Socioeconomic differences and lung cancer survival: systematic review and meta-analysis
Background: The impact of socioeconomic differences on cancer survival has been investigated for several cancer types showing lower cancer survival in patients from lower socioeconomic groups. However, little is known about the relation between the strength of association and the level of adjustment...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article (Journal) |
| Language: | English |
| Published: |
27 November 2018
|
| In: |
Frontiers in oncology
Year: 2018, Volume: 8, Pages: 1-20 |
| ISSN: | 2234-943X |
| DOI: | 10.3389/fonc.2018.00536 |
| Online Access: | Verlag, Volltext: http://dx.doi.org/10.3389/fonc.2018.00536 Verlag, Volltext: https://www.frontiersin.org/articles/10.3389/fonc.2018.00536/full 
|
| Author Notes: | Isabelle Finke, Gundula Behrens, Linda Weisser, Hermann Brenner and Lina Jansen |
MARC
| LEADER | 00000caa a2200000 c 4500 | ||
|---|---|---|---|
| 001 | 1587230011 | ||
| 003 | DE-627 | ||
| 005 | 20230110120905.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 190204s2018 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.3389/fonc.2018.00536 |2 doi | |
| 035 | |a (DE-627)1587230011 | ||
| 035 | |a (DE-576)517230011 | ||
| 035 | |a (DE-599)BSZ517230011 | ||
| 035 | |a (OCoLC)1341035103 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rda | ||
| 041 | |a eng | ||
| 084 | |a 33 |2 sdnb | ||
| 100 | 1 | |a Finke, Isabelle |e VerfasserIn |0 (DE-588)1176995359 |0 (DE-627)1048289427 |0 (DE-576)51723162X |4 aut | |
| 245 | 1 | 0 | |a Socioeconomic differences and lung cancer survival |b systematic review and meta-analysis |c Isabelle Finke, Gundula Behrens, Linda Weisser, Hermann Brenner and Lina Jansen |
| 264 | 1 | |c 27 November 2018 | |
| 300 | |a 20 | ||
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a Computermedien |b c |2 rdamedia | ||
| 338 | |a Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Gesehen am 04.02.2019 | ||
| 520 | |a Background: The impact of socioeconomic differences on cancer survival has been investigated for several cancer types showing lower cancer survival in patients from lower socioeconomic groups. However, little is known about the relation between the strength of association and the level of adjustment and level of aggregation of the socioeconomic status measure. Here, we conduct the first systematic review and meta-analysis on the association of individual and area-based measures of socioeconomic status with lung cancer survival. Methods: In accordance with PRISMA guidelines, we searched for studies on socioeconomic differences in lung cancer survival in four electronic databases. A study was included if it reported a measure of survival in relation to education, income, occupation or composite measures (indices). If possible, meta-analyses were conducted for studies reporting on individual and area-based socioeconomic measures. Results: We included 94 studies in the review, of which 23 measured socioeconomic status on an individual level and 71 on an area-based level. Seventeen studies were eligible to be included in the meta-analyses. The meta-analyses revealed a poorer prognosis for patients with low individual income (pooled hazard ratio: 1.13, 95% confidence interval: 1.08-1.19, reference: high income), but not for individual education. Group comparisons for hazard ratios of area-based studies indicated a poorer prognosis for lower socioeconomic groups, irrespective of the socioeconomic measure. In most studies, reported one-, three- and five-year survival rates across socioeconomic status groups showed decreasing rates with decreasing socioeconomic status for both individual and area-based measures. We cannot confirm a consistent relationship between level of aggregation and effect size, however, comparability across studies was hampered by heterogeneous reporting of socioeconomic status and survival measures. Only eight studies considered smoking status in the analysis. Conclusions: Our findings suggest a weak positive association between individual income and lung cancer survival. Studies reporting on socioeconomic differences in lung cancer survival should consider including smoking status of the patients in their analysis and to stratify by relevant prognostic factors to further explore the reasons for socioeconomic differences. A common definition for socioeconomic status measures is desirable to further enhance comparisons between nations and across different levels of aggregation. | ||
