The Impact of Social Determinants of Health on Treatment Received in Patients with Stage I Lung Cancer in Ontario: A Population-Based Analysis.

Nader M Hanna, Saad Shakeel, Gileh-Gol Akhtar-Danesh, Christian Finley, Noori Akhtar-Danesh

Abstract read

In one paragraph

Article in Current oncology (Toronto, Ont.), 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.

Factors affecting lung cancer stage at diagnosis and receipt of surgery in Ontario: A population-based analysis.PloS one · 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

5 authors.

Nader M HannaDepartment of Surgery, McMaster University, Hamilton, ON L8N 4A6, Canada.ORCID 0000-0002-5341-4413

Saad ShakeelDepartment of Surgery, University of Western Ontario, London, ON N6A 5A5, Canada.ORCID 0000-0002-3807-6401

Gileh-Gol Akhtar-DaneshDepartment of Surgery, University of Manitoba, Winnipeg, MB R3A 1R9, Canada.

Christian FinleyDepartment of Surgery, McMaster University, Hamilton, ON L8N 4A6, Canada.

Noori Akhtar-DaneshSchool of Nursing, McMaster University, Hamilton, ON L8S 4K1, Canada.

Funding

McMaster University 17274

6 · The paper itself

Abstract

Surgical resection is recommended for operable stage I non-small-cell lung cancer (NSCLC), while radiotherapy reserved for inoperable patients. Very comorbid patients may receive no treatment at all. Social determinants of health (SDOHs) may influence access to these treatments. We examined how SDOHs affect treatment modality among these patients using a population-based retrospective cohort study using ICES data including adults with stage I NSCLC diagnosed between 2007 and 2023. Multivariable logistic regression assessed associations between SDOH and treatment received. Of 19,179 patients, 54.4% received only surgery, 15.8% received only radiotherapy, 27.5% received no treatment, and 2.3% received surgery and radiotherapy. Surgery was less likely in patients aged >80 versus <50 (OR 0.07,

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsSocial Determinants of HealthAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedNeoplasm StagingOntarioRetrospective Studiesaccess to carelung cancerpopulation-level studysocial determinants of health

Identifiers

PMID41440241

DOI10.3390/curroncol32120713

PMCPMC12732105

What OpenQuestion holds

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LicenceCC BY

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Registered trials

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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.