ArticleCancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology2019
Providing Higher Resolution Indicators of Rurality in the Surveillance, Epidemiology, and End Results (SEER) Database: Implications for Patient Privacy and Research.
Article in Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed.
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- Neighborhood Disadvantage and Cardiovascular Mortality Among Colorectal Cancer Survivors.Cancers · 2025Article
- The Translational Research Program in Cancer Differences across Populations.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025Article
- Medigap Protection and Plan Switching Among Medicare Advantage Enrollees With Cancer.JAMA health forum · 2025Article
- Antibiotic treatment and survival in patients with resected, early-stage pancreatic ductal adenocarcinoma receiving chemotherapy.JNCI cancer spectrum · 2025Article
- Racial and Ethnic Survival Disparities Among Children With High-Risk Neuroblastoma: A Children's Oncology Group Report.JAMA network open · 2025Article
- Article
- Development and validation of a preliminary multivariable diagnostic model for identifying unusual infections in hospitalized patients.Biomolecules & biomedicine · 2024Article
- Enrollment on upfront high-risk neuroblastoma trials by race, ethnicity, and poverty status: A report from the Children's Oncology Group.Pediatric blood & cancer · 2024Article
- Impact of rural location on receipt of standard of care treatment and survival for locally advanced bladder cancer in Louisiana.Cancer medicine · 2024Article
- Impact of preexisting autoimmune disease on myelodysplastic syndromes outcomes: a population analysis.Blood advances · 2023Article
- Community socioeconomic status and rural/racial disparities in HPV-/+ head and neck cancer.Technical innovations & patient support in radiation oncology · 2023Article
- Defining rurality: an evaluation of rural definitions and the impact on survival estimates.Journal of the National Cancer Institute · 2023Article
- Improving rural cancer prevention: targeted data and understanding rural-specific factors and lived experiences.Journal of the National Cancer Institute · 2023Article
- Association of Antibiotic Receipt With Survival Among Patients With Metastatic Pancreatic Ductal Adenocarcinoma Receiving Chemotherapy.JAMA network open · 2023Article
- Population-Based Impact of Rurality and Neighborhood-Level Socioeconomic Disadvantage on Pediatric Cancer Mortality in Washington State.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2023Article
- Geographic determinants of colorectal cancer in Louisiana.Cancer causes & control : CCC · 2022Article
- Environmental data and methods from the Accumulating Data to Optimally Predict Obesity Treatment (ADOPT) core measures environmental working group.Data in brief · 2022Article
- Using a Patient Portal to Increase Enrollment in a Newborn Screening Research Study: Observational Study.JMIR pediatrics and parenting · 2022Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
backgroundThe burden of cancer is higher in rural areas than urban areas. The NCI's Surveillance, Epidemiology, and End Results (SEER) database currently provides county-level information on rurality for cancer patients in its catchment area, but more nuanced measures of rurality would improve etiologic and surveillance studies.
methodsWe analyzed disclosure risk and conducted a sample utility analysis of census tract-level measures of rurality, using (1) U.S. Department of Agriculture's Rural Urban Commuting Area (RUCA) codes and (2) U.S. Census data on percentage of the population living in nonurban areas. We evaluated the risk of disclosure by calculating the percentage of census tracts and cancer cases that would be uniquely identified by a combination of these two rurality measures with a census tract-level socioeconomic status (SES) variable. The utility analyses examined SES disparities across levels of rurality for lung and breast cancer incidence and relative survival.
resultsRisk of disclosure was quite low: <0.03% of census tracts and <0.03% of cancer cases were uniquely identified. Utility analyses demonstrated an SES gradient in lung and breast cancer incidence and survival, with relatively similar patterns across rurality variables.
conclusionsThe RUCA and Census rurality measures have been added to a specialized SEER 18 database. Interested researchers can request access to this database to perform analyses of urban/rural differences in cancer incidence and survival. IMPACT: Such studies can provide important research support for future interventions to improve cancer prevention and control.
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