Social determinants of colorectal cancer risk, stage, and survival: a systematic review

Coughlin, Steven S.

doi:10.1007/s00384-020-03585-z

Cited by 91 publications

(76 citation statements)

References 53 publications

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“…In other words, as opposed to biological factors (eg, genetic traits), social determinants of health are a range of social, economic, political, and environmental factors that contribute to individuals’ health conditions and disparities, such as inequalities in cancer screening [ 26 - 28 ]. Results show that patients who have poor social determinants of health, such as lack of insurance, low income, and living in a deprived neighborhood, are often less likely to adopt cancer screening [ 28 - 30 ]. Evidence from randomized clinical trials further indicates that, compared to patients with private insurance, patients with Medicaid or with no insurance received reduced benefits from the same intervention program [ 31 ].…”

Section: Cancer Screening Challenges Opportunities and Solutionsmentioning

confidence: 99%

The Impact of COVID-19 on Cancer Screening: Challenges and Opportunities

Cancino¹,

Su²,

Mesa³

et al. 2020

JMIR Cancer

125

124

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Cancer is a leading cause of death in the United States and across the globe. Cancer screening is an effective preventive measure that can reduce cancer incidence and mortality. While cancer screening is integral to cancer control and prevention, due to the COVID-19 outbreak many screenings have either been canceled or postponed, leaving a vast number of patients without access to recommended health care services. This disruption to cancer screening services may have a significant impact on patients, health care practitioners, and health systems. In this paper, we aim to offer a comprehensive view of the impact of COVID-19 on cancer screening. We present the challenges COVID-19 has exerted on patients, health care practitioners, and health systems as well as potential opportunities that could help address these challenges.

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Section: Cancer Screening Challenges Opportunities and Solutionsmentioning

confidence: 99%

The Impact of COVID-19 on Cancer Screening: Challenges and Opportunities

Cancino¹,

Su²,

Mesa³

et al. 2020

JMIR Cancer

125

124

View full text Add to dashboard Cite

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“…Earlier studies have further found that married men and women have a lower risk of early mortality ( Pinquart & Duberstein, 2010 ). Some studies have also reported earlier detection of specific cancers such as cancers of colon and rectum among married people ( Coughlin, 2020 ).…”

mentioning

confidence: 99%

“…The present study of all Finnish persons aged over 40 years examined the associations of living alone with (A) cancer incidence, (B) cancer-specific mortality and (C) all-cause mortality after cancer diagnosis of the eight most common cancers: prostate cancer, breast cancer, lung and tracheal cancer, cancer of the corpus uteri, colorectal cancer, bladder cancer, squamous cell skin cancer and skin melanoma. Because low socioeconomic position has been associated with both small social networks ( Algren et al, 2020 ) and higher cancer incidence and case-fatality risk ( Auvinen, Karjalainen, & Pukkala, 1995 ; Coughlin, 2019 , 2020 ; Fleisch Marcus et al, 2017 ; Pokhrel et al, 2010 ; Raedkjaer et al, 2020 ), we considered the effects of low education and income in our analyses. We included these common cancers because of their importance for health burden for individuals and for the society as a whole, although some of them are sex specific or common only in men or in women.…”

mentioning

confidence: 99%

Living alone as a risk factor for cancer incidence, case-fatality and all-cause mortality: A nationwide registry study

Elovainio

Lumme

Arffman

et al. 2021

SSM - Population Health

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Lack of social contacts has been associated with an increased risk of cancer mortality, but it is not known whether living alone increases the risk of cancer incidence or case fatality. We examined the association between living alone with cancer incidence, case-fatality and all-cause mortality in eight most common cancers. All patients with their first cancer diagnosis in 2000–2017 were identified from the nationwide Finnish Cancer Registry. Information on living arrangements was derived from Statistics Finland. The incidence analyses were conducted using Poisson regression. The total Finnish population served as the population at risk. Fine-Gray model was used to estimate case-fatality and Cox proportional regression model all-cause mortality. In men, we found an association between history of living alone and excess lung cancer incidence but living alone seemed to be associated with lower incidence of prostate cancer and skin melanoma. In women, living alone was more consistently associated with higher incidence of all studied cancers. Cancer patients living alone had an 11%–80% statistically significantly increased case-fatality and all-cause mortality in all studied cancers in men and in breast, colorectal and lung cancer in women. Living alone is consistently associated with increased cancer incidence risk in women but only in some cancers in men. Both men and women living alone had an increased risk of all-cause mortality after cancer diagnosis.

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“…In other words, as opposed to biological factors (eg, genetic traits), social determinants of health are a range of social, economic, political, and environmental factors that contribute to individuals' health conditions and disparities, such as inequalities in cancer screening [26][27][28]. Results show that patients who have poor social determinants of health, such as lack of insurance, low income, and living in a deprived neighborhood, are often less likely to adopt cancer screening [28][29][30]. Evidence from randomized clinical trials further indicates that, compared to patients with private insurance, patients with Medicaid or with no insurance received reduced benefits from the same intervention program [31].…”

Section: Patientsmentioning

confidence: 99%

The Impact of COVID-19 on Cancer Screening: Challenges and Opportunities (Preprint)

Cancino¹,

Su²,

Mesa³

et al. 2020

Preprint

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Cancer is a leading cause of deaths in the U.S. and across the globe. Cancer screening is an effective preventive measure that can reduce cancer incidence and mortality. While cancer screening is integral to cancer control and prevention, due to the coronavirus outbreak many screenings have either been cancelled or postponed, leaving a vast number of patients without access to recommended healthcare services. This disruption to cancer screening services may have a significant impact on patients, healthcare practitioners, and health systems. In this article, we aim to offer a comprehensive view of the impact of COVID-19 on cancer screening. Specially, we present challenges COVID-19 exerted on patients, healthcare practitioners, and health systems as well as potential opportunities that could help address these challenges.

show abstract

Social determinants of colorectal cancer risk, stage, and survival: a systematic review

Cited by 91 publications

References 53 publications

The Impact of COVID-19 on Cancer Screening: Challenges and Opportunities

The Impact of COVID-19 on Cancer Screening: Challenges and Opportunities

Living alone as a risk factor for cancer incidence, case-fatality and all-cause mortality: A nationwide registry study

The Impact of COVID-19 on Cancer Screening: Challenges and Opportunities (Preprint)

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