Evidence map›Paper›PMID 29533005›Full record

ArticleCancer medicine2018

Disparities in cancer survival and incidence by metropolitan versus rural residence in Utah.

Mia Hashibe, Anne C Kirchhoff, Deanna Kepka, Jaewhan Kim, Morgan Millar, Carol Sweeney, Kimberley Herget, Marcus Monroe, N Lynn Henry, Ana-Maria Lopez and 1 more

2 registry-linked trialsAbstract read
In one paragraph

Article in Cancer medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 47 papers.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed
–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.

NCT07032584 narecruitingnot on this mapstarted 2025, after this paper: background citation

Impact of Multimodal Telerehabilitation on Reducing Disparities in Rural Survivors of Metastatic Prostate Cancer

TypeinterventionalSponsorUniversity of UtahRan2025 to 2029Enrolled74ConditionsProstate Cancer, Metastatic Prostate Cancer, Androgen Deprivation TherapyArmsTelerehabilitation Intervention
NCT07093177 narecruitingnot on this mapstarted 2026, after this paper: background citation

Multimodal Telerehabilitation of Rural Patients With Advanced Prostate Cancer

TypeinterventionalSponsorUniversity of UtahRan2026 to 2028Enrolled30ConditionsProstate CancerArmsTelerehabilitation Unit
3 · Its place in the literature

Who cites it

47 citing papers in PubMed.

  1. Article
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  8. The Role of Rurality, Travel Time, and Neighborhood Socioeconomics on Patterns of Adjuvant Therapy Receipt among Patients with Endometrial Cancer.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
    Article
  9. Article
  10. "It really takes a village": perspectives on multi-level barriers to endometrial cancer care for rural patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  11. Article
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  14. Same People, Different Results: Categorizing Cancer Registry Cases Across the Rural-Urban Continuum.WMJ : official publication of the State Medical Society of Wisconsin · 2024
    Article
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  20. Rural Hospital Disparities in Goals of Care Documentation.Journal of pain and symptom management · 2023
    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

11 authors.

Mia HashibeDepartment of Family and Preventive Medicine, Huntsman Cancer Institute, University of Utah School of Medicine, Salt Lake City, Utah.ORCID 0000-0002-6903-2049
Anne C KirchhoffDepartment of Pediatrics, Huntsman Cancer Institute, University of Utah School of Medicine, Salt Lake City, Utah.
Deanna KepkaCollege of Nursing, Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah.
Jaewhan KimCollege of Health, University of Utah, Salt Lake City, Utah.
Morgan MillarDivision of Epidemiology, Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City, Utah.
Carol SweeneyDivision of Epidemiology, Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City, Utah.
Kimberley HergetUtah Cancer Registry, University of Utah, Salt Lake City, Utah.
Marcus MonroeDivision of Otolaryngology, Department of Surgery, Huntsman Cancer Institute, University of Utah School of Medicine, Salt Lake City, Utah.
N Lynn HenryDivision of Oncology, Department of Internal Medicine, Huntsman Cancer Institute, University of Utah School of Medicine, Salt Lake City, Utah.ORCID 0000-0002-4771-5930
Ana-Maria LopezDivision of Oncology, Department of Internal Medicine, Huntsman Cancer Institute, University of Utah School of Medicine, Salt Lake City, Utah.
Kathi MooneyCollege of Nursing, Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah.ORCID 0000-0003-3371-5646

Funding

UTAH REGIONAL CANCER CENTERP30CA042014 · NCI · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI Jared P Rutter · 1986 to 2026
$72.6M
Population-based Cohort of Endometrial Cancer Survivors in UtahR21CA185811 · NCI · UNIVERSITY OF UTAH · PI HASHIBE, MIA · 2015 to 2016
$356k
NCI NIH HHS P30 CA042014NCI NIH HHS R21 CA185811
6 · The paper itself

Abstract

Cancer disparities in rural and frontier communities are an important issue in Utah because much of Utah is sparsely populated. The aims of this study were to investigate whether there are differences in the cancer incidence and 5-year survival rates in Utah by metropolitan/rural residence and to investigate disparities in distributions of cancer risk factors. We used cancer registry records to identify patients diagnosed with a first primary cancer in Utah between 2004 and 2008. We estimated 5-year survival and incidence rates. The Cox proportional hazards model was used to estimate hazard ratios (HRs) for the risk of death. There were 32,498 (86.9%) patients with cancer who lived in metropolitan counties and 4906 (13.1%) patients with cancer who lived in rural counties at the time of cancer diagnosis. Patients with cancer from rural counties were more likely to be older, American Indian/Alaskan Native, non-Hispanic, male, and diagnosed at higher stage. Rural residents had a five-year relative survival that was 5.2% lower than metropolitan residents and a 10% increase in risk of death (HR = 1.10, 95% CI = 1.03, 1.18) after adjustment for multiple factors. Overall, the cancer incidence rates in rural counties were lower by 11.9 per 100,000 per year (449.2 in rural counties vs. 461.1 in metropolitan counties). Cancer patients living in rural counties of Utah had different demographic characteristics as well as differences in incidence and survival rates. Further studies with individual-level data are necessary to investigate the reasons behind these differences in cancer incidence and survival to reduce disparities.

Indexed as

Health Status DisparitiesAdultAgedAged, 80 and overComorbidityFemaleHumansIncidenceMaleMiddle AgedNeoplasmsProportional Hazards ModelsRural PopulationSEER ProgramSurvival RateUrban Population5-Year survivalcancer incidencedisparityendometrial cancerrural

Identifiers

PMID29533005
PMCPMC5911626

What OpenQuestion holds

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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.