Travel time to hospital and treatment for breast, colon, rectum, lung, ovary and prostate cancer
Travel time to hospital and treatment for breast, colon, rectum, lung, ovary and prostate cancer
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DOI：
10.1016/j.ejca.2008.02.001
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发表时间：
2008-05-01
影响因子：
8.4
通讯作者：
Forman, D.
中科院分区：
文献类型：
--
作者：
Jones, A. P.;Haynes, R.;Forman, D.
其目的是研究获得治疗服务的地理位置对癌症治疗模式的影响。英格兰北部乳腺癌、结肠癌、直肠、肺、卵巢和前列腺癌患者的记录增加了前往最近提供手术、化疗或放射治疗的医院的旅行时间估计，使用Logistic回归对年龄、性别、肿瘤分期、选定的肿瘤病理特征和居住地被剥夺进行调整，所有研究地点接受放射治疗的可能性都随着前往最近放射治疗医院的旅行时间增加而降低。住在离胸外科医院较远的肺癌患者接受手术的可能性较小，而住在离这些服务较远的肺癌和直肠癌患者接受化疗的可能性较小。只有几个专科中心提供的服务，涉及比平均患者行程更长的时间，所有这些服务都显示出旅行时间和接受治疗之间的负相关。(C)2008爱思唯尔有限公司。保留所有权利。
The aim was to examine the effect of geographical access to treatment services on cancer treatment patterns. Records for patients in northern England with breast, colon, rectal, lung, ovary and prostate tumours were augmented with estimates of travel time to the nearest hospital providing surgery, chemotherapy or radiotherapy Using logistic regression to adjust for age, sex, tumour stage, selected tumour pathology characteristics and deprivation of place of residence, the likelihood of receiving radiotherapy was reduced for all sites studied with increasing travel time to the nearest radiotherapy hospital. Lung cancer patients living further from a thoracic surgery hospital were less likely to receive surgery, and both lung cancer and rectal cancer patients were less likely to receive chemotherapy if they lived distant from these services. Services provided in only a few specialised centres, involving longer than average patient journeys, all showed an inverse association between travel time and treatment take-up. (c) 2008 Elsevier Ltd. All rights reserved.