ReviewClinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico2026
Social determinants and equity across the gastric cancer continuum in Vietnam: a narrative review.
Review in Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
3 authors.
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Abstract
Gastric cancer remains a major cause of cancer mortality in Vietnam and illustrates how social conditions shape cancer trajectories. This narrative review synthesizes Vietnam-relevant evidence across infection, diet, tobacco and alcohol exposure, early detection, treatment, financial protection, survivorship, and palliative care. Helicobacter pylori acquisition is socially patterned by household and hygiene conditions; salt intake remains above recommended levels; and early gastric cancer represents about 4% of cases in available tertiary and multicenter studies. Broader Vietnamese health-system evidence suggests geographic concentration of specialist services and persistent out-of-pocket spending despite high insurance enrollment; these are contextual inferences rather than gastric-cancer-specific estimates. Cancer-wide studies from 2012 to 2014 document substantial financial catastrophe, but contemporary gastric-cancer-specific cost data are lacking. We propose an equity-oriented agenda combining representative surveillance, population prevention, quality-assured risk-stratified detection, regional care networks, patient navigation, and deeper financial protection, with routine socioeconomic, geographic, and patient-reported outcome monitoring.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.