Academic Journal
Cancer care underuse, overuse, and inequalities.
| Τίτλος: | Cancer care underuse, overuse, and inequalities. |
|---|---|
| Συγγραφείς: | Vaccarella S; Cancer Surveillance Branch, International Agency for Research on Cancer (IARC/WHO), Lyon, France., Vineis P; School of Public Health, Imperial College, London, United Kingdom. |
| Πηγή: | Journal of the National Cancer Institute [J Natl Cancer Inst] 2026 Jul 01; Vol. 118 (7), pp. 1148-1157. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Oxford University Press Country of Publication: United States NLM ID: 7503089 Publication Model: Print Cited Medium: Internet ISSN: 1460-2105 (Electronic) Linking ISSN: 00278874 NLM ISO Abbreviation: J Natl Cancer Inst Subsets: MEDLINE |
| Imprint Name(s): | Publication: <2003-> : Cary, NC : Oxford University Press Original Publication: Bethesda, Md., U. S. Dept. of Health, Education, and Welfare, Public Health Service, National Institutes of Health; Washington, for sale by the Supt. of Docs., U. S. Govt. Print. Off. |
| Ιατρικοί όροι (MeSH): | Healthcare Disparities*/statistics & numerical data , Neoplasms*/therapy , Neoplasms*/epidemiology , Neoplasms*/diagnosis , Neoplasms*/economics , Delivery of Health Care* , Medical Overuse* , Overtreatment*, Humans ; Health Services Accessibility ; Socioeconomic Disparities in Health ; Socioeconomic Factors ; Undertreatment |
| Περίληψη: | Although large socioeconomic inequalities in cancer outcomes exist between and within countries, financial and human resources are increasingly allocated to medical interventions that have minimal impact or that cause harm, including overdiagnosis and overtreatment. Underuse and overuse of medical cancer care stem from similar underlying mechanisms, including environmental, social, economic, and cultural factors, as well as health-care system organizations and medical practices, and their coexistence represents 2 opposing yet interconnected aspects of health-care inefficiency. Identifying and measuring low value in cancer prevention and care is challenging. However, emerging evidence shows that the magnitude and consequences of underuse and overuse are vast, shaping the current epidemiological landscape of cancer, causing physical, psychological, and social harm to millions of individuals and posing serious challenges to the sustainability of health systems. In this article, we propose a novel perspective and a comprehensive road map that examines inefficiencies of health systems through the lens of simultaneous underuse of cancer care by underserved populations and overuse by groups with greater access to health-care systems. (© The Author(s) 2025. Published by Oxford University Press. All rights reserved. For commercial re-use, please contact reprints@oup.com for reprints and translation rights for reprints. All other permissions can be obtained through our RightsLink service via the Permissions link on the article page on our site—for further information please contact journals.permissions@oup.com.) |
| Grant Information: | 001 International WHO_ World Health Organization |
| Entry Date(s): | Date Created: 20251008 Date Completed: 20260708 Latest Revision: 20260727 |
| Update Code: | 20260727 |
| DOI: | 10.1093/jnci/djaf290 |
| PMID: | 41059997 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1460-2105 |
|---|---|
| DOI: | 10.1093/jnci/djaf290 |