Social determinants of health and upper gastrointestinal cancer outcomes in the United States: a systematic review.

ABSTRACT:

Introduction

Social determinants of health (SDOH) are the conditions in which individuals are born, grow, work, live, and age.

Methods

We examined the literature on the association between SDOH and survival of patients with gastrointestinal (GI) cancer [esophageal, duodenal and gastric cancer (GC)] in the United States from 2001 to 2022.

Results

From 38,654 studies across COCHRANE, EMBASE, SCOPUS, WEB OF SCIENCE, and PubMed, we identified 14 relevant studies focusing on GI cancer using the PRISMA flowchart. Eight of the 12 GC studies specifically focused on gastric adenocarcinoma (GAC), the most common histologic subtype. Uninsured patients had a significantly worse overall survival probability. For patients with GI cancer, the highest income level (i.e., in the highe

SUBMITTER: Santellano B 

PROVIDER: S-EPMC11613319 | biostudies-literature | 2024

REPOSITORIES: biostudies-literature