Evidence map›Paper›PMID 37751959›Full record

ArticleBMJ open2023

Integration of the social determinants of health into quality indicators for colorectal cancer surgery: a scoping review protocol.

Adom Bondzi-Simpson, Tiago Ribeiro, Harsukh Benipal, Victoria Barabash, Aisha Lofters, Rinku Sutradhar, Rebecca A Snyder, Callisia Clarke, Natalie G Coburn, Julie Hallet

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.1field-weighted citation impact, top 11% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Review
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 at 5 institutions in 2 countries.

Adom Bondzi-SimpsonDepartment of Surgery, University of Toronto, Toronto, Ontario, Canada.ORCID 0009-0002-3290-1009
Tiago RibeiroDepartment of Surgery, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0002-9167-8700
Harsukh BenipalTemerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Victoria BarabashClinical Evaluative Sciences, Sunnybrook Research Institute, Toronto, Ontario, Canada.
Aisha LoftersDepartment of Family and Community Medicine, Women's College Hospital, Toronto, Ontario, Canada.
Rinku SutradharInstitute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
Rebecca A SnyderDepartments of Surgical Oncology and Health Services Research, University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Callisia ClarkeDepartment of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Natalie G CoburnDepartment of Surgery, University of Toronto, Toronto, Ontario, Canada.
Julie HalletDepartment of Surgery, University of Toronto, Toronto, Ontario, Canada julie.hallet@sunnybrook.ca.
University of Toronto · CASunnybrook Health Science Centre · CAMedical College of Wisconsin · USThe University of Texas MD Anderson Cancer Center · USWomen's College Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionQuality monitoring is a critical component of high-performing cancer care systems. Quality indicators (QIs) are standardised, evidence-based measures of healthcare quality that allow healthcare systems to track performance, identify gaps in healthcare delivery and inform areas of priority for strategic planning. Social structures and economic systems that allow for unequal access to power and resources that shape health and health inequities can be described through the social determinants of health (SDoH) framework. Therefore, granular analysis of healthcare quality through SDoH frameworks is required to identify patient subgroups who may experience health inequity. Given the high burden of disease of colorectal cancer (CRC) and well-defined cancer care pathways, CRC is often the first disease site targeted by health systems for quality improvement. The objective of this review is to examine how SDoH have been integrated into QIs for CRC surgery. This review aims to address three primary questions: (1) Have SDoH been integrated into the development, reporting and assessment of CRC surgery QIs? (2) When integrated, what measures and statistical methods have been applied? (3) In which direction do individual SDoH influence QIs outputs?

methodsThis review will follow Arksey and O'Malley frameworks for scoping reviews. We will search MEDLINE, EMBASE, HealthSTAR databases for papers that examine QIs for CRC surgery applicable to healthcare systems from database inception until January 2023. Interventional trials, prospective and retrospective observational studies, reviews, case series and qualitative study designs will be included. Two authors will independently review all titles, abstracts and full texts to determine which studies meet the inclusion criteria. ETHICS & DISSEMINATION: No ethics approval is required for this review. Results will be disseminated through scientific presentation and relevant conferences targeted for researchers examining healthcare quality and equity in cancer care. REGISTRATION DETAILS: osf.io/vfzd3-Open Science Framework.

Indexed as

Colorectal NeoplasmsQuality Indicators, Health CareSocial Determinants of HealthHealthcare DisparitiesHumansQuality ImprovementResearch DesignScoping Reviews as TopicColorectal surgeryHealth EquityHEALTH SERVICES ADMINISTRATION & MANAGEMENTONCOLOGYQuality in health careSURGERY

Identifiers

PMID37751959
PMCPMC10533733
OpenAlexW4387063724

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.