Evidence map›Paper›PMID 41212526›Full record

ArticleJournal of the National Cancer Institute2026

Redefining rurality: adopting an identity-based and community-engaged approach to defining rural cancer disparities.

Trevor Kauer, Courtny L Franco, Dominique D Munroe, Mark Doescher, Electra D Paskett, Wade T Swenson, Katherine Y Tossas, James R Cerhan, Janice L Krieger

Abstract read
In one paragraph

Article in Journal of the National Cancer Institute, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Beyond Rurality: Individual Socioeconomic Status and Chronic Disease Prevalence.medRxiv : the preprint server for health sciences · 2026
    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

9 authors.

Trevor KauerDepartment of Quantitative Health Sciences, Mayo Clinic Comprehensive Cancer Center, Mayo Clinic Florida, Jacksonville, FL, United States.ORCID 0000-0001-6093-6466
Courtny L FrancoDepartment of Quantitative Health Sciences, Mayo Clinic Comprehensive Cancer Center, Mayo Clinic Florida, Jacksonville, FL, United States.ORCID 0000-0002-8878-1846
Dominique D MunroeDepartment of Quantitative Health Sciences, Mayo Clinic Comprehensive Cancer Center, Mayo Clinic Florida, Jacksonville, FL, United States.ORCID 0000-0001-8600-2469
Mark DoescherDepartment of Family and Preventative Medicine, University of Oklahoma Health Sciences Center College of Medicine, Oklahoma City, OK, United States.ORCID 0000-0003-1631-0428
Electra D PaskettCollege of Medicine and Comprehensive Cancer Center, The Ohio State University, Columbus, OH, United States.ORCID 0000-0002-8247-8299
Wade T SwensonOncology/Hematology Unit, Lakewood Health System, Staples, MN, United States.ORCID 0000-0002-2121-7917
Katherine Y TossasMassey Comprehensive Cancer Center, Virginia Commonwealth University, Richmond, VA, United States.ORCID 0000-0001-6872-2294
James R CerhanMayo Clinic Comprehensive Cancer Center, Mayo Clinic Minnesota, Rochester, MN, United States.ORCID 0000-0002-7482-178X
Janice L KriegerDepartment of Quantitative Health Sciences, Mayo Clinic Comprehensive Cancer Center, Mayo Clinic Florida, Jacksonville, FL, United States.ORCID 0000-0001-9950-9170

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Rural health disparities in the United States remain poorly understood, in part due to inconsistent definitions of "rurality" and the failure to integrate both geographic and socially constructed dimensions of place. This commentary draws from insights shared during the panel "Addressing Diversity in Cancer Prevention, Control, and Survivorship Within Rural Communities" at the 2024 Transforming Community and Rural Healthcare (TCRH) conference. Panelists emphasized the limitations of current rural-urban classification systems, which often overlook the intersectional identities, cultural heterogeneity, and lived experiences of rural populations. They advocated for integrating community-based participatory research (CBPR) and identity-based approaches to define rurality more holistically. Such methods prioritize self-identification, social determinants of health (SDOH), and localized knowledge, allowing for a more accurate assessment of cancer disparities and the development of equitable interventions. The commentary outlines how geophysical and census-based metrics, although convenient, can misrepresent rural communities and inadvertently perpetuate disparities in cancer care access, outcomes, and policy. The authors argue for an identity- and community-centered conceptualization of rurality that is dynamic, inclusive, and responsive to the complexity of rural life.

Indexed as

Healthcare DisparitiesHealth Status DisparitiesNeoplasmsRural PopulationCommunity-Based Participatory ResearchHealth Services AccessibilityHumansSocial Determinants of HealthUnited States

Identifiers

PMID41212526
PMCPMC13549715

What OpenQuestion holds

Textmetadata
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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.