Topic Editors

Dr. Kevin Knopf
1. Institute for Health Policy Studies, School of Medicine, University of California, San Francisco, CA 94143, USA
2. Sutter Health, Berkeley, CA 94704, USA
Dr. Kim F. Rhoads
1. School of Medicine, University of California, San Francisco, CA 94143, USA
2. Massey Comprehensive Cancer Center, Virginia Commonwealth University, Richmond, VA 23298, USA

Multidimensional Disparities in Cancer Care and Outcomes

Abstract submission deadline
31 October 2026
Manuscript submission deadline
31 December 2026
Viewed by
1721

Topic Information

Dear Colleagues,

In addition to biological determinants, cancer outcomes are also shaped by complex social, economic, and geographic factors. Despite advances in oncology care, significant differences in location of care, diverse relationships between health systems and payers, and the involvement of pharmacy benefit managers across care environments decrease widespread access.  The ability to access these clinical advances persists across populations. Diminished access to these advances leads to unequal treatment, variations in care, and divergent survival and quality-of-life outcomes. These multidimensional inequities are often associated with race, ethnicity, socioeconomic status, gender, age, and rurality, posing a recalcitrant public health challenge. This Topic seeks to illuminate the structural, clinical, and community-level factors that perpetuate such disparities and to highlight interventions that promote equity in cancer care. Research areas may include (but are not limited to) the following:

  • Socioeconomic and Geographic Barriers to Cancer Screening, Diagnosis, and Treatment;
  • Racial, Ethnic, and Gender-Based Inequities in Cancer Incidence, Mortality, and Survivorship;
  • Disparities in Access to Advanced Therapeutics, Clinical Trials, and Supportive Care;
  • Policy, Health Systems, and Digital Health Strategies to Mitigate Inequities;
  • Patient-Reported Outcomes and Quality of Life across Diverse Populations.

We welcome the submission of original research, reviews, policy analyses, and multidisciplinary studies that explore the roots, manifestations, and solutions to disparities across the cancer care continuum. Submissions may address differences in prevention, early detection, treatment modalities, palliative care, survivorship, or health policy. Studies employing innovative methodologies, including geospatial analysis, participatory research, or real-world data, are particularly encouraged.

Dr. Kevin Knopf
Dr. Kim F. Rhoads
Topic Editors

Keywords

  • cancer disparities
  • health equity
  • cancer care
  • social determinants of health
  • oncology outcomes

Participating Journals

Journal Name Impact Factor CiteScore Launched Year First Decision (median) APC
Cancers
cancers
4.8 9.0 2009 17.5 Days CHF 2900 Submit
Current Oncology
curroncol
3.6 6.1 1994 22.6 Days CHF 2200 Submit
Diseases
diseases
3.7 4.2 2013 21.6 Days CHF 1800 Submit

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Published Papers (1 paper)

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22 pages, 1056 KB  
Article
Cancer Patterns and Barriers to Care Among Socioeconomically Vulnerable Populations in Tripoli: A Descriptive Study from a Local NGO
by Mouhamad J. Darwich, Dalal Ksair, Zein Adra, Rafaela-Yomn Naji, Bushra Sayed, Rihab Nasr and Zeina Dassouki
Diseases 2026, 14(5), 170; https://doi.org/10.3390/diseases14050170 - 12 May 2026
Viewed by 950
Abstract
Background/Objectives: Cancer patterns in low-resource and crisis-affected settings are poorly characterized, particularly among socioeconomically vulnerable populations. This study aimed to describe cancer distribution, age at diagnosis, and barriers to care among patients presenting to a non-governmental organization (NGO) in Tripoli, Lebanon. Methods: We [...] Read more.
Background/Objectives: Cancer patterns in low-resource and crisis-affected settings are poorly characterized, particularly among socioeconomically vulnerable populations. This study aimed to describe cancer distribution, age at diagnosis, and barriers to care among patients presenting to a non-governmental organization (NGO) in Tripoli, Lebanon. Methods: We conducted a retrospective analysis of patients with histopathologically confirmed cancers presenting to a single NGO. Sociodemographic, clinical, and behavioral data were extracted from medical records. Socioeconomic status (SES) was assessed using a validated composite scale. Age-standardized proportions (ASPs) were calculated using GLOBOCAN and WHO standard weights. Barriers to care were categorized into financial, geographic, system-level, and sociocultural domains. Associations were assessed using chi-square tests and regression models. Results: Breast cancer was the most common malignancy (32.0%), followed by colorectal (CRC: 9.8%). A total of 440 patients were included. Colorectal cancer (CRC) was the second-most common malignancy, with 37% of cases occurring before age 50. Breast cancer accounted for nearly half of female cancers. Smoking-related malignancies, particularly bladder and lung cancers, were prominent. Sex differences were cancer-specific, with male sex associated with bladder cancer but not overall cancer distribution. Barriers to care were highly prevalent: 97.3% reported at least one financial barrier, 95.4% system-level barriers, and 72.4% geographic barriers. Low SES was significantly associated with geographic barriers (p < 0.001). Conclusions: Cancer patterns in this vulnerable population are characterized by early-onset disease, a high burden of smoking-related cancers, and pervasive barriers to care. These findings highlight the importance of integrating SES and access-related variables into cancer surveillance systems and support the development of targeted, equity-focused interventions. Full article
(This article belongs to the Topic Multidimensional Disparities in Cancer Care and Outcomes)
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