Table 3. Characteristics of included studies potentially suitable for meta-analysis (non-universal health care systems).
Paper | Country of Study | Data Source (s) | Population Included | Years of Diagnosis | Measure of SEP | No of SEP Groups | Treatment Given Within | Age Range | Confounders Controlled For: | Quality Score | ||||
Age | Sex | Stage | Histology | Other | ||||||||||
Bradley et al, 2008 [57] | USA | Michigan Cancer Registry and Michigan Medicare and Medicaid data | Medicare and Medicare/Medicaid patients in Michigan | 1997–2000 | Census tract median household income (high v low) | 2 | 6 months | 66–80+ | Yes | Yes | Yes | Yes | Co-morbidity, insurance type, ethnicity, urban/rural | 4 |
Davidoff et al, 2010 [58] | USA | SEER cancer registry linked to Medicare data | Medicare patients from 16 SEER registries | 1997–2002 | Census tract median household income | 4 | 90 days | 66–85+ | Yes | Yes | Yes | Yes | Co-morbidity, performance status, ethnicity, marital status, rural/urban, prior Medicaid, tumour grade | 5 |
Earle et al, 2000 [59] | USA | SEER cancer registry linked to Medicare data | Medicare patients from 11 SEER registries | 1991–1993 | Census tract median household income(increase in OR per quintile) | 5 | 4 months | 65–104 | Yes | Yes | Yes | Yes | Co-morbidity, year of diagnosis, ethnicity, rural/urban, teaching hospital, SEER area | 5 |
Esnoala et al, 2008 [60] | USA | South Carolina central cancer Registry linked to inpatient and outpatient surgery files | South Carolina | 1996–2002 | Income, zip code level (poverty/not living in poverty) | 2 | NR | <50–80+ | Yes | Yes | Yes | Yes | Co-morbidity, year of diagnosis, insurance type, ethnicity, rural/urban, education, marital status, tumour location | 4 |
Greenwald et al, 1998 [61] | USA | SEER cancer registry | 3 (Detroit, San Francisco, Seattle) out of 9 SEER registries | 1978–1982 | Census tract median household income (increase in OR per decile) | 10 | NR | < = 75 | Yes | Yes | Yes | Yes | Performance status, ethnicity | 6 |
Hardy et al, 2009 [62] | USA | SEER cancer registry linked to Medicare data | Medicare patients from 17 SEER registries | 1991–2002 | % individuals below poverty line at census tract level | 4 | NR | 65–85+ | Yes | Yes | Yes | Yes | Co-morbidity, year of diagnosis, ethnicity, marital status, SEER area, other treatment | 5 |
Hayman et al, 2007 [63] | USA | SEER cancer registry linked to Medicare data | Medicare patients from 11 SEER registries | 1991–1996 | Census tract median household income | 5 | 4 months/2 years | 65–85+ | Yes | Yes | Yes | Yes | Co-morbidity, year of diagnosis, ethnicity, SEER area, hospitalisation, teaching hospital, distance to nearest RT centre, receipt of chemotherapy | 5 |
Lathan et al, 2008 [64] | USA | SEER cancer registry linked to Medicare data | Medicare patients from 11 SEER registries | 1991–1999 | Census tract median household income (inc in OR per quintile) | 5 | NR | 65+ | Yes | Yes | Yes | Yes | Co-morbidity, ethnicity, SEER registry, urban, non-profit hospital, patient volume, % of black patients in hospital | 5 |
Polednak, 2001 [65] | USA | Connecticut Tumor Registry (SEER) and inpatient hospital discharge database (HDD) | Connecticut | 1992–1997 | Census tract poverty rate | 5 | NR | <55–80+ | Yes | Yes | Yes | No | Co-morbidity, ethnicity, marital status | 4 |
Smith et al, 1995 [66] | USA | Virginia Cancer Registry and Medicare claims database | Medicare patients from Virginia cancer registry | 1985–1989 | Census tract: median household income by race and age | Contin-uousa | 6 months | 65–85+ | Yes | Yes | Yes | Yes | Co-morbidity, ethnicity, county of residence, distance to oncologist | 5 |
Quality scores range from 1 (lowest quality) to 6 (highest quality).
Odds ratio for increase per $10,000 income.
CI, confidence interval; non-UHCS, non-universal health care system; NR, not reported; OR, odds ratio; SEER, National Cancer Institute's Surveillance, Epidemiology and End Results database; SEP, socioeconomic position.