Evidence map›Paper›PMID 37865937›Full record

ArticleAnnals of surgical oncology2024

The Implications of Racialized Economic Segregation and Allostatic Load on Mortality in Patients with Breast Cancer.

J C Chen, Demond Handley, Mohamed I Elsaid, Jesse J Plascak, Barbara L Andersen, William E Carson, Timothy M Pawlik, Ruth C Carlos, Samilia Obeng-Gyasi

Abstract read
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In one paragraph

Article in Annals of surgical oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
3.2field-weighted citation impact, top 7% 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Census Tract-Level Persistent Poverty and Liver Cancer Survival: A Population-Based Study.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026
    Article
  6. Assessing Upstream Structural and Social Drivers of Health in Breast Cancer Survivorship: The Pathways Study Neighborhood Resource.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. The association between allostatic load and lymphedema in breast cancer survivors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  12. Article
  13. Review
  14. Article
  15. Association Between Neighborhood Opportunity, Allostatic Load, and All-Cause Mortality in Patients With Breast Cancer.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

J C ChenDivision of Surgical Oncology, Department of Surgery, The Ohio State University, Columbus, OH, USA.
Demond HandleyDepartment of Biomedical Informatics, College of Medicine, The Ohio State University, Columbus, OH, USA.
Mohamed I ElsaidDepartment of Biomedical Informatics, College of Medicine, The Ohio State University, Columbus, OH, USA.
Jesse J PlascakDivision of Cancer Prevention and Control, Department of Internal Medicine, The Ohio State University, Columbus, OH, USA.
Barbara L AndersenDepartment of Psychology, The Ohio State University, Columbus, OH, USA.
William E CarsonDivision of Surgical Oncology, Department of Surgery, The Ohio State University, Columbus, OH, USA.
Timothy M PawlikDivision of Surgical Oncology, Department of Surgery, The Ohio State University, Columbus, OH, USA.
Ruth C CarlosDivision of Radiology, University of Michigan Comprehensive Cancer Center, Ann Arbor, MI, USA.
Samilia Obeng-GyasiDivision of Surgical Oncology, Department of Surgery, The Ohio State University, Columbus, OH, USA. samilia.obeng-gyasi@osumc.edu.ORCID http://orcid.org/0000-0002-5330-7247
The Ohio State University · USUniversity of Michigan · US

Funding

Translational Training Grant in Experimental TherapeuticsK12CA133250 · NCI · OHIO STATE UNIVERSITY · PI WILLIAM E. CARSON, Rosa Lapalombella · 2008 to 2026
$15.0M
NCI NIH HHS K12 CA133250
6 · The paper itself

Abstract

backgroundThe objective of this study was to examine the association between racialized economic segregation, allostatic load (AL), and all-cause mortality in patients with breast cancer. PATIENTS AND

methodsWomen aged 18+ years with stage I-III breast cancer diagnosed between 01/01/2012 and 31/12/2020 were identified in the Ohio State University cancer registry. Racialized economic segregation was measured at the census tract level using the index of concentration at the extremes (ICE). AL was calculated with biomarkers from the cardiac, metabolic, immune, and renal systems. High AL was defined as AL greater than the median. Univariable and multivariable regression analyses using restricted cubic splines examined the association between racialized economic segregation, AL, and all-cause mortality.

resultsAmong 4296 patients, patients residing in neighborhoods with the highest racialized economic segregation (Q DISCUSSION: Racialized economic segregation is associated with high AL and a greater risk of all-cause mortality in patients with breast cancer. Additional studies are needed to elucidate the causal pathways and mechanisms linking AL, neighborhood factors, and patient outcomes.

Indexed as

AllostasisTriple Negative Breast NeoplasmsFemaleHumansProportional Hazards ModelsRegistriesResidence Characteristics

Identifiers

PMID37865937
OpenAlexW4387859962

What OpenQuestion holds

Textmetadata
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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.