Evidence map›Paper›PMID 38506232›Full record

ArticleCancer medicine2024

Facilitators of and barriers to gastric cancer and precursor diagnosis among South Texas residents: Social determinants of health.

Dorothy Long Parma, Erin P Finley, Roman Fernandez, Jonathan A L Gelfond, Amelie G Ramirez

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Cancer medicine, 2024. 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
0.6field-weighted citation impact, top 36% 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, 1 citations in OpenAlex.

  1. 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

5 authors at 1 institution in 1 country.

Dorothy Long ParmaDepartment of Population Health Sciences, Long School of Medicine, The University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA.ORCID 0000-0001-8059-3392
Erin P FinleyDepartment of Medicine and Psychiatry and Behavioral Sciences, Long School of Medicine, The University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA.
Roman FernandezDepartment of Population Health Sciences, Long School of Medicine, The University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA.
Jonathan A L GelfondDepartment of Population Health Sciences, Long School of Medicine, The University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA.
Amelie G RamirezDepartment of Population Health Sciences, Long School of Medicine, The University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA.ORCID 0000-0002-5310-1337
The University of Texas Health Science Center at San Antonio · US

Funding

TISSUE CULTURE---COREP30CA054174 · NCI · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI Robin Jean Leach · 1991 to 2026
$59.1M
REDES EN ACCION--CANCER AWARENESS, TRAINING AND RESEARCHU01CA086117 · NCI · BAYLOR COLLEGE OF MEDICINE · PI RAMIREZ, AMELIE G · 2000 to 2005
$9.0M
Training ProgramU54CA153511 · NCI · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI RAMIREZ, AMELIE G · 2010 to 2015
$6.2M
NCI NIH HHS P30 CA054174NCI NIH HHS U01 CA086117NCI NIH HHS U01 CA86117NCI NIH HHS U54 CA153511
6 · The paper itself

Abstract

backgroundLatinos/Hispanics are at higher risk for developing gastric cancer (GC) compared with non-Hispanic whites, and social determinants of health (SDoH) are thought to contribute. AIMS/MATERIALS AND

methodsThis study addressed SDoH and their interactions contributing to disparities in the testing and treatment of Helicobacter pylori (HP) infection and diagnosis of GC and its known precursors, among Latinos/Hispanics relative to non-Latinos at two affiliated but independent health systems in San Antonio, Texas, using a mixed methods approach.

resultsSecondary data abstraction and analysis showed that GCs represented 2.6% (n = 600) of our population. Men and older individuals were at higher GC risk. Individuals with military insurance were 2.7 times as likely to be diagnosed as private insurance. Latinos/Hispanics had significantly (24%) higher GC risk than Whites. Poverty and lack of insurance contributed to GC risk among the minorities classified as other (Asians, Native Americans, Multiracial; all p < 0.01). All SDoH were associated with H. pylori infection (p < 0.001). Qualitative analysis of patient and provider interviews showed providers reporting insurance as a major care barrier; patients reported appointment delays, and lack of clinic staff. Providers universally agreed treatment of H. pylori was necessary, but disagreed on its prevalence. Patients did not report discussing H. pylori or its cancer risk with providers. DISCUSSION/

conclusionThese data indicate the importance of considering SDoH in diagnosis and treatment of GC and its precursors, and educating providers and patients on H. pylori risks for GC.

Indexed as

Helicobacter InfectionsStomach NeoplasmsHispanic or LatinoHumansMaleSocial Determinants of HealthTexasWhitegastric cancerHelicobacter pyloriLatinos/Hispanicssocial determinants of health

Identifiers

PMID38506232
PMCPMC10952019
OpenAlexW4393006418

What OpenQuestion holds

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LicenceCC BY
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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.