Does Travel Time to a Radiation Facility Impact Patient Decision‐Making Regarding Treatment for Prostate Cancer? A Study of the New Hampshire State Cancer Registry
Purpose We sought to determine whether further distance from a radiation center is associated with lower utilization of external beam radiation therapy (XRT). Methods We retrospectively identified patients with a new diagnosis of localized prostate cancer (CaP) within the New Hampshire State Cancer...
Gespeichert in:
| Veröffentlicht in: | The Journal of rural health 2018-02, Vol.34 (S1), p.s84-s90 |
|---|---|
| Hauptverfasser: | , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | s90 |
|---|---|
| container_issue | S1 |
| container_start_page | s84 |
| container_title | The Journal of rural health |
| container_volume | 34 |
| creator | Ghali, Fady Celaya, Maria Laviolette, Michael Ingimarsson, Johann Carlos, Heather Rees, Judy Hyams, Elias |
| description | Purpose
We sought to determine whether further distance from a radiation center is associated with lower utilization of external beam radiation therapy (XRT).
Methods
We retrospectively identified patients with a new diagnosis of localized prostate cancer (CaP) within the New Hampshire State Cancer Registry from 2004 to 2011. Patients were categorized by age, D'Amico risk category, year of treatment, marital status, season of diagnosis, urban/rural residence, and driving time to the nearest radiation facility. Treatment decisions were stratified into those requiring multiple trips (XRT) or a single trip (surgery or brachytherapy). Multivariable regression analysis was performed.
Results
A total of 4,731 patients underwent treatment for newly diagnosed CaP during the study period, including 1,575 multitrip (XRT) and 3,156 single‐trip treatments. Of these, 87.6% lived within a 30‐minute drive to a radiation facility. In multivariable analysis, time to the nearest radiation facility was not associated with treatment decisions (P = .26). However, higher risk category, older age, married status, and winter diagnosis were associated with XRT (P < .05). More recent year of diagnosis and urban residence were associated with single‐trip therapy (primarily surgery) (P < .05). There was a significant interaction between travel time and season of diagnosis (P = .03), as well as a marginally significant interaction with urban/rural status (P = .07).
Conclusion
Overall, further travel time to a radiation facility was not associated with lower utilization of XRT. These data are encouraging regarding access to care for CaP in New Hampshire. |
| doi_str_mv | 10.1111/jrh.12224 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1841796929</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2001880737</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3534-a6ef95fddd72fe71b01055d54a14338c770d94ff3a42a6632506fbff764796393</originalsourceid><addsrcrecordid>eNp10ctu1DAUBmALgei0sOAFkCU2sEjrW-JkhaopZYoKVMMgsYvOJMcdD7kMttMqOx6Bl-DFeBIcpoCEhDe27E-_jvwT8oSzYx7XydZtjrkQQt0jM65VnjCZ8ftkxvKCJTpLPx2QQ--3jIkil-ohORA6z4TI0xn5ftajpysHN9jQlW2Rhp4CXUJtIdi-o-dQ2caGkV60O6gCvYrX2AV6hpX1Efz4-u0tfLbdNV3iNbh6Oq0cQmgnZXpHr1zvAwSkc-gqdC_pKf0QhnqkvaFhg_Qd3tIFtDu_sQ7j0186RVof3PiIPDDQeHx8tx-Rj-evVvNFcvn-9cX89DKpZCpVAhmaIjV1XWthUPM14yxN61QBV1LmldasLpQxEpSALJMiZZlZG6MzpYtMFvKIPN_n7lz_ZUAfytb6CpsGOuwHX_Jc8SgLMdFn_9BtP7guTlcKxnieMy11VC_2qoqf4B2acudsC24sOSun7srYXfmru2if3iUO6xbrP_J3WRGc7MGtbXD8f1L5ZrnYR_4EfKWkRw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2001880737</pqid></control><display><type>article</type><title>Does Travel Time to a Radiation Facility Impact Patient Decision‐Making Regarding Treatment for Prostate Cancer? A Study of the New Hampshire State Cancer Registry</title><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>Wiley Online Library Journals Frontfile Complete</source><source>PAIS Index</source><creator>Ghali, Fady ; Celaya, Maria ; Laviolette, Michael ; Ingimarsson, Johann ; Carlos, Heather ; Rees, Judy ; Hyams, Elias</creator><creatorcontrib>Ghali, Fady ; Celaya, Maria ; Laviolette, Michael ; Ingimarsson, Johann ; Carlos, Heather ; Rees, Judy ; Hyams, Elias</creatorcontrib><description>Purpose
We sought to determine whether further distance from a radiation center is associated with lower utilization of external beam radiation therapy (XRT).
