Table 3. Meta-analysis results from studies reporting on the treatment interval (TI).
TI All studies | TI Studies from high-income countries | TI Studies from lower-income countries | TI 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* | 99 | 1,711,613 | 29 | 27 | 31 | 70 | 1,700,440 | 30 | 27 | 32 | 29 | 11,173 | 28 | 22 | 40 | 1 | −5 | 8 | 0.857 |
Breast not PA-associated | 95 | 1,711,380 | 30 | 27 | 32 | 66 | 1,700,207 | 31 | 27 | 32 | 29 | 11,173 | 28 | 22 | 40 | 2 | −6 | 8 | 0.994 | |
Breast PA-associated | 4 | 233 | 20 | 19 | 24 | 4 | 233 | 20 | 19 | 24 | 0 | |||||||||
Digestive/gastrointestinal | All digestive/gastrointestinal | 105 | 1,126,671 | 23 | 20 | 31 | 95 | 1,046,841 | 24 | 20 | 32 | 10 | 79,830 | 20 | 13 | 37 | −3 | −15 | 7 | 0.512 |
All upper gastrointestinal** | 19 | 94,830 | 40 | 22 | 51 | 18 | 94,706 | 41 | 21 | 54 | 1 | 124 | 28 | −13 | −137 | 14 | 0.648 | |||
Anal | 11 | 12,546 | 33 | 32 | 34 | 11 | 12,546 | 33 | 32 | 34 | 0 | |||||||||
Colon | 19 | 170,171 | 16 | 7 | 23 | 18 | 131,038 | 15 | 7 | 23 | 1 | 39,133 | 21 | 8 | −43 | 17 | 0.645 | |||
Colorectal | 68 | 1,003,355 | 18 | 14 | 22 | 61 | 923,732 | 18 | 14 | 23 | 7 | 79,623 | 19 | 10 | 30 | −2 | −13 | 8 | 0.809 | |
Esophageal | 6 | 9,870 | 44 | 30 | 63 | 5 | 9,746 | 45 | 35 | 66 | 1 | 124 | 28 | −16 | −40 | −5 | 0.242 | |||
Gastric | 7 | 15,940 | 32 | 16 | 89 | 5 | 15,857 | 32 | 19 | 65 | 2 | 83 | 82 | 14 | 150 | 38 | −58 | 133 | 1.000 | |
Liver | 3 | 15,495 | 50 | 40 | 51 | 3 | 15,495 | 50 | 40 | 51 | 0 | |||||||||
Pancreatic | 8 | 69,369 | 20 | 15 | 28 | 8 | 69,369 | 20 | 15 | 28 | 0 | |||||||||
Rectal | 9 | 68,805 | 26 | 18 | 49 | 6 | 28,623 | 33 | 19 | 48 | 3 | 40,182 | 22 | 11 | 60 | −5 | −44 | 44 | 0.795 | |
Stomach | 0 | 0 | 0 | |||||||||||||||||
Genitourinary | All genitourinary | 49 | 1,370,236 | 57 | 45 | 66 | 48 | 1,370,202 | 59 | 45 | 67 | 1 | 34 | 34 | −24 | −146 | 34 | 0.457 | ||
Bladder | 11 | 26,632 | 50 | 5 | 65 | 11 | 26,632 | 50 | 5 | 65 | 0 | |||||||||
Penile | 1 | 13,283 | 27 | 1 | 13,283 | 27 | 0 | |||||||||||||
Prostate | 27 | 1,060,169 | 75 | 61 | 87 | 27 | 1,060,169 | 75 | 61 | 87 | 0 | |||||||||
Renal | 9 | 269,965 | 0 | 0 | 22 | 8 | 269,931 | 0 | 0 | 2 | 1 | 34 | 34 | 34 | 10 | 34 | 0.250 | |||
Testicular | 0 | 0 | 0 | |||||||||||||||||
