Evidence map›Paper›PMID 37335883›Full record

ArticleThe oncologist2023

Local Social Vulnerability as a Predictor for Cancer-Related Mortality Among US Counties.

Krista Y Chen, Amanda L Blackford, Ramy Sedhom, Arjun Gupta, S M Qasim Hussaini

Abstract read
In one paragraph

Article in The oncologist, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing 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

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

  1. Pooled it
  2. Food assistance strategies for patients of an infusion clinic: a pilot randomized controlled trial (protocol number: STU-2023-0387).Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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  8. Social vulnerability, access to care, and outcomes in hemophilia.Blood vessels, thrombosis & hemostasis · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Krista Y ChenJohns Hopkins School of Medicine, Baltimore, MD, USA.
Amanda L BlackfordSidney Kimmel Comprehensive Cancer Center, Johns Hopkins Hospital, Baltimore, MD, USA.
Ramy SedhomUniversity of Pennsylvania, Philadelphia, PA, USA.
Arjun GuptaMasonic Cancer Center, University of Minnesota, Minneapolis, MI, USA.
S M Qasim HussainiSidney Kimmel Comprehensive Cancer Center, Johns Hopkins Hospital, Baltimore, MD, USA.ORCID 0000-0002-8006-5343

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Substantial gaps in national healthcare spending and disparities in cancer mortality rates are noted across counties in the US. In this cross-sectional analysis, we investigated whether differences in local county-level social vulnerability impacts cancer-related mortality. We linked county-level age-adjusted mortality rates (AAMR) from the Centers for Disease Control and Prevention (CDC) Wide-ranging Online Data for Epidemiologic Research database, to county-level Social Vulnerability Index (SVI) from the CDC Agency for Toxic Substances and Disease Registry. SVI is a metric comprising 15 social factors including socioeconomic status, household composition and disability, minority status and language, and housing type and transportation. AAMRs were compared between least and most vulnerable counties using robust linear regression models. There were 4 107 273 deaths with an overall AAMR of 173 per 100 000 individuals. Highest AAMRs were noted in older adults, men, non-Hispanic Black individuals, and rural and Southern counties. Highest mortality risk increases between least and most vulnerable counties were noted in Southern and rural counties, individuals aged 45-65, and lung and colorectal cancers, suggesting that these groups may face highest risk for health inequity. These findings inform ongoing deliberations in public health policy at the state and federal level and encourage increased investment into socially disadvantaged counties.

Indexed as

NeoplasmsSocial VulnerabilityAgedCross-Sectional StudiesHumansLongitudinal StudiesMaleSocial ClassUnited Statescancercountydisparitiespolicyrural

Identifiers

PMID37335883
PMCPMC10485383

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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.