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. 2022 Oct 20;19(10):e1004110. doi: 10.1371/journal.pmed.1004110

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.