Evidence map›Paper›PMID 30324636›Full record

SynthesisEuropean journal of cancer care2019

The influence of health literacy on the timely diagnosis of symptomatic cancer: A systematic review.

Elka Humphrys, Jenni Burt, Greg Rubin, Jon D Emery, Fiona M Walter

Abstract readSystematic Review
In one paragraph

Synthesis in European journal of cancer care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 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

28 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Observational
  7. Article
  8. Article
  9. Review
  10. DOST: A consolidated health behavior model that maps factors influencing cancer screening uptake.Archives of public health = Archives belges de sante publique · 2025
    Article
  11. Article
  12. Article
  13. Article
  14. Personal and organisational health literacy in the non-specific symptom pathway for cancer: An ethnographic study.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
  15. Review
  16. How do (false) positively screened patients experience a screening programme for liver cirrhosis or fibrosis in Germany? A qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2023
    Article
  17. Article
  18. Article
  19. Article
  20. 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

5 authors.

Elka HumphrysPrimary Care Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0002-6127-0157
Jenni BurtCambridge Centre for Health Services Research, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0002-0037-274X
Greg RubinInstitute of Health and Society, Sir James Spence Institute, Newcastle University, Newcastle upon Tyne, UK.ORCID http://orcid.org/0000-0002-4967-0297
Jon D EmeryDepartment of General Practice and Centre for Cancer Research, University of Melbourne, Victorian Comprehensive Cancer Centre, Melbourne, Victoria, Australia.ORCID http://orcid.org/0000-0002-5274-6336
Fiona M WalterPrimary Care Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0002-7191-6476

Funding

Medical Research CouncilNational Institute for Health Research School for Primary Care ResearchNHMRC Practitioner Fellowship Support for JENIHR Clinician Scientist awardRaymond and Beverly Sackler Fund
6 · The paper itself

Abstract

Low health literacy has been associated with poor cancer screening uptake, difficulty in making treatment choices and reduced quality of life following a cancer diagnosis, yet it is unclear whether and how health literacy influences the pathway to diagnosis for patients with cancer symptoms. This systematic review aimed to evaluate the influence of health literacy on the timely diagnosis of symptomatic cancer. Literature was searched between January 1990 and May 2017 using MEDLINE, Embase, Scopus, ASSIA, CINAHL and PsycINFO. Only three papers met the inclusion criteria. These reported two qualitative studies and one quantitative, with adult patients diagnosed with gastrointestinal (colon, rectum and pancreas), cervical and breast cancer. The definition and assessment of health literacy varied between the studies, as did the descriptions of the pathway to diagnosis. Due to the methodological weaknesses identified, the conclusions are limited; however, the studies did highlight important considerations in the definition and measurement of health literacy. Further research is required that clearly defines health literacy and follows the principles of the Aarhus Statement to assess the influence of health literacy on the pathway to cancer diagnosis. The protocol for this review was registered with PROSPERO (CRD42016048917).

Indexed as

Delayed DiagnosisHealth LiteracyHumansNeoplasmsQualitative Researchcancerhealth literacysystematic reviewtimely diagnosis

Identifiers

PMID30324636
PMCPMC6559266

What OpenQuestion holds

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LicenceCC BY
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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.