Evidence map›Paper›PMID 33442663›Full record

ArticleJNCI cancer spectrum2021

Presentation, Management, and Outcomes Across the Rural-Urban Continuum for Hepatocellular Carcinoma.

Kali Zhou, Trevor A Pickering, Christina S Gainey, Myles Cockburn, Mariana C Stern, Lihua Liu, Jennifer B Unger, Anthony B El-Khoueiry, Norah A Terrault

Open access · goldAbstract read
In one paragraph

Article in JNCI cancer spectrum, 2021. 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
1.5field-weighted citation impact, top 16% 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

15 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Article
  3. The Influence of Residential Segregation, Urbanicity, and Population Density on Hepatocellular Carcinoma Incidence among a Low Socioeconomic Population.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Prevention of Hepatocellular Carcinoma (HCC). White Paper of the Texas Collaborative Center for Hepatocellular Cancer (TeCH) Multi-stakeholder Conference.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2023
    Article
  9. Article
  10. Actionable Solutions to Achieve Health Equity in Chronic Liver Disease.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2023
    Review
  11. Current status of disparity in liver disease.World journal of hepatology · 2022
    Review
  12. Review
  13. Review
  14. Review
  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

9 authors at 1 institution in 1 country.

Kali ZhouDepartment of Medicine, University of Southern California, Los Angeles, CA, USA.ORCID 0000-0001-8554-2906
Trevor A PickeringDepartment of Preventive Medicine, University of Southern California, Los Angeles, CA, USA.ORCID 0000-0002-2281-641X
Christina S GaineyDepartment of Medicine, University of Southern California, Los Angeles, CA, USA.
Myles CockburnDepartment of Preventive Medicine, University of Southern California, Los Angeles, CA, USA.
Mariana C SternDepartment of Preventive Medicine, University of Southern California, Los Angeles, CA, USA.
Lihua LiuDepartment of Preventive Medicine, University of Southern California, Los Angeles, CA, USA.ORCID 0000-0003-2252-8407
Jennifer B UngerDepartment of Preventive Medicine, University of Southern California, Los Angeles, CA, USA.ORCID 0000-0001-9064-6603
Anthony B El-KhoueiryDepartment of Medicine, University of Southern California, Los Angeles, CA, USA.
Norah A TerraultDepartment of Medicine, University of Southern California, Los Angeles, CA, USA.
University of Southern California · US

Funding

Southern California Clinical and Translational Science InstituteUL1TR001855 · NCATS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Thomas A Buchanan, Michele D. Kipke · 2016 to 2026
$81.3M
USC RESEARCH CENTER FOR LIVER DISEASES: PILOT PROGRAMSP30DK048522 · NIDDK · UNIVERSITY OF SOUTHERN CALIFORNIA · PI OOKHTENS, MURAD · 1995 to 2020
$21.8M
NCATS NIH HHS UL1 TR001855NIDDK NIH HHS P30 DK048522
6 · The paper itself

Abstract

Background: Hepatocellular carcinoma is 1 of few cancers with rising incidence and mortality in the United States. Little is known about disease presentation and outcomes across the rural-urban continuum. Methods: Using the population-based Surveillance, Epidemiology, and End Results registry, we identified adults with incident hepatocellular carcinoma between 2000 and 2016. Urban, suburban, and rural residence at time of cancer diagnosis were categorized by the Census Bureau's percent of the population living in nonurban areas. We examined association between place of residence and overall survival. Secondary outcomes were late tumor stage and receipt of therapy. Results: Of 83 368 incident cases of hepatocellular carcinoma, 75.8%, 20.4%, and 3.8% lived in urban, suburban, and rural communities, respectively. Median survival was 7 months (interquartile range = 2-24). All stage and stage-specific survival differed by place of residence, except for distant stage. In adjusted models, rural and suburban residents had a respective 1.09-fold (95% confidence interval [CI] = 1.04 to 1.14; Conclusions: Residence in a suburban and rural community at time of diagnosis was independently associated with worse indicators across the cancer continuum for liver cancer. Further research is needed to elucidate the primary drivers of these rural-urban disparities.

Indexed as

AdultAgedCarcinoma, HepatocellularConfidence IntervalsEthnicityFemaleHumansIncidenceKaplan-Meier EstimateLiver NeoplasmsMaleMiddle AgedRacial GroupsRural PopulationSEER ProgramUnited States

Identifiers

PMID33442663
PMCPMC7791625
OpenAlexW3097537896

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.