Evidence map›Paper›PMID 41140444›Full record

ReviewEClinicalMedicine2025

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

Adom Bondzi-Simpson, Tiago Ribeiro, Alice Zhu, Aisha Lofters, Andrea Covelli, Rebecca A Snyder, Callisia N Clarke, Natalie G Coburn, Julie Hallet

Abstract readReview
In one paragraph

Review in EClinicalMedicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Adom Bondzi-SimpsonDepartment of Surgery, Division of General Surgery, University of Toronto, Toronto, Ontario, Canada.
Tiago RibeiroDepartment of Surgery, Division of General Surgery, University of Toronto, Toronto, Ontario, Canada.
Alice ZhuDepartment of Surgery, Division of General Surgery, University of Toronto, Toronto, Ontario, Canada.
Aisha LoftersPeter Gilgan Centre for Women's Cancers, Women's College Hospital, Toronto, Ontario, Canada.
Andrea CovelliDepartment of Surgery, Division of General Surgery, University of Toronto, Toronto, Ontario, Canada.
Rebecca A SnyderDepartments of Surgical Oncology and Health Services Research, University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Callisia N ClarkeDivision of Surgical Oncology, Department of Surgery, Medical College of Wisconsin, Milwaukee, WI, USA.
Natalie G CoburnDepartment of Surgery, Division of General Surgery, University of Toronto, Toronto, Ontario, Canada.
Julie HalletDepartment of Surgery, Division of General Surgery, University of Toronto, Toronto, Ontario, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Quality indicators (QIs) are standardized measures for tracking healthcare performance. However, the integration of social determinants of health (SDoH) in developing and reporting QIs remains unclear. This scoping review explores the use of SDoH in QIs for colorectal cancer (CRC) surgery, to assess gaps and provide practical recommendations for better integration of SDoH in cancer care systems. Of 113 studies, 70 (61.9%) reported QIs for healthcare systems, 33 (29.2%) measured factors associated with QIs, and 10 (8.9%) developed QIs. SDoH were assessed in 65 (57.5%) studies, with notable gaps including inadequate adjustment for confounders and interactions, lack of additive effect assessments, and the absence of conceptual social frameworks to guide study design. To support equity in quality monitoring, future research should incorporate SDoH when describing and validating outcomes, report QIs stratified by SDoH, and develop benchmarks for variations in QIs across sociodemographic groups.

Indexed as

Colorectal cancer surgeryHealth equityQuality indicatorsQuality metricsSocial determinants of healthSurgical oncology

Identifiers

PMID41140444
PMCPMC12547250

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.