Evidence map›Paper›PMID 39268694›Full record

ArticleCancer medicine2024

Global disparities in cancer supportive care: An international survey.

Alexandre Chan, Lawson Eng, Changchuan Jiang, Mary Dagsi, Yu Ke, Mary Tanay, Cristiane Bergerot, Niharika Dixit, Ana Cardeña Gutiérrez, Ana I Velazquez and 2 more

Registry-linked trialAbstract read
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. It is linked to trial NCT07632014 (Improving Cancer Outcomes for Children, Adolescents, and Young Adults), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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.

NCT07632014 recruitingnot on this mapstarted 2025, after this paper: background citation

Improving Cancer Outcomes for Children, Adolescents, and Young Adults: A Multicenter Prospective Cohort Study on Treatment Failure and Toxicity in Low- and Middle-Income Countries.

TypeobservationalSponsorResonance, Inc.Ran2025 to 2032Enrolled6,000ConditionsCancer, Pediatric Cancer, Lymphoblastic Lymphoma (LBL), Acute Lymphoblastic Leukemia (ALL)
3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Observational
  2. Article
  3. Sociodemographic disparities and reasons for delayed healthcare among U.S. cancer survivors: an All of Us study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. 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

12 authors.

Alexandre ChanSchool of Pharmacy & Pharmaceutical Sciences, University of California, Irvine, Irvine, USA.ORCID 0000-0003-4391-4219
Lawson EngDivision of Medical Oncology and Hematology, Department of Medicine, Princess Margaret Cancer Centre/University Health Network, University of Toronto, Toronto, Ontario, Canada.
Changchuan JiangDivision of Hematology and Oncology, Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA.ORCID 0000-0002-7392-4154
Mary DagsiSchool of Pharmacy & Pharmaceutical Sciences, University of California, Irvine, Irvine, USA.
Yu KeNational Cancer Centre Singapore, Singapore, Singapore.
Mary TanayFlorence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, London, UK.
Cristiane BergerotOncoclinicas, Brasilia, DF, Brazil.
Niharika DixitUniversity of California, San Francisco/Zuckerberg San Francisco General Hospital, San Francisco, California, USA.
Ana Cardeña GutiérrezMedical Oncology Department, Hospital Universitario Nuestra Señora de Candelaria, Santa Cruz de Tenerife, Spain.ORCID 0000-0001-5972-8651
Ana I VelazquezUniversity of California, San Francisco, Helen Diller Family Comprehensive Cancer Center, San Francisco, California, USA.ORCID 0000-0002-6153-5557
Farhad IslamiSurveillance and Health Equity Science, American Cancer Society, Atlanta, Georgia, USA.
Enrique Soto-Perez-de-CelisDepartment of Geriatrics, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe global cancer burden is rising, particularly in low- and middle-income countries (LMIC), highlighting a critical research gap in understanding disparities in supportive care access. To address this, the Multinational Association of Supportive Care in Cancer (MASCC) Health Disparities Committee initiated a global survey to investigate and delineate these disparities. This study aims to explore and compare supportive care access disparities between LMIC and High-Income Countries (HIC).

methodsAn online cross-sectional survey was conducted among active members of MASCC. Members, representing diverse healthcare professions received email invitations. The survey, available for 3 weeks, comprised sections covering (1) sociodemographic information; (2) clinical service/practice-related disparities in their region/nation; (3) population groups facing disparities within their region or country. Chi-squared or Fisher's exact test for cross-sectional analyses, and a multivariable logistic regression model was employed for statistical analysis.

resultsA total of 218 active members participated, with one-quarter (26.6%) from LMIC and 18.4% ethnic minorities, timely cancer care (43.7%) and timely supportive care (45.0%) emerged as the most pressing disparities globally. Notably, participants from LMIC underscored cancer drug affordability (56.4%) and supportive care guideline implementation (56.4%) as critical issues. Economically disadvantaged populations were noted as more likely to face disparities by both LMIC and HIC (non-US-based) respondents, while US-based respondents identified racial/ethnic minorities as facing more disparities.

conclusionThis global survey reveals significant disparities in cancer supportive care between LMIC and HIC, with a particular emphasis on medication affordability and guideline implementation in LMIC. Addressing these disparities requires targeted intervention, considering specific regional priorities.

Indexed as

Healthcare DisparitiesNeoplasmsAdultCross-Sectional StudiesDeveloped CountriesDeveloping CountriesFemaleGlobal HealthHealth Services AccessibilityHumansMaleMiddle AgedPalliative CareSurveys and Questionnairescancer supportive carefinancial toxicitieshealthcare professionalshealth disparitieslow‐ and middle‐income countriessocial needs

Identifiers

PMID39268694
PMCPMC11393557

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.