Evidence map›Paper›PMID 29361910›Full record

ArticleBMC cancer2018

Assessment of cancers' diagnostic stage in a Deaf community - survey about 4363 Deaf patients recorded in French units.

Vladimir Druel, Hélène Hayet, Laetitia Esman, Marie Clavel, Marie-Eve Rougé Bugat

Abstract read
In one paragraph

Article in BMC cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. The influence of mode of remote delivery on health-related quality of life outcome measures in British Sign Language: a mixed methods pilot randomised crossover trial.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Trial
  4. Health literacy of the Deaf community: a scoping review.Journal of deaf studies and deaf education · 2026
    Article
  5. Communication barriers for d/Deaf people with cancer: a scoping review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  6. Review
  7. Article
  8. Cancer Disparities Experienced by People with Disabilities.International journal of environmental research and public health · 2022
    Article
  9. Article
  10. Review
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

5 authors.

Vladimir DruelUniversity Department of General Practice, Toulouse-Rangueil Faculty of Medicine, 133 route de Narbonne, 31400, Toulouse, France. vladimir.druel@dumg-toulouse.fr.
Hélène HayetGeneral practitioner in the medical board of Auch, 'Pion', 32190, Lannepax, France.
Laetitia EsmanDeaf Care Unit, Teaching Hospital of Toulouse-Purpan, Place du Dr Joseph Baylac, 31300, Toulouse, France.
Marie ClavelDeaf Care Unit, Teaching Hospital of Grenoble, Avenue Maquis du Grésivaudan, 38700, La Tronche, France.
Marie-Eve Rougé BugatUniversity Department of General Practice, Toulouse-Rangueil Faculty of Medicine, 133 route de Narbonne, 31400, Toulouse, France.ORCID http://orcid.org/0000-0002-3562-5815

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDeaf people represent 0.1% of the French population and their access to public health campaigns is limited due to their frequent illiteracy and the infrequent use of sign language in campaigns. There is also a lack of general health knowledge in spite of the existence of French Deaf Care Units (UASS). The aim of this study is to assess the average diagnostic stage of cancer in the Deaf Community and discuss deafness as a contributing factor.

methodsFour thousand three hundred sixty-three Deaf patients recorded in five UASS, 80 diagnosed between 2005/01/01 and 2014/12/31 were selected from medical records and/or ICD-10 coding. Data regarding cancers were extracted, grouped by stage and compared to literature. Statistical significance was tested with Fisher's Exact Test.

resultsEighty patients were selected. Most cancers were diagnosed at advanced stages: of 11 prostate cancers, 46% were locally advanced and 18% were metastatic. (In the general population, this was respectively 3% and 10.4% (p < 0.01)). Of six colorectal cancers, 67% were diagnosed at stage III and 33% at stage IV. (Respectively 20.6% and 26.6% (p = 0.03) in the general population). In contrast, of the 15 breast cancers, 93% were diagnosed at stages T1-T3 that was earlier than in the general population (p = 0.43).

conclusionIn this study, we observed a delay cancer diagnosis among Deaf people. Complicated and/or non-systematic screening procedures for cancers would be involved. Which is most likely the result of many factors (communication, medical knowledge). Increasing UASS coverage and health information campaigns in sign language could assist in earlier cancer diagnosis.

Indexed as

Persons with Hearing DisabilitiesAdultAgedCommunicationDeafnessEarly Detection of CancerFemaleFranceHealth Knowledge, Attitudes, PracticeHumansMaleMedical RecordsMiddle AgedNeoplasm MetastasisNeoplasmsNeoplasm StagingCancerCommunicationDeafDelayed diagnosisGeneral practiceHealth inequalities

Identifiers

PMID29361910
PMCPMC5781319

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.