Methods
We retrospectively identified patients with a new diagnosis of localized prostate cancer (CaP) within the New Hampshire State Cancer Registry from 2004 to 2011. Patients were categorized by age, D'Amico risk category, year of treatment, marital status, season of diagnosis, urban/rural residence, and driving time to the nearest radiation facility. Treatment decisions were stratified into those requiring multiple trips (XRT) or a single trip (surgery or brachytherapy). Multivariable regression analysis was performed.
Results
A total of 4,731 patients underwent treatment for newly diagnosed CaP during the study period, including 1,575 multitrip (XRT) and 3,156 single‐trip treatments. Of these, 87.6% lived within a 30‐minute drive to a radiation facility. In multivariable analysis, time to the nearest radiation facility was not associated with treatment decisions (P = .26). However, higher risk category, older age, married status, and winter diagnosis were associated with XRT (P < .05). More recent year of diagnosis and urban residence were associated with single‐trip therapy (primarily surgery) (P < .05). There was a significant interaction between travel time and season of diagnosis (P = .03), as well as a marginally significant interaction with urban/rural status (P = .07).
Conclusion
Overall, further travel time to a radiation facility was not associated with lower utilization of XRT. These data are encouraging regarding access to care for CaP in New Hampshire.</description><identifier>ISSN: 0890-765X</identifier><identifier>EISSN: 1748-0361</identifier><identifier>DOI: 10.1111/jrh.12224</identifier><identifier>PMID: 27862285</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>access to care ; Brachytherapy ; Cancer ; Cancer therapies ; Decision making ; Decisions ; Diagnosis ; Health care access ; health disparities ; Identification methods ; Marital status ; Medical diagnosis ; Medical treatment ; Newly diagnosed ; Patients ; Prostate ; Prostate cancer ; Radiation ; Radiation therapy ; Regression analysis ; Residence ; Risk ; Rural areas ; Rural communities ; rural health ; social determinants of health ; Surgery ; Travel ; Winter</subject><ispartof>The Journal of rural health, 2018-02, Vol.34 (S1), p.s84-s90</ispartof><rights>2016 National Rural Health Association</rights><rights>2016 National Rural Health Association.</rights><rights>2018 National Rural Health Association</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3534-a6ef95fddd72fe71b01055d54a14338c770d94ff3a42a6632506fbff764796393</citedby><cites>FETCH-LOGICAL-c3534-a6ef95fddd72fe71b01055d54a14338c770d94ff3a42a6632506fbff764796393</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjrh.12224$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjrh.12224$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27843,27901,27902,30976,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27862285$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ghali, Fady</creatorcontrib><creatorcontrib>Celaya, Maria</creatorcontrib><creatorcontrib>Laviolette, Michael</creatorcontrib><creatorcontrib>Ingimarsson, Johann</creatorcontrib><creatorcontrib>Carlos, Heather</creatorcontrib><creatorcontrib>Rees, Judy</creatorcontrib><creatorcontrib>Hyams, Elias</creatorcontrib><title>Does Travel Time to a Radiation Facility Impact Patient Decision‐Making Regarding Treatment for Prostate Cancer? A Study of the New Hampshire State Cancer Registry</title><title>The Journal of rural health</title><addtitle>J Rural Health</addtitle><description>Purpose
We sought to determine whether further distance from a radiation center is associated with lower utilization of external beam radiation therapy (XRT).
Methods
We retrospectively identified patients with a new diagnosis of localized prostate cancer (CaP) within the New Hampshire State Cancer Registry from 2004 to 2011. Patients were categorized by age, D'Amico risk category, year of treatment, marital status, season of diagnosis, urban/rural residence, and driving time to the nearest radiation facility. Treatment decisions were stratified into those requiring multiple trips (XRT) or a single trip (surgery or brachytherapy). Multivariable regression analysis was performed.
Results
A total of 4,731 patients underwent treatment for newly diagnosed CaP during the study period, including 1,575 multitrip (XRT) and 3,156 single‐trip treatments. Of these, 87.6% lived within a 30‐minute drive to a radiation facility. In multivariable analysis, time to the nearest radiation facility was not associated with treatment decisions (P = .26). However, higher risk category, older age, married status, and winter diagnosis were associated with XRT (P < .05). More recent year of diagnosis and urban residence were associated with single‐trip therapy (primarily surgery) (P < .05). There was a significant interaction between travel time and season of diagnosis (P = .03), as well as a marginally significant interaction with urban/rural status (P = .07).
