Evidence map›Paper›PMID 32795358›Full record

Observational studyBMC cancer2020

Gender differences in stage at diagnosis and preoperative radiotherapy in patients with rectal cancer.

Cristina Sarasqueta, Mª Victoria Zunzunegui, José María Enríquez Navascues, Arrate Querejeta, Carlos Placer, Amaia Perales, Nerea Gonzalez, Urko Aguirre, Marisa Baré, Antonio Escobar and 2 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in BMC cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 citing papers in PubMed.

  1. Article
  2. Article
  3. The impact of sex on setup accuracy in radiotherapy for rectal cancer: a real-World observational study.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2026
    Observational
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Sex differences in the diagnosis, treatment and prognosis of cancer: the rationale for an individualised approach.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2023
    Article
  12. Review
  13. Article
  14. Article
  15. 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

12 authors.

Cristina SarasquetaBiodonostia Health Research Institute - Donostia University Hospital, Paseo Dr. Beguiristain s/n (Gipuzkoa), 20014, Donostia-San Sebastián, Spain. cristina.sarasquetaeizaguirre@osakidetza.eus.
Mª Victoria ZunzuneguiProfesseure honoraire. École de santé publique (ESPUM) Departement de médecine sociale et préventive, Université de Montréal, Pavillon 7101, salle 3111 7101, Avenue du Parc Montréal, Québec, H3N 1X9, Canada.
José María Enríquez NavascuesDepartment of General and Digestive Surgery, Donostia University Hospital, Paseo Dr. Beguiristain 109 (Gipuzkoa), 20014, Donostia-San Sebastián, Spain.
Arrate QuerejetaRadiotherapic Oncology, Donostia University Hospital, Paseo Dr. Beguiristain 109 (Gipuzkoa), 20014, Donostia-San Sebastián, Spain.
Carlos PlacerDepartment of General and Digestive Surgery, Donostia University Hospital, Paseo Dr. Beguiristain 109 (Gipuzkoa), 20014, Donostia-San Sebastián, Spain.
Amaia PeralesBiodonostia Health Research Institute, Paseo Dr. Beguiristain s/n (Gipuzkoa), 20014, Donostia-San Sebastián, Spain.
Nerea GonzalezRed de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), Galdakao, Bizkaia, Spain.
Urko AguirreRed de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), Galdakao, Bizkaia, Spain.
Marisa BaréRed de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), Galdakao, Bizkaia, Spain.
Antonio EscobarRed de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), Galdakao, Bizkaia, Spain.
José María QuintanaRed de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), Galdakao, Bizkaia, Spain.
REDISSEC-CARESS/CCR Group

Funding

Fondo de Investigación en Salud (FIS) (ES) PS09/00314, PS09/00910, PS09/00746, PS09/00805, PI09/90460, PI09/90490, PI09/90397, PI09/90453, PI09/90441Osasun Saila, Eusko Jaurlaritzako 2010111098
6 · The paper itself

Abstract

backgroundFew studies have examined gender differences in the clinical management of rectal cancer. We examine differences in stage at diagnosis and preoperative radiotherapy in rectal cancer patients.

methodsA prospective cohort study was conducted in 22 hospitals in Spain including 770 patients undergoing surgery for rectal cancer. Study outcomes were disseminated disease at diagnosis and receiving preoperative radiotherapy. Age, comorbidity, referral from a screening program, diagnostic delay, distance from the anal verge, and tumor depth were considered as factors that might explain gender differences in these outcomes.

resultsWomen were more likely to be diagnosed with disseminated disease among those referred from screening (odds ratio, confidence interval 95% (OR, CI = 7.2, 0.9-55.8) and among those with a diagnostic delay greater than 3 months (OR, CI = 5.1, 1.2-21.6). Women were less likely to receive preoperative radiotherapy if they were younger than 65 years of age (OR, CI = 0.6, 0.3-1.0) and if their tumors were cT3 or cT4 (OR, CI = 0.5, 0.4-0.7).

conclusionsThe gender-specific sensitivity of rectal cancer screening tests, gender differences in referrals and clinical reasons for not prescribing preoperative radiotherapy in women should be further examined. If these gender differences are not clinically justifiable, their elimination might enhance survival.

Indexed as

AgedAged, 80 and overCross-Sectional StudiesDelayed DiagnosisEarly Detection of CancerFemaleHealthcare DisparitiesHumansMaleNeoadjuvant TherapyNeoplasm StagingProctectomyProspective StudiesRadiotherapy, AdjuvantRectal NeoplasmsRectumAdjuvant radiotherapyDelayed diagnosisGenderRectal CancerTumor staging

Identifiers

PMID32795358
PMCPMC7427942

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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.