Evidence map›Paper›PMID 36991267›Full record

ArticleSurgical endoscopy2023

Geographical variations in long term colorectal cancer outcomes in England: a contemporary population analysis revealing the north-south divide in colorectal cancer survival.

Joshua Franklyn, Joe Lomax, Amy Baker, Muhammad Abdalkoddus, Joanne Hosking, Mark G Coleman, Sebastian Smolarek

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Article in Surgical endoscopy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
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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

7 authors.

Joshua FranklynDepartment of Colorectal Surgery, University Hospitals Plymouth NHS Trust, Plymouth, PL6 8DH, UK. Joshua.franklyn@nhs.net.ORCID 0000-0001-9343-1798
Joe LomaxMedical Statistics, Faculty of Health: Medicine, Dentistry and Human Sciences, University of Plymouth, Plymouth, UK.
Amy BakerMedical Statistics, Faculty of Health: Medicine, Dentistry and Human Sciences, University of Plymouth, Plymouth, UK.
Muhammad AbdalkoddusDepartment of Colorectal Surgery, University Hospitals Plymouth NHS Trust, Plymouth, PL6 8DH, UK.
Joanne HoskingMedical Statistics, Faculty of Health: Medicine, Dentistry and Human Sciences, University of Plymouth, Plymouth, UK.
Mark G ColemanDepartment of Colorectal Surgery, University Hospitals Plymouth NHS Trust, Plymouth, PL6 8DH, UK.
Sebastian SmolarekDepartment of Colorectal Surgery, University Hospitals Plymouth NHS Trust, Plymouth, PL6 8DH, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRegional variations in healthcare outcomes in England have been historically reported. This study analyses the variations in long term colorectal cancer survival across different regions in England.

methodsRelative survival analysis of population data obtained from all cancer registries in England between 2010 and 2014.

resultsTotally, 167,501 patients were studied. Regions in the southern England had better outcomes with Southwest and Oxford registries having 63.5 and 62.7% 5 year relative survival. In contrast, Trent and Northwest cancer registries had 58.1% relative survival (p < 0.01). The regions in the north fared below the national average. The survival outcomes reflected socio-economic deprivation status, the best performing regions in the south having low levels of deprivation (5.3 and 6.5% having maximum deprivation in Southwest and Oxford, respectively). The regions with worst long term cancer outcomes had high levels of deprivation with 25% and 17% having high levels of deprivation in Northwest and Trent regions.

conclusionThere are significant variations in long term colorectal cancer survival between different regions in England, southern England had better relative survival when compared with the northern regions. Disparities in socio-economic depravation status in different regions may be associated with worse colorectal cancer outcomes.

Indexed as

Colorectal NeoplasmsSocial ClassEnglandHumansSocioeconomic FactorsColorectal cancerGeographical variationsSocio-economic deprivation

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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.