Evidence map›Paper›PMID 33692182›Full record

SynthesisBMJ open2021

Patterns of age disparities in colon and lung cancer survival: a systematic narrative literature review.

Sophie Pilleron, Helen Gower, Maryska Janssen-Heijnen, Virginia Claire Signal, Jason K Gurney, Eva Ja Morris, Ruth Cunningham, Diana Sarfati

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 11% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
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  5. Review
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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

8 authors at 3 institutions in 3 countries.

Sophie PilleronDepartment of Public Health, School of Medicine, University of Otago, Wellington, New Zealand sophie.pilleron@gmail.com.ORCID http://orcid.org/0000-0001-7146-4740
Helen GowerDepartment of Surgery and Anaesthesia, Surgical Cancer Research Group, University of Otago, Wellington, New Zealand.
Maryska Janssen-HeijnenDepartment of Clinical Epidemiology, VieCuri Medical Centre, Venlo, The Netherlands.
Virginia Claire SignalDepartment of Public Health, School of Medicine, University of Otago, Wellington, New Zealand.
Jason K GurneyDepartment of Public Health, School of Medicine, University of Otago, Wellington, New Zealand.ORCID http://orcid.org/0000-0002-7615-0748
Eva Ja MorrisNuffield Department of Population Health, University of Oxford, Big Data Institute, Oxford, UK.
Ruth CunninghamDepartment of Public Health, School of Medicine, University of Otago, Wellington, New Zealand.ORCID http://orcid.org/0000-0003-0090-3579
Diana SarfatiNew Zealand Cancer Control Agency, Wellington, New Zealand.
University of Otago · NZMaastricht University Medical Centre · NLUniversity of Oxford · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo identify patterns of age disparities in cancer survival, using colon and lung cancer as exemplars.

designSystematic review of the literature. DATA SOURCES: We searched Embase, MEDLINE, Scopus and Web of Science through 18 December 2020. ELIGIBILITY CRITERIA: We retained all original articles published in English including patients with colon or lung cancer. Eligible studies were required to be population-based, report survival across several age groups (of which at least one was over the age of 65) and at least one other characteristic (eg, sex, treatment). DATA EXTRACTION AND SYNTHESIS: Two independent reviewers extracted data and assessed the quality of included studies against selected evaluation domains from the QUIPS tool, and items concerning statistical reporting. We evaluated age disparities using the absolute difference in survival or mortality rates between the middle-aged group and the oldest age group, or by describing survival curves.

resultsOut of 3047 references, we retained 59 studies (20 for colon, 34 for lung and 5 for both sites). Regardless of the cancer site, the included studies were highly heterogeneous and often of poor quality. The magnitude of age disparities in survival varied greatly by sex, ethnicity, socioeconomic status, stage at diagnosis, cancer site, and morphology, the number of nodes examined and treatment strategy. Although results were inconsistent for most characteristics, we consistently observed greater age disparities for women with lung cancer compared with men. Also, age disparities increased with more advanced stages for colon cancer and decreased with more advanced stages for lung cancer.

conclusionsAlthough age is one of the most important prognostic factors in cancer survival, age disparities in colon and lung cancer survival have so far been understudied in population-based research. Further studies are needed to better understand age disparities in colon and lung cancer survival. PROSPERO REGISTRATION NUMBER: CRD42020151402.

Indexed as

Colonic NeoplasmsLung NeoplasmsEthnicityFemaleHumansMaleMiddle AgedSocial Classadult oncologyepidemiologyoncology

Identifiers

PMID33692182
PMCPMC7949400
OpenAlexW3135145285

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.