Evidence map›Paper›PMID 41004065›Full record

ArticleCancer causes & control : CCC2025

The cancer divide: setting research priorities for understanding and addressing extreme rurality in cancer care delivery.

Rebecca L Hoover, Deborah K Mayer, Echo L Warner, Emily R Haines

Abstract read
PubMed Publisher
In one paragraph

Article in Cancer causes & control : CCC, 2025. 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
–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

1 citing paper in PubMed.

  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

4 authors.

Rebecca L HooverMark and Robyn Jones College of Nursing, Montana State University, Bozeman, MT, USA. rebecca.hoover1@montana.edu.
Deborah K MayerSchool of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Echo L WarnerCollege of Nursing, University of Utah & Huntsman Cancer Institute, Salt Lake City, UT, USA.
Emily R HainesDepartment of Implementation Science, Wake Forest University School of Medicine, Winston-Salem, NC, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cancer care delivery research (CCDR) is increasingly acknowledging the critical role of geographic context; however, most definitions of rurality remain insufficiently granular. Grouping all non-urban areas into a single category mask the distinct barriers faced by individuals in remote and frontier regions. Patients living in these areas often navigate long travel distances, rugged terrain, seasonal inaccessibility, and limited healthcare infrastructure-factors that collectively affect diagnosis, treatment access, survivorship, and psychosocial outcomes. Despite growing interest in rural cancer disparities, few studies incorporate nuanced measures of rurality that account for these realities. This commentary outlines a research agenda that prioritizes extreme rurality in CCDR, highlighting promising metrics (RUCA, FAR, ARRS, ARIA+) and advocating for multilevel models that contextualize rurality alongside social determinants. Addressing these priorities will advance targeted interventions and promote equity in cancer care delivery.

Indexed as

Delivery of Health CareHealthcare DisparitiesNeoplasmsRural PopulationHealth Services AccessibilityHumansCancer care deliveryCancer survivorshipGeographic accessHealth disparitiesRural healthRurality metrics

Identifiers

PMID41004065

What OpenQuestion holds

Textmetadata
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.