Evidence map›Paper›PMID 31694679›Full record

ArticleBMC cancer2019

Comparing cancer incidence, stage at diagnosis and outcomes of First Nations and all other Manitobans: a retrospective analysis.

Tara C Horrill, Lindsey Dahl, Esther Sanderson, Garry Munro, Cindy Garson, Carole Taylor, Randy Fransoo, Genevieve Thompson, Catherine Cook, Janice Linton and 1 more

Open access · goldAbstract readComparative Study
In one paragraph

Article in BMC cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
1.0field-weighted citation impact, top 21% 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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Interventions to improve cancer survivorship among Indigenous Peoples and communities: a systematic review with a narrative synthesis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    Pooled it
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  10. Toward equitable access to oncology care for Indigenous Peoples in Canada: Implications for nursing.Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2022
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  11. Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2022
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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

11 authors at 4 institutions in 1 country.

Tara C HorrillCollege of Nursing, Rady Faculty of Health Sciences, University of Manitoba, 89 Curry Place, Winnipeg, R3T 2N2, Canada. tara.horrill@umanitoba.ca.ORCID https://orcid.org/0000-0002-8803-5624
Lindsey DahlRady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada.
Esther SandersonUniversity College of the North, The Pas, Canada.
Garry MunroCree Nation Tribal Health Centre, The Pas, Canada.
Cindy GarsonInterlake Reserves Tribal Council, Winnipeg, Canada.
Carole TaylorManitoba Centre for Health Policy, University of Manitoba, Winnipeg, Canada.
Randy FransooManitoba Centre for Health Policy, University of Manitoba, Winnipeg, Canada.
Genevieve ThompsonCollege of Nursing, Rady Faculty of Health Sciences, University of Manitoba, 89 Curry Place, Winnipeg, R3T 2N2, Canada.
Catherine CookRady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada.
Janice LintonIndigenous Health Librarian, University of Manitoba, Winnipeg, Canada.
Annette S H SchultzCollege of Nursing, Rady Faculty of Health Sciences, University of Manitoba, 89 Curry Place, Winnipeg, R3T 2N2, Canada.
University of Manitoba · CAManitoba Health · CACree Board of Health and Social Services of James Bay · CAUniversity College of the North · CA

Funding

University of Manitoba 47075
6 · The paper itself

Abstract

backgroundGlobally, epidemiological evidence suggests cancer incidence and outcomes among Indigenous peoples are a growing concern. Although historically cancer among First Nations (FN) peoples in Canada was relatively unknown, recent epidemiological evidence reveals a widening of cancer related disparities. However evidence at the population level is limited. The aim of this study was to explore cancer incidence, stage at diagnosis, and outcomes among status FN peoples in comparison with all other Manitobans (AOM).

methodsAll cancers diagnosed between April 1, 2004 and March 31, 2011 were linked with the Indian Registry System and five provincial healthcare databases to compare differences in characteristics, cancer incidence, and stage at diagnosis and mortality of the FN and AOM cohorts. Cox proportional hazard regression models were used to examine mortality.

resultsThe FN cohort was significantly younger, with higher comorbidities than AOM. A higher proportion of FN people were diagnosed with cancer at stages III (18.7% vs. 15.4%) and IV (22.4% vs. 19.9%). Cancer incidence was significantly lower in the FN cohort, however, there were no significant differences between the two cohorts after adjusting for age, sex, income and area of residence. No significant trends in cancer incidence were identified in either cohort over time. Mortality was generally higher in the FN cohort.

conclusionsDespite similar cancer incidence, FN peoples in Manitoba experience poorer survival. The underlying causes of these disparities are not yet understood, particularly in relation to the impact of colonization and other determinants of health.

Indexed as

AgedAged, 80 and overCanadaFemaleHealth ServicesHumansIncidenceIndians, North AmericanMaleManitobaMiddle AgedNeoplasmsNeoplasm StagingProportional Hazards ModelsRegistriesRetrospective StudiesCanadaCancerFirst NationsIndigenousMortalityNeoplasms

Identifiers

PMID31694679
PMCPMC6836370
OpenAlexW2988684098

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.