Conclusion
Overall, further travel time to a radiation facility was not associated with lower utilization of XRT. These data are encouraging regarding access to care for CaP in New Hampshire.</description><subject>access to care</subject><subject>Brachytherapy</subject><subject>Cancer</subject><subject>Cancer therapies</subject><subject>Decision making</subject><subject>Decisions</subject><subject>Diagnosis</subject><subject>Health care access</subject><subject>health disparities</subject><subject>Identification methods</subject><subject>Marital status</subject><subject>Medical diagnosis</subject><subject>Medical treatment</subject><subject>Newly diagnosed</subject><subject>Patients</subject><subject>Prostate</subject><subject>Prostate cancer</subject><subject>Radiation</subject><subject>Radiation therapy</subject><subject>Regression analysis</subject><subject>Residence</subject><subject>Risk</subject><subject>Rural areas</subject><subject>Rural communities</subject><subject>rural health</subject><subject>social determinants of health</subject><subject>Surgery</subject><subject>Travel</subject><subject>Winter</subject><issn>0890-765X</issn><issn>1748-0361</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>7TQ</sourceid><recordid>eNp10ctu1DAUBmALgei0sOAFkCU2sEjrW-JkhaopZYoKVMMgsYvOJMcdD7kMttMqOx6Bl-DFeBIcpoCEhDe27E-_jvwT8oSzYx7XydZtjrkQQt0jM65VnjCZ8ftkxvKCJTpLPx2QQ--3jIkil-ohORA6z4TI0xn5ftajpysHN9jQlW2Rhp4CXUJtIdi-o-dQ2caGkV60O6gCvYrX2AV6hpX1Efz4-u0tfLbdNV3iNbh6Oq0cQmgnZXpHr1zvAwSkc-gqdC_pKf0QhnqkvaFhg_Qd3tIFtDu_sQ7j0186RVof3PiIPDDQeHx8tx-Rj-evVvNFcvn-9cX89DKpZCpVAhmaIjV1XWthUPM14yxN61QBV1LmldasLpQxEpSALJMiZZlZG6MzpYtMFvKIPN_n7lz_ZUAfytb6CpsGOuwHX_Jc8SgLMdFn_9BtP7guTlcKxnieMy11VC_2qoqf4B2acudsC24sOSun7srYXfmru2if3iUO6xbrP_J3WRGc7MGtbXD8f1L5ZrnYR_4EfKWkRw</recordid><startdate>201802</startdate><enddate>201802</enddate><creator>Ghali, Fady</creator><creator>Celaya, Maria</creator><creator>Laviolette, Michael</creator><creator>Ingimarsson, Johann</creator><creator>Carlos, Heather</creator><creator>Rees, Judy</creator><creator>Hyams, Elias</creator><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7T2</scope><scope>7TQ</scope><scope>C1K</scope><scope>DHY</scope><scope>DON</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201802</creationdate><title>Does Travel Time to a Radiation Facility Impact Patient Decision‐Making Regarding Treatment for Prostate Cancer? A Study of the New Hampshire State Cancer Registry</title><author>Ghali, Fady ; Celaya, Maria ; Laviolette, Michael ; Ingimarsson, Johann ; Carlos, Heather ; Rees, Judy ; Hyams, Elias</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3534-a6ef95fddd72fe71b01055d54a14338c770d94ff3a42a6632506fbff764796393</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>access to care</topic><topic>Brachytherapy</topic><topic>Cancer</topic><topic>Cancer therapies</topic><topic>Decision making</topic><topic>Decisions</topic><topic>Diagnosis</topic><topic>Health care access</topic><topic>health disparities</topic><topic>Identification methods</topic><topic>Marital status</topic><topic>Medical diagnosis</topic><topic>Medical treatment</topic><topic>Newly diagnosed</topic><topic>Patients</topic><topic>Prostate</topic><topic>Prostate cancer</topic><topic>Radiation</topic><topic>Radiation therapy</topic><topic>Regression analysis</topic><topic>Residence</topic><topic>Risk</topic><topic>Rural areas</topic><topic>Rural communities</topic><topic>rural health</topic><topic>social determinants of health</topic><topic>Surgery</topic><topic>Travel</topic><topic>Winter</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ghali, Fady</creatorcontrib><creatorcontrib>Celaya, Maria</creatorcontrib><creatorcontrib>Laviolette, Michael</creatorcontrib><creatorcontrib>Ingimarsson, Johann</creatorcontrib><creatorcontrib>Carlos, Heather</creatorcontrib><creatorcontrib>Rees, Judy</creatorcontrib><creatorcontrib>Hyams, Elias</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>PAIS Index</collection><collection>Environmental Sciences and Pollution Management</collection><collection>PAIS International</collection><collection>PAIS International (Ovid)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of rural health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ghali, Fady</au><au>Celaya, Maria</au><au>Laviolette, Michael</au><au>Ingimarsson, Johann</au><au>Carlos, Heather</au><au>Rees, Judy</au><au>Hyams, Elias</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Does Travel Time to a Radiation Facility Impact Patient Decision‐Making Regarding Treatment for Prostate Cancer? A Study of the New Hampshire State Cancer Registry</atitle><jtitle>The Journal of rural health</jtitle><addtitle>J Rural Health</addtitle><date>2018-02</date><risdate>2018</risdate><volume>34</volume><issue>S1</issue><spage>s84</spage><epage>s90</epage><pages>s84-s90</pages><issn>0890-765X</issn><eissn>1748-0361</eissn><abstract>Purpose
We sought to determine whether further distance from a radiation center is associated with lower utilization of external beam radiation therapy (XRT).
Methods
We retrospectively identified patients with a new diagnosis of localized prostate cancer (CaP) within the New Hampshire State Cancer Registry from 2004 to 2011. Patients were categorized by age, D'Amico risk category, year of treatment, marital status, season of diagnosis, urban/rural residence, and driving time to the nearest radiation facility. Treatment decisions were stratified into those requiring multiple trips (XRT) or a single trip (surgery or brachytherapy). Multivariable regression analysis was performed.
Results
A total of 4,731 patients underwent treatment for newly diagnosed CaP during the study period, including 1,575 multitrip (XRT) and 3,156 single‐trip treatments. Of these, 87.6% lived within a 30‐minute drive to a radiation facility. In multivariable analysis, time to the nearest radiation facility was not associated with treatment decisions (P = .26). However, higher risk category, older age, married status, and winter diagnosis were associated with XRT (P < .05). More recent year of diagnosis and urban residence were associated with single‐trip therapy (primarily surgery) (P < .05). There was a significant interaction between travel time and season of diagnosis (P = .03), as well as a marginally significant interaction with urban/rural status (P = .07).
Conclusion
Overall, further travel time to a radiation facility was not associated with lower utilization of XRT. These data are encouraging regarding access to care for CaP in New Hampshire.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>27862285</pmid><doi>10.1111/jrh.12224</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0890-765X |
| ispartof | The Journal of rural health, 2018-02, Vol.34 (S1), p.s84-s90 |
| issn | 0890-765X 1748-0361 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1841796929 |
| source | Applied Social Sciences Index & Abstracts (ASSIA); Wiley Online Library Journals Frontfile Complete; PAIS Index |
| subjects | access to care Brachytherapy Cancer Cancer therapies Decision making Decisions Diagnosis Health care access health disparities Identification methods Marital status Medical diagnosis Medical treatment Newly diagnosed Patients Prostate Prostate cancer Radiation Radiation therapy Regression analysis Residence Risk Rural areas Rural communities rural health social determinants of health Surgery Travel Winter |
| title | Does Travel Time to a Radiation Facility Impact Patient Decision‐Making Regarding Treatment for Prostate Cancer? A Study of the New Hampshire State Cancer Registry |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-19T02%3A28%3A32IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Does%20Travel%20Time%20to%20a%20Radiation%20Facility%20Impact%20Patient%20Decision%E2%80%90Making%20Regarding%20Treatment%20for%20Prostate%20Cancer?%20A%20Study%20of%20the%20New%20Hampshire%20State%20Cancer%20Registry&rft.jtitle=The%20Journal%20of%20rural%20health&rft.au=Ghali,%20Fady&rft.date=2018-02&rft.volume=34&rft.issue=S1&rft.spage=s84&rft.epage=s90&rft.pages=s84-s90&rft.issn=0890-765X&rft.eissn=1748-0361&rft_id=info:doi/10.1111/jrh.12224&rft_dat=%3Cproquest_cross%3E2001880737%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2001880737&rft_id=info:pmid/27862285&rfr_iscdi=true |