Upper urinary | 1 | 187 | 45 | 1 | 187 | 45 | 0 | |||||||||||||
Gynecological | All gynecological | 33 | 136,330 | 46 | 38 | 54 | 22 | 130,833 | 42 | 34 | 48 | 11 | 5,497 | 69 | 28 | 107 | 28 | 11 | 58 | 0.015 |
Cervical | 13 | 6,394 | 69 | 45 | 108 | 4 | 1,002 | 43 | 11 | 117 | 9 | 5,392 | 71 | 63 | 109 | 29 | −48 | 76 | 0.316 | |
Endometrial | 5 | 120,408 | 38 | 17 | 47 | 4 | 120,346 | 41 | 16 | 48 | 1 | 62 | 24 | −19 | −24 | 9 | 0.724 | |||
Ovarian | 3 | 145 | 13 | 1 | 17 | 2 | 102 | 7 | 1 | 13 | 1 | 43 | 17 | 10 | 4 | 16 | 0.540 | |||
Uterine | 11 | 9,369 | 46 | 37 | 53 | 11 | 9,369 | 46 | 37 | 53 | 0 | |||||||||
Vulvar | 1 | 14 | 18 | 1 | 14 | 18 | 0 | |||||||||||||
Head and neck | All head and neck | 77 | 126,777 | 33 | 32 | 37 | 69 | 125,693 | 33 | 32 | 37 | 8 | 1,084 | 41 | 20 | 65 | 2 | −11 | 25 | 0.764 |
Hypopharyngeal | 3 | 4,984 | 32 | 27 | 37 | 3 | 4,984 | 32 | 27 | 37 | 0 | |||||||||
Laryngeal | 8 | 35,318 | 26 | 22 | 42 | 6 | 34,720 | 26 | 23 | 38 | 2 | 598 | 37 | 18 | 56 | 5 | −25 | 34 | 1.000 | |
Nasopharyngeal | 1 | 101 | 39 | 1 | 101 | 39 | 0 | |||||||||||||
Oral | 19 | 29,047 | 30 | 23 | 53 | 16 | 28,846 | 30 | 23 | 53 | 3 | 201 | 55 | 20 | 103 | 25 | −29 | 76 | 0.342 | |
Oropharyngeal | 8 | 14,459 | 34 | 29 | 58 | 8 | 14,459 | 34 | 29 | 58 | 0 | |||||||||
Thyroid | 4 | 6,256 | 165 | 67 | 502 | 4 | 6,256 | 165 | 67 | 502 | 0 | |||||||||
Hematological | All hematological | 18 | 18,764 | 22 | 8 | 32 | 17 | 18,735 | 21 | 8 | 28 | 1 | 29 | 37 | 16 | −2,063 | 35 | 0.385 | ||
Leukemia | 3 | 4,179 | 4 | 3 | 8 | 3 | 4,179 | 4 | 3 | 8 | 0 | |||||||||
Lymphoma | 11 | 14,452 | 22 | 12 | 29 | 11 | 14,452 | 22 | 12 | 29 | 0 | |||||||||
Myeloma | 1 | 53 | 2 | 1 | 53 | 2 | 0 | |||||||||||||
Musculoskeletal | Sarcoma | 11 | 13,352 | 21 | 21 | 22 | 10 | 13,329 | 21 | 21 | 22 | 1 | 23 | 23 | 2 | −3 | 3 | 0.252 | ||
Neurologic/brain | Neurologic/brain | 2 | 65 | 26 | 25 | 26 | 0 | 2 | 65 | 26 | 255 | 26 | ||||||||
Respiratory/thoracic | Lung | 60 | 557,374 | 32 | 27 | 35 | 53 | 546,499 | 33 | 30 | 42 | 7 | 10,875 | 20 | 6 | 25 | −21 | −36 | −9 | 0.002 |
Skin | Melanoma | 9 | 105,326 | 31 | 28 | 45 | 7 | 105,255 | 30 | 24 | 39 | 2 | 71 | 63 | 32 | 95 | 31 | −20 | 82 | 0.188 |
Non-melanoma | 0 | 0 | 0 | |||||||||||||||||
Unknown | Unknown primary | 0 | 0 | 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.