Table 5. Likelihood of receipt of surgery by SEP group (universal health care systems).
Study | No. Receiving Surgery | Cohort No./No. Eligible | Rate | Histology | OR/Rate in Q1 (95% CI) | OR/Rate in Q2 (95% CI) | OR/Rate in Q3 (95% CI) | OR/Rate in Q4 (95% CI) | OR/rate in Q5 (95% CI) | p-Value | Quality Score | Meta-Analysis | Further Information |
Bendzsak et al, 2011 [49] | 1220 | 6499 | 18.77 | any | 21.1 | 18.3 | 19.7 | 18.8 | 16.8 | 0.02 | 2 | N | Univariable rate |
Campbell et al, 2002 [35] | 85 | 653 | 13.02 | any | 1.00 | 0.76 (0.28 to 2.09) | 0.70 (0.27 to 1.84) | 0.88 (0.35 to 2.22) | 0.59 (0.23 to 1.53) | 0.423 | 5 | Y | P for trend |
Hui et al, 2005 [51] | NR | 526 | any | 29 | 28 | 20 | 27 | 20 | 0.19 | 2 | N | Univariable rate | |
Jack et al, 2003 [39] | NR | 32818 | any | 0.98 (0.95 to 1.01) | 0.7759 | 4 | N | ||||||
Jack et al, 2006 [40] | 42 | 695 | 6.04 | any | 1.00 | 0.82 (0.33 to 2.07) | 0.89 (0.35 to 2.25) | 0.16 (0.03 to 0.73) | 0.75 (0.27 to 2.09) | 0.1326 | 6 | Y | Subset of Jack et al (2003) pop, p for trend |
Jones et al,2008 [41] | 3552 | 34923 | 10.17 | any | 0.99 (0.99 to 1.00) | <0.01 | 4 | N | |||||
Pollock &Vickers, 1998 [44] | 2869 | 38668 | 7.42 | any | 1.00 | 0.83 (0.69 to 1.00) | 0.73 (0.61 to 0.88) | 0.82 (0.68 to 0.98) | 0.58 (0.48 to 0.70) | <0.05 | 3 | Y | Hospital population, p for trend |
Raine et al, 2010 [45] | 8790 | 36902 | 23.82 | any | 1.63 (1.49 to 1.77) | 1.58 (1.46 to 1.72) | 1.45 (1.35 to 1.57) | 1.34 (1.25 to 1.45) | 1.00 | <0.001 | 3 | Y | Elective admission population |
Raine et al, 2010 [45] | 8923 | 186741 | 4.78 | any | 5.5 | 5.2 | 4.8 | 4.4 | 4.5 | NR | 2 | N | All admissions, univariable rate |
Battersby et al, 2004 [48] | 387 | 4092 | 9.46 | NSCLC | −0.10 (−0.55 to 0.40) | NR | 1 | N | Rate by sex correlated with deprivation score (men), with overall treatment rate | ||||
Battersby et al, 2004 [48] | NSCLC | −0.16 (−0.59 to 0.35) | NR | 1 | N | Rate by sex correlated with deprivation score (women) | |||||||
Berglund et al, 2010 [19] | 626 | 3369 | 18.58 | NSCLC | 1.93 (1.25 to 3.00) | 1.33 (0.98 to 1.81) | 1.00 | NR | 6 | Y | |||
Berglund et al, 2010 [19] | 534 | 932 | 57.30 | NSCLC | 2.84 (1.40 to 5.79) | 1.53 (1.01 to 2.31) | 1.00 | NR | 6 | Y(S) | Early stage only - stage IA-IIB | ||
Berglund et al, 2012 [22] | 899 | 1826 | 49.18 | NSCLC | 1.00 | 0.74 (0.51 to 1.06) | 0.71 (0.49 to 1.02) | 0.73 (0.52 to 1.03) | 0.67 (0.48 to 0.95) | 0.29 | 6 | Y | Early stage only – stage IA-IIB, p for trend |
Cartman et al, 2002 [50] | 2401 | 12570 | 19.10 | NSCLC | 19.1 | 18.6 | NR | 1 | N | Univariable rate | |||
Crawford et al, 2009 [36] | 3335 | 18324 | 18.20 | NSCLC | 1.00 | 0.90 (0.81 to 1.00) | 0.82 (0.74 to 0.91) | 0.80 (0.72 to 0.89) | <0.05, <0.01, <0.01 | 4 | Y | Individual P values reported | |
Mahmud et al, 2003 [42] | 866 | 4451 | 19.46 | NSCLC | 19.8 | 18.0 | 21.0 | NR | 2 | N | Univariable rate | ||
McMahon et al, 2011 [43] | 2374 | 18813 | 12.62 | NSCLC | 1.00 | 0.95 (0.83 to 1.09) | 0.95 (0.83 to 1.08) | 0.90 (0.79 to 1.03) | 0.78 (0.65 to 0.94) | 0.018 | 4 | Y | P for trend |
0.96 (0.93 to 0.99) | 0.018 | N | Paper presents results in 2 different ways | ||||||||||
Riaz et al, 2012 [34] | 6900 | 77349 | 8.92 | NSCLC | 1.00 | 0.88 (0.80 to 0.96) | 0.91 (0.83 to 0.99) | 0.82 (0.76 to 0.89) | 0.76 (0.70 to 0.83) | <0.01 | 4 | Y(S) | P for trend |
Rich et al, 2011(1) [46] | 3427 | 24175 | 14.18 | NSCLC | 1.00 | 1.13 (0.98 to 1.32) | 1.18 (1.02 to 1.37) | 1.01 (0.87 to 1.16) | 1.11 (0.96 to 1.27) | 0.77 | 5 | Y(S) | Subset of Rich et al 2011 (2) pop, p for trend |
Rich et al, 2011(2) [21] | 4481 | 34436 | 13.01 | NSCLC | 1.00 | 0.99 (0.88 to 1.11) | 1.04 (0.92 to 1.19) | 0.98 (0.84 to 1.13) | 0.86 (0.71 to 1.04) | 0.132 | 5 | Y(S) | P for trend |
Some studies reported SEP quintiles but others reported SEP in 2, 3, or 4 categories or as a continuous variable. Details of the number of SEP groups per study are given in Tables 1–4 in the column entitled “No. of SEP groups.” Quality scores range from 1 (lowest quality) to 6 (highest quality). Meta-analysis: Y, included in final meta-analysis; Y(S), included in sensitivity meta-analysis; N, not included in meta-analysis. Q1, high socioeconomic position, Q5, low socioeconomic position.
CI, confidence interval; NR, not reported; OR, odds ratio; pop, population; SEP, socioeconomic position; UHCS, universal health care system.