How Does Patient Socioeconomic Position Affect Breast Cancer Surgical Treatment and Mortality?: A Rapid Review

Figures & data

Table 1 Inclusion and Exclusion Criteria

Parameter	Inclusion Criteria	Exclusion Criteria
Population	Adult female patients (18 years and older) Confirmed breast cancer diagnosis	Adolescents/children DCIS
Comparator	Includes at least one operational definition, measure, or indicator of socioeconomic position (SEP)	Not directly reported patient demographics:  ● Health insurance status as proxy for SEP  ● Ecological data used as proxy for SEP - zip code, Census data for zip code SEP is only adjusted or controlled for in analysis
Outcomes	Direct surgical outcome(s): surgery choice, delays to treatment, and/or survival	Other surgery: breast reconstruction and prophylactic mastectomy (and contralateral prophylactic mastectomy)
Study Design	Only observational studies - cohort, cross-sectional, case series/studies	Randomized controlled trials Publications in a language other than English or French No quantitative results

Table 2 Brief Characteristics of Included Articles

Article Authors	Year	Country	Measure of SEP	Outcome Measured
Aziz et al^Citation19	2010	Pakistan	Patient-reported income. Low: Up to $11/day; Middle: Between $11 and $25/day; High: Greater than $25/day.	Survival
Chen et al^Citation20	2019	China	Self-reported income, self-reported level of education	Surgery choice
Dalton et al^Citation21	2007	Denmark	Individual level database. Level of education, employment status, and income.	Survival
Frisell et al^Citation22	2020	Sweden	Self-reported education level, occupation, disposable income.	Surgery choice
Haybittle et al^Citation23	1997	United Kingdom	Self-reported occupation.	Survival
Lautner et al^Citation24	2015	United States of America	Self-reported income, self-reported education level.	Surgery choice
Li et al^Citation25	2019	Canada	Self-reported income, self-reported education level.	Surgery choice
Liu et al^Citation26	2012	China	Self-reported family income, self-reported level of education.	Surgery choice
Riba et al^Citation27	2019	United States of America	Self-reported income.	Surgery choice
Porzio G.^Citation18 The Italian Group for the Evaluation of Outcomes in Oncology (IGEO)	2003	Italy	Self-reported level of education, self-reported occupation.	Surgery choice
Wright et al^Citation28	2010	United States of America	Self-reported SES quintile.	Wait time to surgery
Zhang et al^Citation29	2012	China	Self-reported income, self-reported level of education.	Surgery choice

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