Evidence map›Paper›PMID 42108510›Full record

ArticleCancer medicine2026

Socioeconomic Status and Access to Treatment in Diffuse Large B-Cell Lymphoma.

Kuitunen Joonas, Marin Katja, Tokola Susanna, Pollari Marjukka, Jyrkkiö Sirkku, Suominen Minna, Partanen Anu, Vuolukka Kristiina, Sunela Kaisa, Rönkä Aino and 6 more

Abstract read
In one paragraph

Article in Cancer medicine, 2026. 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
  2. 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

16 authors.

Kuitunen JoonasFaculty of Health Medicine, Institute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland.ORCID https://orcid.org/0009-0009-9790-2863
Marin KatjaFaculty of Health Medicine, Institute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland.ORCID https://orcid.org/0000-0002-9811-1790
Tokola SusannaCancer Centre, Oulu University Hospital, Oulu, Finland.ORCID https://orcid.org/0000-0001-6326-5979
Pollari MarjukkaDepartment of Oncology and Radiotherapy, Tampere University Hospital, Tampere, Finland.ORCID https://orcid.org/0000-0001-6040-6959
Jyrkkiö SirkkuThe Wellbeing Services County of Southwest Finland, Turku University Hospital, Turku, Finland.ORCID https://orcid.org/0000-0001-6826-9354
Suominen MinnaNorth Karelia Central Hospital, Joensuu, Finland.
Partanen AnuDepartment of Medicine, Kuopio University Hospital, Kuopio, Finland.ORCID https://orcid.org/0000-0002-5634-2582
Vuolukka KristiinaFaculty of Health Medicine, Institute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland.ORCID https://orcid.org/0000-0001-9067-0566
Sunela KaisaFinnish Medicines Agency, Tampere, Finland.ORCID https://orcid.org/0000-0002-2639-5448
Rönkä AinoFaculty of Health Medicine, Institute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland.ORCID https://orcid.org/0000-0001-6007-3648
Aromaa-Häyhä AnnikkiFaculty of Health Medicine, Institute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland.ORCID https://orcid.org/0000-0002-9866-2496
Klaavuniemi TuulaNorth Karelia Central Hospital, Joensuu, Finland.
Hakalahti AnnaDepartment of Oncology, Kainuu Central Hospital, Kajaani, Finland.
E L Kuusisto MillaMedical Research Centre, Oulu University Hospital, Oulu, Finland.ORCID https://orcid.org/0000-0002-4435-4199
Kuitunen HanneCancer Centre, Oulu University Hospital, Oulu, Finland.ORCID https://orcid.org/0000-0001-7328-2043
Kuittinen OutiFaculty of Health Medicine, Institute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland.ORCID https://orcid.org/0000-0001-9969-0053

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeLarge B-cell lymphoma (LBCL) is the most common lymphoma subtype, with diffuse LBCL (DLBCL) accounting for 30%-40% of new lymphoma cases. The International Prognostic Index (IPI) is widely used for prognostic assessment in DLBCL. Clinical features associated with a poorer prognosis, such as advanced disease stage, could be a consequence of delayed diagnosis, which in turn may be influenced by a patient's socioeconomic status. While healthcare in Finland aims to ensure equal access to timely and high-quality treatment for all, disparities still exist. In this study we evaluated the impact of patients' socioeconomic status on their access to diagnostic procedures. PATIENT/MATERIAL AND

methodsPatient data was prospectively collected from seven hospitals between October 2014 and March 2020 in Finland. A total of 160 patients provided information regarding their diagnostic pathway and socioeconomic status via questionnaire. The data was combined with clinical data from patient records.

resultsThe symptoms to treatment interval (STI) varied between age groups (p = 0.019), marital status groups (p = 0.023), and healthcare providers. In addition, age, income level, and occupational status (all p < 0.001) influenced which healthcare provider patients used as their first place of contact.

interpretationIn this prospective study, we analyzed the impact of patients' socioeconomic status on treatment delays within the treatment pathway. Socioeconomic status was found to have a significant effect on these delays. The delays varied not only between different socioeconomic groups but also across different healthcare providers.

Indexed as

Health Services AccessibilityLymphoma, Large B-Cell, DiffuseSocial ClassAdultAgedAged, 80 and overFemaleFinlandHumansMaleMiddle AgedPrognosisProspective StudiesSocioeconomic Disparities in HealthTime-to-TreatmentTreatment Delaydelayed diagnosisdiffusehealth care disparitieshealth services accessibilitylarge B‐celllymphomasocioeconomic factors

Identifiers

PMID42108510
PMCPMC13158131

What OpenQuestion holds

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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.