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Mapping the Landscape of Rural Cancer Research: A Global Bibliometric Analysis

  • David Nelson* (Corresponding Author)
  • , Tanja K. Kleinhappel
  • , Natalia Calanzani
  • , Samuel Cooke
  • , Ben Pickwell-Smith
  • , Katie Spencer
  • , Ros Kane
  • , Syeda Naqvi
  • , Peter Selby
  • , Mark Lawler
  • , Peter Murchie
  • *Corresponding author for this work
  • University of Lincoln
  • Macmillan Cancer Support
  • University of Leeds
  • Leeds Teaching Hospitals NHS Trust
  • Queen's University Belfast
  • European Cancer Organisation

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose
Rural communities frequently experience inequalities in cancer care compared to urban counterparts. Despite growing academic interest, there has been no global bibliometric analysis of rural cancer publications. Increasingly, global policies focus on place-based health inequalities; it is critical to understand the current state and emerging trends of rural cancer research. This analysis focuses on publication trends, including authors, citations, geography, collaboration (extent and patterns) and target journals.

Methods
Web of Science and Scopus were searched from inception to 25th February 2025. Bibliometric methodology examined citation counts, authorship and publication sources. Results were converted into bibliographic data frames using the bibliometrix R package. All analysis and visual illustrations were in R 4.4.2.

Results
Fifteen thousand seven hundred and twenty two documents were analysed (mean age, 10.6 years; average, 25.5 citations per document (2.2 per year)). Annual publication growth was 4.6%, with a marked increase in rural cancer research outputs since 2006. Research output was concentrated in a small number of high-income countries and institutions, but citation analysis showed that some smaller countries produced high-impact work. Rural cancer research activity is shaped by national, regional and geopolitical collaborations. Thematic gaps were identified in early diagnosis. Cancer-specific journals have most outputs, with rural health and public health journals also contributing to the dissemination of rural cancer research.

Conclusion
Rural cancer research is expanding but is geographically uneven. There is a need for increased investment in underrepresented regions and broader subject-specific coverage that is guided by intersectional and place-based approaches.
Original languageEnglish
Article number5
Number of pages12
JournalCancer Causes & Control
Volume37
Early online date27 Dec 2025
DOIs
Publication statusPublished - Jan 2026

Data Availability Statement

The data that support the findings of this study are available from the corresponding author (DN), upon reasonable request.

Funding

This research did not receive any funding.

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Keywords

  • cancer research
  • rural health
  • bibliometric analysis
  • research activity
  • global
  • inequalities

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