Table 1. Meta-analysis results from studies reporting on the patient interval (PI).
PI All studies | PI Studies from high-income countries | PI Studies from lower-income countries | PI Difference | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Body location/system | Cancer site | k | N | med | LLCI | ULCI | k | N | med | LLCI | ULCI | k | N | med | LLCI | ULCI | Diff | LLCI | ULCI | p |
Breast | All breast* | 93 | 24,957 | 43 | 34 | 59 | 26 | 6,911 | 32 | 24 | 45 | 67 | 18,046 | 58 | 35 | 92 | 25 | 7 | 61 | 0.002 |
Breast not PA-associated | 87 | 24,812 | 42 | 34 | 55 | 22 | 6,789 | 29 | 19 | 45 | 65 | 18,014 | 50 | 34 | 90 | 24 | 8 | 61 | 0.002 | |
Breast PA-associated | 6 | 145 | 61 | 32 | 195 | 4 | 113 | 48 | 30 | 61 | 2 | 32 | 196 | 109 | 282 | 144 | 48 | 252 | 0.100 | |
Digestive/gastrointestinal | All digestive/gastrointestinal | 50 | 12,729 | 29 | 22 | 31 | 42 | 11,612 | 26 | 21 | 30 | 8 | 1,117 | 53 | 34 | 125 | 27 | 10 | 69 | 0.002 |
All upper gastrointestinal** | 17 | 2,678 | 15 | 11 | 28 | 16 | 2,554 | 15 | 10 | 23 | 1 | 124 | 33 | 18 | −46 | 29 | 0.260 | |||
Anal | 0 | 0 | 0 | |||||||||||||||||
Colon | 2 | 1,747 | 20 | 18 | 22 | 2 | 1,747 | 20 | 18 | 22 | 0 | |||||||||
Colorectal | 29 | 9,576 | 30 | 28 | 51 | 24 | 8,666 | 29 | 22 | 32 | 5 | 910 | 90 | 43 | 279 | 59 | 9 | 110 | 0.010 | |
Esophageal | 5 | 935 | 31 | 24 | 68 | 4 | 811 | 31 | 22 | 78 | 1 | 124 | 33 | 3 | −46 | 11 | 0.724 | |||
Gastric | 4 | 475 | 30 | 25 | 45 | 2 | 329 | 28 | 25 | 30 | 2 | 83 | 38 | 30 | 46 | 10 | 0 | 21 | 0.414 | |
Liver | 1 | 130 | 9 | 1 | 130 | 9 | 0 | |||||||||||||
Pancreatic | 5 | 493 | 14 | 11 | 20 | 5 | 493 | 14 | 11 | 20 | 0 | |||||||||
Rectal | 5 | 979 | 31 | 20 | 126 | 4 | 945 | 26 | 20 | 118 | 1 | 34 | 128 | 101 | 7 | 108 | 0.289 | |||
Stomach | 1 | 187 | 9 | 1 | 187 | 9 | 0 | |||||||||||||
Genitourinary | All genitourinary | 32 | 6,784 | 24 | 12 | 30 | 30 | 6,496 | 18 | 10 | 30 | 2 | 288 | 97 | 78 | 116 | 72 | −36 | 112 | 0.129 |
Bladder | 12 | 2,135 | 14 | 4 | 96 | 12 | 2,135 | 14 | 4 | 96 | 0 | |||||||||
Penile | 3 | 517 | 92 | 75 | 116 | 2 | 263 | 84 | 75 | 92 | 1 | 254 | 116 | 33 | 24 | 41 | 0.540 | |||
Prostate | 8 | 3,035 | 27 | 15 | 91 | 8 | 3,035 | 27 | 15 | 91 | 0 | |||||||||
Renal | 5 | 567 | 10 | 3 | 66 | 4 | 533 | 7 | 3 | 29 | 1 | 34 | 78 | 71 | 48 | 75 | 0.289 | |||
Testicular | 3 | 272 | 29 | 12 | 30 | 3 | 272 | 29 | 12 | 30 | 0 | |||||||||
Upper urinary | 0 | 0 | 0 | |||||||||||||||||
Gynecological | All gynecological | 32 | 4,218 | 27 | 16 | 51 | 22 | 2,206 | 21 | 15 | 30 | 10 | 2,012 | 79 | 40 | 129 | 51 | 22 | 90 | 0.017 |
Cervical | 14 | 2,145 | 41 | 25 | 88 | 6 | 502 | 29 | 16 | 43 | 8 | 1,913 | 79 | 14 | 119 | 47 | −17 | 94 | 0.137 | |
