Evidence map›Paper›PMID 33478065›Full record

ArticleCancers2021

Estimation of the Potentially Avoidable Excess Deaths Associated with Socioeconomic Inequalities in Cancer Survival in Germany.

Lina Jansen, Josephine Kanbach, Isabelle Finke, Volker Arndt, Katharina Emrich, Bernd Holleczek, Hiltraud Kajüter, Joachim Kieschke, Werner Maier, Ron Pritzkuleit and 5 more

Abstract read
In one paragraph

Article in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Observational
  7. Disparities in Cancer-Related Avoidable Mortality by the Level of Area Deprivation in South Korea.International journal of environmental research and public health · 2021
    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

15 authors.

Lina JansenDivision of Clinical Epidemiology and Aging Research, German Cancer Research Center (DKFZ), 69120 Heidelberg, Germany.ORCID 0000-0001-8004-4940
Josephine KanbachFaculty 11-Human and Health Science, University of Bremen, 28359 Bremen, Germany.
Isabelle FinkeDivision of Clinical Epidemiology and Aging Research, German Cancer Research Center (DKFZ), 69120 Heidelberg, Germany.
Volker ArndtEpidemiological Cancer Registry Baden-Württemberg, German Cancer Research Center (DKFZ), 69120 Heidelberg, Germany.ORCID 0000-0001-9320-8684
Katharina EmrichCancer Registry of Rhineland-Palatinate gGmbH, 55116 Mainz, Germany.
Bernd HolleczekSaarland Cancer Registry, 66119 Saarbrücken, Germany.ORCID 0000-0001-8759-4371
Hiltraud KajüterLandeskrebsregister Nordrhein-Westfalen gGmbH, 44801 Bochum, Germany.
Joachim KieschkeEpidemiological Cancer Registry Lower Saxony, 26121 Oldenburg, Germany.
Werner MaierHelmholtz Zentrum München-German Research Center for Environmental Health (GmbH), Institute of Health Economics and Health Care Management, 85764 Neuherberg, Germany.
Ron PritzkuleitInstitute for Cancer Epidemiology at the University of Lübeck, Cancer Registry Schleswig-Holstein, 23538 Lübeck, Germany.
Eunice SirriEpidemiological Cancer Registry Lower Saxony, 26121 Oldenburg, Germany.
Lars SchwettmannHelmholtz Zentrum München-German Research Center for Environmental Health (GmbH), Institute of Health Economics and Health Care Management, 85764 Neuherberg, Germany.
Cynthia ErbHamburg Cancer Registry, 20539 Hamburg, Germany.
Hermann BrennerDivision of Clinical Epidemiology and Aging Research, German Cancer Research Center (DKFZ), 69120 Heidelberg, Germany.ORCID 0000-0002-6129-1572
For The German Cancer Survival Working Group

Funding

Deutsche Krebshilfe 70112090
6 · The paper itself

Abstract

Many countries have reported survival inequalities due to regional socioeconomic deprivation. To quantify the potential gain from eliminating cancer survival disadvantages associated with area-based deprivation in Germany, we calculated the number of avoidable excess deaths. We used population-based cancer registry data from 11 of 16 German federal states. Patients aged ≥15 years diagnosed with an invasive malignant tumor between 2008 and 2017 were included. Area-based socioeconomic deprivation was assessed using the quintiles of the German Index of Multiple Deprivation (GIMD) 2010 on a municipality level nationwide. Five-year age-standardized relative survival for 25 most common cancer sites and for total cancer were calculated using period analysis. Incidence and number of avoidable excess deaths in Germany in 2013-2016 were estimated. Summed over the 25 cancer sites, 4100 annual excess deaths (3.0% of all excess deaths) could have been avoided each year in Germany during the period 2013-2016 if relative survival were in all regions comparable with the least deprived regions. Colorectal, oral and pharynx, prostate, and bladder cancer contributed the largest numbers of avoidable excess deaths. Our results provide a good basis to estimate the potential of intervention programs for reducing socioeconomic inequalities in cancer burden in Germany.

Indexed as

avoidable deathscancerGermanysocioeconomic deprivationsurvival

Identifiers

PMID33478065
PMCPMC7835812

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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.