Evidence map›Paper›PMID 37402623›Full record

ArticleJournal of the National Cancer Institute2023

Leveraging national and global political determinants of health to promote equity in cancer care.

Edward Christopher Dee, Michelle Ann B Eala, Janine Patricia G Robredo, Duvern Ramiah, Anne Hubbard, Frances Dominique V Ho, Richard Sullivan, Ajay Aggarwal, Christopher M Booth, Gerardo D Legaspi and 3 more

Abstract read
In one paragraph

Article in Journal of the National Cancer Institute, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing 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

20 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Redefining oropharyngeal cancer in the HPV era: integrating precision medicine and immunotherapeutic frontiers.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  7. Article
  8. Article
  9. Bangkok declarations on cancer control in Asia.The Lancet regional health. Western Pacific · 2025
    Review
  10. Observational
  11. Review
  12. Article
  13. Review
  14. Political determinants of cancer health.Lancet regional health. Americas · 2025
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
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

13 authors.

Edward Christopher DeeDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York City, NY, USA.ORCID 0000-0001-6119-0889
Michelle Ann B EalaCollege of Medicine, University of the Philippines, Manila, Philippines.ORCID 0000-0002-5651-3513
Janine Patricia G RobredoSchool of Medicine and Public Health, Ateneo de Manila University, Pasig City, Philippines.
Duvern RamiahDivision of Radiation Oncology, University of the Witwatersrand, Johannesburg and Charlotte Maxeke Johannesburg Academic Hospital, Johannesburg, South Africa.
Anne HubbardAmerican Society for Radiation Oncology, Arlington, VA, USA.
Frances Dominique V HoCollege of Medicine, University of the Philippines, Manila, Philippines.
Richard SullivanKings Health Partners Comprehensive Cancer Centre, King's College London, Institute of Cancer Policy, London, UK.
Ajay AggarwalDepartment of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, London, UK.
Christopher M BoothDepartment of Oncology, Queen's University, Kingston, ON, Canada.
Gerardo D LegaspiDivision of Neurosurgery, Department of Neurosciences, College of Medicine and Philippine General Hospital, University of the Philippines Manila, Manila, Philippines.
Paul L NguyenDepartment of Radiation Oncology, Dana-Farber Cancer Institute/Harvard Cancer Center, Boston, MA, USA.
C S PrameshTata Memorial Hospital, Thoracic Surgery (Surgical Oncology) at Tata Memorial Centre, Homi Bhabha National Institute, Mumbai, India.
Surbhi GroverDepartment of Radiation Oncology, University of Pennsylvania, Philadelphia, PA, USA.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Health and politics are deeply intertwined. In the context of national and global cancer care delivery, political forces-the political determinants of health-influence every level of the cancer care continuum. We explore the "3-I" framework, which structures the upstream political forces that affect policy choices in the context of actors' interests, ideas, and institutions, to examine how political determinants of health underlie cancer disparities. Borrowing from the work of PA Hall, M-P Pomey, CJ Ho, and other thinkers, interests are the agendas of individuals and groups in power. Ideas represent beliefs or knowledge about what is or what should be. Institutions define the rules of play. We provide examples from around the world: Political interests have helped fuel the establishment of cancer centers in India and have galvanized the 2022 Cancer Moonshot in the United States. The politics of ideas underlie global disparities in cancer clinical trials-that is, in the distribution of epistemic power. Finally, historical institutions have helped perpetuate disparities related to racist and colonialist legacies. Present institutions have also been used to improve access for those in greatest need, as exemplified by the Butaro Cancer Center of Excellence in Rwanda. In providing these global examples, we demonstrate how interests, ideas, and institutions influence access to cancer care across the breadth of the cancer continuum. We argue that these forces can be leveraged to promote cancer care equity nationally and globally.

Indexed as

Health PolicyNeoplasmsGlobal HealthHumansPoliticsUnited States

Identifiers

PMID37402623
PMCPMC10560599

What OpenQuestion holds

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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.