Evidence map›Paper›PMID 34277066›Full record

ReviewJournal of thoracic disease2021

The impact of income and education on lung cancer screening utilization, eligibility, and outcomes: a narrative review of socioeconomic disparities in lung cancer screening.

Samuel Castro, Ernesto Sosa, Vanessa Lozano, Aamna Akhtar, Kyra Love, Jeanette Duffels, Dan J Raz, Jae Y Kim, Virginia Sun, Loretta Erhunmwunsee

Abstract readReview
In one paragraph

Review in Journal of thoracic disease, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
–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

43 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  10. Educational attainment and employment status in lung cancer patients: a nationwide study.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
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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

10 authors.

Samuel CastroDepartment of Surgery, City of Hope Comprehensive Cancer Center, Duarte, CA, USA.
Ernesto SosaDepartment of Populations Sciences, City of Hope National Medical Center, Duarte, CA, USA.
Vanessa LozanoDepartment of Populations Sciences, City of Hope National Medical Center, Duarte, CA, USA.
Aamna AkhtarDepartment of Surgery, City of Hope Comprehensive Cancer Center, Duarte, CA, USA.
Kyra LoveLibrary Services, City of Hope National Medical Center, Duarte, CA, USA.
Jeanette DuffelsLibrary Services, City of Hope National Medical Center, Duarte, CA, USA.
Dan J RazDepartment of Surgery, City of Hope Comprehensive Cancer Center, Duarte, CA, USA.
Jae Y KimDepartment of Surgery, City of Hope Comprehensive Cancer Center, Duarte, CA, USA.
Virginia SunDepartment of Surgery, City of Hope Comprehensive Cancer Center, Duarte, CA, USA.
Loretta ErhunmwunseeDepartment of Surgery, City of Hope Comprehensive Cancer Center, Duarte, CA, USA.

Funding

Oncology Research Career Development ProgramK12CA001727 · NCI · CITY OF HOPE NATIONAL MEDICAL CENTER · PI MORTIMER, JOANNE E. · 1992 to 2024
$14.6M
NCI NIH HHS K12 CA001727
6 · The paper itself

Abstract

Non-small cell lung cancer (NSCLC) is the leading cause of cancer deaths in the US and worldwide. In particular, vulnerable populations such as those of low socioeconomic status (SES) are at the highest risk for and suffer the highest mortality from NSCLC. Although lung cancer screening (LCS) has been demonstrated to be a powerful tool to lower NSCLC mortality, it is underutilized by eligible smokers, and disparities in screening are likely to contribute to inequities in NSCLC outcomes. It is imperative that we collect and analyze LCS data focused on individuals of low socioeconomic position to identify and address barriers to LCS utilization and help close the gaps in NSCLC mortality along socioeconomic lines. Toward this end, this review aims to examine published studies that have evaluated the impact of income and education on LCS utilization, eligibility, and outcomes. We searched the PubMed, Ovid MEDLINE, and CINAHL Plus databases for all studies published from January 1, 2010, to October 21, 2020, that discussed socioeconomic-based LCS outcomes. The review reveals that income and education have impact on LCS utilization, eligibility, false positive rates and smoking cessation attempts; however, there is a lack of studies evaluating the impact of SES on LCS follow-up, stage at diagnosis, and treatment. We recommend the intentional inclusion of lower SES participants in LCS studies in order to clarify appropriate eligibility criteria, risk-based metrics and outcomes in this high-risk group. We also anticipate that low SES smokers and their providers will require increased support and education regarding smoking cessation and shared decision-making efforts.

Indexed as

educationincomelung cancer screening (LCS)Socioeconomic disparities

Identifiers

PMID34277066
PMCPMC8264678

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.