Evidence map›Paper›PMID 29540358›Full record

ArticleBMJ (Clinical research ed.)2018

Impact of national cancer policies on cancer survival trends and socioeconomic inequalities in England, 1996-2013: population based study.

Aimilia Exarchakou, Bernard Rachet, Aurélien Belot, Camille Maringe, Michel P Coleman

Open access · hybridAbstract read
In one paragraph

Article in BMJ (Clinical research ed.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 4 pooled it
5.9field-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.

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

58 citing papers in PubMed, 4 syntheses or guidelines pooled it, 115 citations in OpenAlex.

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  6. Targeted encouragement of GP consultations for possible cancer symptoms: a randomised controlled trial.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Aimilia ExarchakouCancer Survival Group, London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK Aimilia.Exarchakou@lshtm.ac.uk.
Bernard RachetCancer Survival Group, London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK.
Aurélien BelotCancer Survival Group, London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK.
Camille MaringeCancer Survival Group, London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK.
Michel P ColemanCancer Survival Group, London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK.
London Cancer · GBLondon School of Hygiene & Tropical Medicine · GB

Funding

Cancer Research UK 16148Cancer Research UK 18525Cancer Research UK C7923/A18525
6 · The paper itself

Abstract

objectiveTo assess the effectiveness of the NHS Cancer Plan (2000) and subsequent national cancer policy initiatives in improving cancer survival and reducing socioeconomic inequalities in survival in England.

designPopulation based cohort study.

settingEngland. POPULATION: More than 3.5 million registered patients aged 15-99 with a diagnosis of one of the 24 most common primary, malignant, invasive neoplasms between 1996 and 2013.

main outcome measuresAge standardised net survival estimates by cancer, sex, year, and deprivation group. These estimates were modelled using regression model with splines to explore changes in the cancer survival trends and in the socioeconomic inequalities in survival.

resultsOne year net survival improved steadily from 1996 for 26 of 41 sex-cancer combinations studied, and only from 2001 or 2006 for four cancers. Trends in survival accelerated after 2006 for five cancers. The deprivation gap observed for all 41 sex-cancer combinations among patients with a diagnosis in 1996 persisted until 2013. However, the gap slightly decreased for six cancers among men for which one year survival was more than 65% in 1996, and for cervical and uterine cancers, for which survival was more than 75% in 1996. The deprivation gap widened notably for brain tumours in men and for lung cancer in women.

conclusionsLittle evidence was found of a direct impact of national cancer strategies on one year survival, and no evidence for a reduction in socioeconomic inequalities in cancer survival. These findings emphasise that socioeconomic inequalities in survival remain a major public health problem for a healthcare system founded on equity.

Indexed as

Health PolicyAdolescentAdultAgedAged, 80 and overAge FactorsCohort StudiesEnglandFemaleHealth Status DisparitiesHumansMaleMiddle AgedNeoplasmsSex FactorsSocioeconomic Factors

Identifiers

PMID29540358
PMCPMC5850596
OpenAlexW2792109383

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.