Evidence map›Paper›PMID 35157498›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2022

Effect of an Antiracism Intervention on Racial Disparities in Time to Lung Cancer Surgery.

Marjory Charlot, Jacob Newton Stein, Emily Damone, Isabella Wood, Moriah Forster, Stephanie Baker, Marc Emerson, Cleo Samuel-Ryals, Christina Yongue, Eugenia Eng and 3 more

Open access · greenAbstract readPragmatic Clinical Trial
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
7.3field-weighted citation impact, top 2% 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

31 citing papers in PubMed, 2 syntheses or guidelines pooled it, 50 citations in OpenAlex.

  1. Patient navigation programmes for symptomatic lung cancer patients: a scoping review.Archives of public health = Archives belges de sante publique · 2025
    Pooled it
  2. Systematic Review of Interventions Addressing Racial and Ethnic Disparities in Cancer Care and Health Outcomes.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
    Pooled it
  3. Article
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  5. Review
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  9. Review
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  12. Race and Sex Disparities in Metabolic/Bariatric Surgery over 20 Years: A Cohort Study.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2025
    Article
  13. Article
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  15. Article
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  17. Review
  18. Assessing Healthcare Equity in Orthopaedic Surgery: An Analysis of Over 24,000 Surgical Cases.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2024
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 2 institutions in 1 country.

Marjory CharlotDivision of Oncology, Department of Medicine, University of North Carolina, Chapel Hill, NC.ORCID 0000-0001-8773-0425
Jacob Newton SteinDivision of Oncology, Department of Medicine, University of North Carolina, Chapel Hill, NC.ORCID 0000-0002-2082-2760
Emily DamoneDepartment of Biostatistics, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC.ORCID 0000-0003-2369-0254
Isabella WoodDepartment of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC.
Moriah ForsterDepartment of Internal Medicine, University of North Carolina, Chapel Hill, NC.ORCID 0000-0002-6108-1727
Stephanie BakerGreensboro Health Disparities Collaborative, Greensboro, NC.ORCID 0000-0003-2492-4761
Marc EmersonUniversity of North Carolina Lineberger Comprehensive Cancer Center, Chapel Hill, NC.ORCID 0000-0001-7535-1137
Cleo Samuel-RyalsUniversity of North Carolina Lineberger Comprehensive Cancer Center, Chapel Hill, NC.
Christina YongueGreensboro Health Disparities Collaborative, Greensboro, NC.
Eugenia EngUniversity of North Carolina Lineberger Comprehensive Cancer Center, Chapel Hill, NC.
Matthew ManningGreensboro Health Disparities Collaborative, Greensboro, NC.
Allison DealUniversity of North Carolina Lineberger Comprehensive Cancer Center, Chapel Hill, NC.ORCID 0000-0003-3526-3938
Samuel CykertUniversity of North Carolina Lineberger Comprehensive Cancer Center, Chapel Hill, NC.ORCID 0000-0003-2037-6809
University of North Carolina at Chapel Hill · USCone Health · US

Funding

Cancer Health Disparities Training ProgramT32CA128582 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SMITH, JENNIFER SUSAN, TATE, DEBORAH F. · 2009 to 2023
$3.4M
Symptom and Healthcare Access Reporting and Evaluation (SHARE) for Supportive Care EquityK01CA218473 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SAMUEL-RYALS, CLEO A · 2018 to 2021
$641k
NCI NIH HHS K01 CA218473NCI NIH HHS T32 CA128582
6 · The paper itself

Abstract

purposeTimely lung cancer surgery is a metric of high-quality cancer care and improves survival for early-stage non-small-cell lung cancer. Historically, Black patients experience longer delays to surgery than White patients and have lower survival rates. Antiracism interventions have shown benefits in reducing racial disparities in lung cancer treatment.

methodsWe conducted a secondary analysis of Accountability for Cancer Care through Undoing Racism and Equity, an antiracism prospective pragmatic trial, at five cancer centers to assess the impact on overall timeliness of lung cancer surgery and racial disparities in timely surgery. The intervention consisted of (1) a real-time warning system to identify unmet care milestones, (2) race-specific feedback on lung cancer treatment rates, and (3) patient navigation. The primary outcome was surgery within 8 weeks of diagnosis. Risk ratios (RRs) and 95% CIs were estimated using log-binomial regression and adjusted for clinical and demographic factors.

resultsA total of 2,363 patients with stage I and II non-small-cell lung cancer were included in the analyses: intervention (n = 263), retrospective control (n = 1,798), and concurrent control (n = 302). 87.1% of Black patients and 85.4% of White patients in the intervention group (

conclusionAccountability for Cancer Care through Undoing Racism and Equity is associated with timelier lung cancer surgery and reduction of the racial gap in timely surgery.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsHealthcare DisparitiesHumansProspective StudiesRetrospective StudiesUnited States

Identifiers

PMID35157498
PMCPMC9148687
OpenAlexW4213193166

What OpenQuestion holds

Textmetadata
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.