobservationalSponsorGuangzhou Medical UniversityRan2023 to 2023Enrolled82,770ConditionsSecond Primary Colorectal CancerArmsdifferent prior cancer history type
3 · Its place in the literature

Who cites it

93 citing papers in PubMed, 3 syntheses or guidelines pooled it, 165 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Subsequent malignant neoplasm among cancer survivors in the United States.Journal of cancer survivorship : research and practice · 2026
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  5. Review
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  10. Impact of Population Cancer Risk on the Cost-effectiveness of Multicancer Early Detection Testing in the United States.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
    Article
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  19. Decoding the mechanisms behind second primary cancers.Journal of translational medicine · 2025
    Review
  20. Article

33 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Caitlin C MurphyDepartment of Clinical Sciences, University of Texas Southwestern Medical Center, Dallas.
David E GerberDepartment of Clinical Sciences, University of Texas Southwestern Medical Center, Dallas.
Sandi L PruittDepartment of Clinical Sciences, University of Texas Southwestern Medical Center, Dallas.
The University of Texas Southwestern Medical Center · US

Funding

UT Southwestern Medical Center Simmons Comprehensive Cancer CenterP30CA142543 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI Sandi Leigh Pruitt · 2010 to 2026
$53.7M
UT Southwestern Center for Translational Medicine (UL1/KL2/TL1)UL1TR001105 · NCATS · UT SOUTHWESTERN MEDICAL CENTER · PI TOTO, ROBERT DANIEL · 2013 to 2017
$24.5M
UT Southwestern Center for Translational Medicine (UL1/KL2/TL1KL2TR001103 · NCATS · UT SOUTHWESTERN MEDICAL CENTER · PI TOTO, ROBERT DANIEL · 2013 to 2017
$4.0M
Revisiting Prior Cancer as an Exclusion Criterion for Cancer Clinical TrialsR01CA229834 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI PRUITT, SANDI LEIGH · 2018 to 2023
$2.9M
Development of New Cancer Treatments and InvestigatorsK24CA201543 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI GERBER, DAVID ERIC · 2016 to 2020
$737k
Evaluating prior cancer exclusion policy to increase lung cancer trial accrualR03CA191875 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI GERBER, DAVID ERIC, PRUITT, SANDI LEIGH · 2015 to 2016
$162k
NCATS NIH HHS KL2 TR001103NCATS NIH HHS UL1 TR001105NCI NIH HHS K24 CA201543NCI NIH HHS P30 CA142543NCI NIH HHS R01 CA229834NCI NIH HHS R03 CA191875
6 · The paper itself

Abstract

Importance: The US cancer survivor population is rapidly growing. Cancer survivors are frequently excluded from cancer clinical trials and observational research. Objective: To examine prevalence of prior cancer among individuals newly diagnosed with cancer. Design, Setting, and Participants: Linked observations across the population-based Surveillance, Epidemiology, and End Results (SEER) program of cancer registries (1975-2013) for 740 990 persons newly diagnosed with cancer from January 2009 through December 2013. Prevalence of prior cancer was estimated by age (<65 years vs ≥65 years) and incident cancer type. Main Outcomes and Measures: Prevalence of prior cancer was derived from SEER sequence numbers, which represent the order of all primary reportable tumors diagnosed in a lifetime. Incident cancers were categorized as: (1) first or only primary; (2) second order or higher primary in the same cancer site; and (3) second order or higher primary in a different cancer site. Results: Of 765 843 incident cancers diagnosed between 2009 and 2013, 141 021 (18.4%) represented a second order or higher primary cancer. Overall, approximately one-fourth (25.2%) of older (≥65 years) and 11% of younger adults newly diagnosed with cancer had a history of prior cancer. Prevalence of prior cancer ranged from 3.5% to 36.9% according to incident cancer type and age, with most prior cancers diagnosed in a different cancer site. Conclusions and Relevance: A substantial proportion of patients diagnosed with incident cancer in the United States have survived a prior cancer. These patients may be excluded from clinical trials and underrepresented in observational research, and little is known about their treatment and survivorship needs. Understanding the nature and impact of prior cancer is critical to improving clinical trial accrual and generalizability, disease outcomes, and patient experience.

Indexed as

Cancer SurvivorsAdultAgedAge DistributionFemaleHumansMaleMiddle AgedNeoplasmsNeoplasms, Second PrimaryOrgan SpecificityPrevalenceSEER ProgramUnited StatesYoung Adult

Identifiers

PMID29167866
PMCPMC6370034
OpenAlexW2768964960

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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.