Endometrial | 5 | 664 | 16 | 11 | 56 | 4 | 602 | 15 | 10 | 42 | 1 | 62 | 60 | 46 | 17 | 50 | 0,289 | |||
Ovarian | 10 | 1,041 | 18 | 13 | 47 | 9 | 1,004 | 15 | 12 | 28 | 1 | 37 | 168 | 153 | 78 | 159 | 0.163 | |||
Uterine | 1 | 35 | 21 | 1 | 35 | 21 | 0 | |||||||||||||
Vulvar | 2 | 63 | 66 | 17 | 114 | 2 | 63 | 66 | 17 | 114 | 0 | |||||||||
Head and neck | All head and neck | 51 | 5,890 | 45 | 32 | 63 | 22 | 3,361 | 31 | 30 | 58 | 29 | 2,529 | 60 | 45 | 90 | 23 | 1 | 55 | 0.025 |
Hypopharyngeal | 1 | 97 | 90 | 0 | 1 | 97 | 90 | |||||||||||||
Laryngeal | 7 | 540 | 60 | 32 | 96 | 3 | 344 | 89 | 35 | 119 | 4 | 196 | 53 | 24 | 89 | −29 | −96 | 56 | 0.596 | |
Nasopharyngeal | 3 | 413 | 42 | 30 | 910 | 1 | 101 | 42 | 2 | 312 | 60 | 30 | 90 | 18 | −12 | 48 | 1.000 | |||
Oral | 18 | 1,995 | 47 | 31 | 73 | 6 | 690 | 31 | 22 | 87 | 12 | 1,305 | 55 | 35 | 90 | 16 | −21 | 59 | 0.541 | |
Oropharyngeal | 6 | 1,122 | 30 | 25 | 77 | 4 | 1,085 | 30 | 21 | 63 | 2 | 37 | 60 | 30 | 90 | 18 | −34 | 69 | 0.461 | |
Thyroid | 2 | 179 | 40 | 21 | 60 | 2 | 179 | 40 | 21 | 60 | 0 | |||||||||
Hematological | All hematological | 38 | 5,346 | 21 | 16 | 29 | 33 | 5,102 | 19 | 16 | 26 | 5 | 244 | 42 | 23 | 156 | 24 | 6 | 57 | 0.017 |
Leukemia | 10 | 1,028 | 19 | 11 | 34 | 9 | 973 | 16 | 9 | 32 | 1 | 55 | 186 | 170 | 151 | 182 | 0.163 | |||
Lymphoma | 17 | 2,517 | 21 | 17 | 28 | 14 | 2,357 | 20 | 16 | 27 | 3 | 160 | 28 | 21 | 42 | 10 | −2 | 25 | 0.184 | |
Myeloma | 5 | 1,287 | 24 | 6 | 48 | 5 | 1,287 | 24 | 6 | 48 | 0 | |||||||||
Musculoskeletal | Sarcoma | 13 | 4,148 | 75 | 29 | 130 | 12 | 4,125 | 60 | 29 | 154 | 1 | 23 | 86 | 15 | −158 | 73 | 0.689 | ||
Neurologic/brain | Neurologic/brain | 5 | 320 | 48 | 9 | 616 | 2 | 192 | 11 | 7 | 15 | 3 | 128 | 270 | 48 | 730 | 258 | 33 | 723 | 0.149 |
Respiratory/thoracic | Lung | 37 | 17,964 | 28 | 22 | 32 | 23 | 5,663 | 22 | 20 | 30 | 14 | 12,301 | 33 | 28 | 59 | 13 | 3 | 31 | 0.023 |
Skin | Melanoma | 9 | 1,353 | 85 | 39 | 334 | 7 | 1,111 | 70 | 25 | 764 | 2 | 242 | 118 | 85 | 150 | 35 | −1,775 | 130 | 0.661 |
Nonmelanoma | 5 | 1,511 | 60 | 57 | 476 | 5 | 1,511 | 60 | 57 | 477 | 0 | |||||||||
Unknown | Unknown primary | 1 | 110 | 7 | 1 | 110 | 7 | 0 |
k = number of studies/estimates joined in meta-analysis; N = number of patients; med = pooled median (in days); LLCI and ULCI = lower-level and upper-level confidence interval, respectively; Diff = difference between lower- and high-income countries based on Wilcoxon rank sum test; PA-associated = pregnancy-associated.
When k = 1, the median from the single located study is reported.
*Breast cancer only includes female breast cancer.
**Upper-gastrointestinal cancers include esophageal cancer, stomach cancer, small bowel cancer, pancreatic cancer, liver cancer, and cancers of the biliary system.