ArticleFrontiers in public health2026
Area-level socioeconomic deprivation and cause-specific survival after lung cancer diagnosis: a population-based cohort study in Naples, Italy.
Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Lung cancer remains a major public health priority, with survival shaped by clinical, behavioral, socioeconomic, and organizational factors. Socioeconomic disadvantage may affect risk exposure, diagnosis, treatment access, continuity of care, and data completeness. Objective: To assess the association between area-level socioeconomic deprivation and cause-specific survival in lung cancer and apply the M.A.S.T.E.R. (Methodological Approach for Strategic Transformation, Evaluation, and Redesign) framework to translate epidemiological evidence into organizational design and implementation planning. Methods: A retrospective population-based registry cohort study within ASL Napoli 1 Centro included incident malignant tumors of the trachea, lung, and bronchi recorded between 2010 and 2023. Cancer Registry data were integrated with the 2021 Socioeconomic Disadvantage Index (IDISE), Hospital Discharge Records, and progressi delle Aziende Sanitarie per la Salute in Italia (PASSI) 2022-2024 contextual smoking prevalence by sex and Primary Health Care District (DSB). Cause-specific survival was analyzed using multivariable Cox regression with district-clustered robust variance; Fine-Gray competing-risk regression was used as sensitivity analysis. M.A.S.T.E.R. comprised six phases: Mapping and contextualization, analysis and diagnosis, strategic design, testing and adaptive execution, embedding and sustainability, and resilience and renewal. Results: Of 11,162 cases, 10,039 were included in the main analysis, totaling 207,600 person-months. There were 8,514 deaths, including 6,990 cause-specific deaths. In the primary model without contextual smoking prevalence, adjusted hazard ratios (HRs) increased across deprivation quintiles (Q5 vs. Q1: HR 1.11; 95% CI: 1.05-1.18; Conclusions: Greater area-level socioeconomic deprivation was associated with higher cause-specific mortality in the primary model; the association was attenuated and no longer statistically significant after adding contextual PASSI smoking prevalence. M.A.S.T.E.R. clarified the transition from epidemiological analysis to candidate interventions for prevention, smoking cessation, early diagnosis, patient navigation, and information integration. Outputs from the final four phases are design-oriented and require prospective implementation and validation.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.