Publication:
Socio-Economic Inequalities in Lung Cancer Outcomes: An Overview of Systematic Reviews.

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Date

2022-01-12

Authors

Redondo-Sanchez, Daniel
Petrova, Dafina
Rodriguez-Barranco, Miguel
Fernandez-Navarro, Pablo
Jimenez-Moleon, Jose Juan
Sanchez-Perez, Maria-Jose

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MDPI AG
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Abstract

In the past decade, evidence has accumulated about socio-economic inequalities in very diverse lung cancer outcomes. To better understand the global effects of socio-economic factors in lung cancer, we conducted an overview of systematic reviews. Four databases were searched for systematic reviews reporting on the relationship between measures of socio-economic status (SES) (individual or area-based) and diverse lung cancer outcomes, including epidemiological indicators and diagnosis- and treatment-related variables. AMSTAR-2 was used to assess the quality of the selected systematic reviews. Eight systematic reviews based on 220 original studies and 8 different indicators were identified. Compared to people with a high SES, people with a lower SES appear to be more likely to develop and die from lung cancer. People with lower SES also have lower cancer survival, most likely due to the lower likelihood of receiving both traditional and next-generation treatments, higher rates of comorbidities, and the higher likelihood of being admitted as emergency. People with a lower SES are generally not diagnosed at later stages, but this may change after broader implementation of lung cancer screening, as early evidence suggests that there may be socio-economic inequalities in its use.

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MeSH Terms

Early Detection of Cancer
Lung Neoplasms
Economic Status
Socioeconomic Factors
Economic Factors
Systematic Reviews as Topic
Humans

DeCS Terms

Revisiones sistemáticas como asunto
Neoplasias pulmonares
Humanos
Factores socioeconómicos
Factores económicos
Estatus económico
Detección precoz del cáncer

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Keywords

diagnosis, disparities, education, income, inequalities, lung cancer, socio-economic, survival, treatment

Citation

Redondo-Sánchez D, Petrova D, Rodríguez-Barranco M, Fernández-Navarro P, Jiménez-Moleón JJ, Sánchez MJ. Socio-Economic Inequalities in Lung Cancer Outcomes: An Overview of Systematic Reviews. Cancers (Basel). 2022 Jan 13;14(2):398