Evidence map›Paper›PMID 41201164›Full record

ArticleCancer medicine2025

Low Income Has a Negative Effect on Survival Following Diagnosis of Metastatic Colorectal Cancer-A Population-Based Cohort Study.

Malin Ljunggren, Caroline E Dietrich, Cecilia Merk, Gabriella Palmer, Anna Martling, Caroline Nordenvall

Abstract read
In one paragraph

Article in Cancer medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
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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

6 authors.

Malin LjunggrenDepartment of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.ORCID https://orcid.org/0000-0001-9297-1573
Caroline E DietrichClinical Epidemiology Division, Department of Medicine, Karolinska Institutet, Stockholm, Sweden.
Cecilia MerkDepartment of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.
Gabriella PalmerDepartment of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.
Anna MartlingDepartment of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.
Caroline NordenvallDepartment of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.

Funding

CancerfondenCancerföreningen i StockholmInsamlingsstiftelsen Cancer- och AllergifondenJohn Hedins stiftelseStockholms Läns Landsting
6 · The paper itself

Abstract

backgroundTreatment for metastatic colorectal cancer (mCRC) has seen great advances but may not be equally available for all patients.

aimTo evaluate the impact of socioeconomic status on cancer-specific survival after diagnosis of mCRC, with emphasis on potential temporal trends in the effect of income.

methodsThis population-based cohort study, based on 90,620 patients diagnosed with colorectal cancer in Sweden during 2007-2021 and registered in CRCBaSe, identified 33,498 patients with mCRC through 2022. We used relative survival to estimate excess mortality rate ratios (EMRRs) with 95% confidence intervals (CIs) comparing net survival by income quartiles, adjusting for sex, age, calendar year, education, marital status and birth country.

resultsOne-year relative survival improved from 55% in 2007-2012 to 63% in 2017-2022. In the first years after the diagnosis of metastases there was an income gradient with the biggest contrast between high-income and low-income patients (EMRR (95% CI) at one year: 0.84 (0.81-0.88)). Year of mCRC diagnosis did not alter the effect of income on survival.

conclusionsDespite significant improvements in cancer-specific survival for mCRC over the last decades, socioeconomic disparities, particularly based on income, continue to affect survival outcomes. The impact of income remains consistent from 2007 to 2021.

Indexed as

Colorectal NeoplasmsIncomePovertyAdultAgedAged, 80 and overCohort StudiesFemaleHumansMaleMiddle AgedNeoplasm MetastasisSocioeconomic FactorsSwedencolorectal cancermetastasissocioeconomic factorssurvival

Identifiers

PMID41201164
PMCPMC12593528

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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.