Evidence map›Paper›PMID 30081855›Full record

ArticleBMC cancer2018

Favorable mortality-to-incidence ratios of kidney Cancer are associated with advanced health care systems.

Wen-Wei Sung, Shao-Chuan Wang, Tzuo-Yi Hsieh, Cheng-Ju Ho, Cheng-Yu Huang, Yu-Lin Kao, Wen-Jung Chen, Sung-Lang Chen

Abstract readComparative Study
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 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing 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.

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

23 citing papers in PubMed.

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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

8 authors.

Wen-Wei SungDepartment of Urology, Chung Shan Medical University Hospital, No.110, Sec. 1, Jianguo N. Rd., South Dist, Taichung City, 402, Taiwan.
Shao-Chuan WangDepartment of Urology, Chung Shan Medical University Hospital, No.110, Sec. 1, Jianguo N. Rd., South Dist, Taichung City, 402, Taiwan.
Tzuo-Yi HsiehDepartment of Urology, Chung Shan Medical University Hospital, No.110, Sec. 1, Jianguo N. Rd., South Dist, Taichung City, 402, Taiwan.
Cheng-Ju HoSchool of Medicine, Chung Shan Medical University, No.110, Sec. 1, Jianguo N. Rd., South Dist, Taichung City, 402, Taiwan.
Cheng-Yu HuangDepartment of Urology, National Taiwan University Hospital, No.95, Wenchang Rd., Shilin Dist, Taipei City, 111, Taiwan.
Yu-Lin KaoDepartment of Urology, Chung Shan Medical University Hospital, No.110, Sec. 1, Jianguo N. Rd., South Dist, Taichung City, 402, Taiwan.
Wen-Jung ChenDepartment of Urology, Chung Shan Medical University Hospital, No.110, Sec. 1, Jianguo N. Rd., South Dist, Taichung City, 402, Taiwan.
Sung-Lang ChenDepartment of Urology, Chung Shan Medical University Hospital, No.110, Sec. 1, Jianguo N. Rd., South Dist, Taichung City, 402, Taiwan. cshy650@csh.org.tw.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe advancements in cancer therapy have improved the clinical outcomes of cancer patients in recent decades. However, advanced cancer therapy is expensive and requires good health care systems. For kidney cancer, no studies have yet established an association between clinical outcome and health care disparities.

methodsWe used the mortality-to-incidence ratio (MIR) for kidney cancer as a marker of clinical outcome to compare World Health Organization (WHO) country rankings and total expenditures on health/gross domestic product (e/GDP) using linear regression analyses.

resultsWe included 57 countries based on data from the GLOBOCAN 2012 database. We found that more highly developed regions have higher crude and age-standardized rates of kidney cancer incidence and mortality, but a lower MIR, when compared to less developed regions. North America has the highest crude rates of incidence, but the lowest MIRs, whereas Africa has the highest MIRs. Furthermore, favorable MIRs are correlated with countries with good WHO rankings and high e/GDP expenditures (p < 0.001 and p = 0.013, respectively).

conclusionsKidney cancer MIRs are positively associated with the ranking of health care systems and health care expenditures.

Indexed as

Delivery of Health CareGlobal HealthHealthcare DisparitiesDatabases, FactualGross Domestic ProductHealth Care CostsHealth ExpendituresHumansIncidenceKidney NeoplasmsRisk FactorsTime FactorsTreatment OutcomeIncidenceKidney cancerMortalityMortality-to-incidence ratio

Identifiers

PMID30081855
PMCPMC6091202

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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.