| 650 | 4 | |a Area-based | |
| 650 | 4 | |a cancer survival | |
| 650 | 4 | |a Education | |
| 650 | 4 | |a Income | |
| 650 | 4 | |a index | |
| 650 | 4 | |a lung cancer | |
| 650 | 4 | |a Occupation | |
| 650 | 4 | |a socioeconomic status (SES) | |
| 700 | 1 | |a Behrens, Gundula |e VerfasserIn |0 (DE-588)1171383282 |0 (DE-627)1040522378 |0 (DE-576)51372575X |4 aut | |
| 700 | 1 | |a Weißer, Linda |d 1988- |e VerfasserIn |0 (DE-588)1277661502 |0 (DE-627)1830639226 |4 aut | |
| 700 | 1 | |a Brenner, Hermann |e VerfasserIn |0 (DE-588)1020516445 |0 (DE-627)691247005 |0 (DE-576)360642136 |4 aut | |
| 700 | 1 | |a Jansen, Lina |d 1982- |e VerfasserIn |0 (DE-588)1020381426 |0 (DE-627)691199310 |0 (DE-576)359246028 |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Frontiers in oncology |d Lausanne : Frontiers Media, 2011 |g 8(2018), Artikel-ID 536, Seite 1-20 |h Online-Ressource |w (DE-627)684965518 |w (DE-600)2649216-7 |w (DE-576)35841184X |x 2234-943X |7 nnas |a Socioeconomic differences and lung cancer survival systematic review and meta-analysis |
| 773 | 1 | 8 | |g volume:8 |g year:2018 |g elocationid:536 |g pages:1-20 |g extent:20 |a Socioeconomic differences and lung cancer survival systematic review and meta-analysis |
| 856 | 4 | 0 | |u http://dx.doi.org/10.3389/fonc.2018.00536 |x Verlag |x Resolving-System |3 Volltext |
| 856 | 4 | 0 | |u https://www.frontiersin.org/articles/10.3389/fonc.2018.00536/full |x Verlag |3 Volltext |
| 951 | |a AR | ||
| 992 | |a 20190204 | ||
| 993 | |a Article | ||
| 994 | |a 2018 | ||
| 998 | |g 1020381426 |a Jansen, Lina |m 1020381426:Jansen, Lina |d 50000 |e 50000PJ1020381426 |k 0/50000/ |p 5 |y j | ||
| 998 | |g 1020516445 |a Brenner, Hermann |m 1020516445:Brenner, Hermann |d 850000 |d 851600 |d 50000 |e 850000PB1020516445 |e 851600PB1020516445 |e 50000PB1020516445 |k 0/850000/ |k 1/850000/851600/ |k 0/50000/ |p 4 | ||
| 998 | |g 1277661502 |a Weißer, Linda |m 1277661502:Weißer, Linda |d 50000 |e 50000PW1277661502 |k 0/50000/ |p 3 | ||
| 998 | |g 1176995359 |a Finke, Isabelle |m 1176995359:Finke, Isabelle |d 50000 |e 50000PF1176995359 |k 0/50000/ |p 1 |x j | ||
| 999 | |a KXP-PPN1587230011 |e 3053796740 | ||
| BIB | |a Y | ||
| SER | |a journal | ||
| JSO | |a {"relHost":[{"recId":"684965518","type":{"media":"Online-Ressource","bibl":"periodical"},"pubHistory":["2011 -"],"part":{"year":"2018","extent":"20","text":"8(2018), Artikel-ID 536, Seite 1-20","volume":"8","pages":"1-20"},"disp":"Socioeconomic differences and lung cancer survival systematic review and meta-analysisFrontiers in oncology","origin":[{"publisher":"Frontiers Media","dateIssuedDisp":"2011-","dateIssuedKey":"2011","publisherPlace":"Lausanne"}],"id":{"zdb":["2649216-7"],"eki":["684965518"],"issn":["2234-943X"]},"note":["Gesehen am 07.11.13"],"language":["eng"],"title":[{"title_sort":"Frontiers in oncology","title":"Frontiers in oncology"}],"physDesc":[{"extent":"Online-Ressource"}]}],"type":{"bibl":"article-journal","media":"Online-Ressource"},"person":[{"given":"Isabelle","role":"aut","display":"Finke, Isabelle","family":"Finke"},{"role":"aut","family":"Behrens","display":"Behrens, Gundula","given":"Gundula"},{"given":"Linda","display":"Weißer, Linda","family":"Weißer","role":"aut"},{"given":"Hermann","family":"Brenner","display":"Brenner, Hermann","role":"aut"},{"role":"aut","family":"Jansen","display":"Jansen, Lina","given":"Lina"}],"recId":"1587230011","id":{"eki":["1587230011"],"doi":["10.3389/fonc.2018.00536"]},"origin":[{"dateIssuedDisp":"27 November 2018","dateIssuedKey":"2018"}],"name":{"displayForm":["Isabelle Finke, Gundula Behrens, Linda Weisser, Hermann Brenner and Lina Jansen"]},"note":["Gesehen am 04.02.2019"],"title":[{"title":"Socioeconomic differences and lung cancer survival","subtitle":"systematic review and meta-analysis","title_sort":"Socioeconomic differences and lung cancer survival"}],"language":["eng"],"physDesc":[{"extent":"20 S."}]} | ||
| SRT | |a FINKEISABESOCIOECONO2720 | ||