Increased distance from a treating proton center is associated with diminished ability to follow patients enrolled on a multicenter radiation oncology registry
•Residential distance from MGH significantly affects follow-up duration.•Employing numerous follow-up methods may improve long-term contact with patients.•Health outcomes of patients are fundamental to understanding the role of proton radiotherapy. Purpose: Consistent follow-up and data collection a...
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| Veröffentlicht in: | Radiotherapy and oncology 2019-05, Vol.134, p.25-29 |
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| creator | Lawell, Miranda P. Bajaj, Benjamin V.M. Gallotto, Sara L. Hess, Clayton B. Patteson, Brooke E. Nartowicz, Jessica A. Giblin, Megan J. Kleinerman, Ruth A. Berrington de Gonzalez, Amy Ebb, David H. Tarbell, Nancy J. MacDonald, Shannon M. Weyman, Elizabeth A. Yock, Torunn I. |
| description | •Residential distance from MGH significantly affects follow-up duration.•Employing numerous follow-up methods may improve long-term contact with patients.•Health outcomes of patients are fundamental to understanding the role of proton radiotherapy.
Purpose: Consistent follow-up and data collection are necessary to identify long-term benefits/detriments of proton radiotherapy. Obtaining comprehensive clinical follow-up can be difficult and time-intensive for proton centers. Here we evaluate what factors affect maximum follow-up time among MGH Pediatric Proton Consortium Registry (PPCR) participants. Patients and methods: Enrollment in the PPCR was offered to any patient |
| doi_str_mv | 10.1016/j.radonc.2019.01.007 |
| format | Article |
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Purpose: Consistent follow-up and data collection are necessary to identify long-term benefits/detriments of proton radiotherapy. Obtaining comprehensive clinical follow-up can be difficult and time-intensive for proton centers. Here we evaluate what factors affect maximum follow-up time among MGH Pediatric Proton Consortium Registry (PPCR) participants. Patients and methods: Enrollment in the PPCR was offered to any patient <22 years receiving protons. Patients were excluded from analysis if they were taken off study due to death or withdrawal. Distance from MGH was calculated by the great-circle formula. We utilized both univariate and multivariate analyses to determine risk factors associated with follow-up time. Results: 333 PPCR patients enrolled between 10/2012 and 03/2017 were included. Median follow-up was 2.4 years (<1–5.5), and median distance away from the proton center was 256.4 km (<1.6–16,949.6). Distance from MGH significantly predicted follow-up time: patients living outside the Boston Metropolitan Statistical Area, >121 km from the proton center, had average follow-up that was 0.53 years less compared to those living within 121 km (p = 0.0002). Loss in average follow-up was also associated with Medicaid insurance, treatment delay due to insurance, and non-White race. Those co-enrolled on a proton trial or seen at a facility had significantly increased follow-up by almost one year (p < 0.0001). Conclusion: Patients living further from treating proton center have shorter follow-up durations. Increased distance from treating centers may adversely affect clinical outcomes research. Enhanced sharing of medical information among care providers and improved collection methods are needed to effectively evaluate the benefits of proton therapy.</description><identifier>ISSN: 0167-8140</identifier><identifier>EISSN: 1879-0887</identifier><identifier>DOI: 10.1016/j.radonc.2019.01.007</identifier><identifier>PMID: 31005220</identifier><language>eng</language><publisher>Ireland: Elsevier B.V</publisher><subject>Adolescent ; Adult ; Child ; Child, Preschool ; Distance from treatment center ; Female ; Follow-up ; Health Services Accessibility - statistics & numerical data ; Humans ; Infant ; Male ; Multicenter Studies as Topic ; Neoplasms - radiotherapy ; Pediatric oncology ; Proton ; Proton Therapy - statistics & numerical data ; Radiotherapy ; Registries ; Registry ; Risk Factors ; United States ; Young Adult</subject><ispartof>Radiotherapy and oncology, 2019-05, Vol.134, p.25-29</ispartof><rights>2019 Elsevier B.V.</rights><rights>Copyright © 2019 Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c362t-d59009ee12fa43439c5d08f5e62b1d3b2f241f64e5a0ca7e308014cba12a3b433</citedby><cites>FETCH-LOGICAL-c362t-d59009ee12fa43439c5d08f5e62b1d3b2f241f64e5a0ca7e308014cba12a3b433</cites><orcidid>0000-0001-6408-8011</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0167814019300118$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31005220$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lawell, Miranda P.</creatorcontrib><creatorcontrib>Bajaj, Benjamin V.M.</creatorcontrib><creatorcontrib>Gallotto, Sara L.</creatorcontrib><creatorcontrib>Hess, Clayton B.</creatorcontrib><creatorcontrib>Patteson, Brooke E.</creatorcontrib><creatorcontrib>Nartowicz, Jessica A.</creatorcontrib><creatorcontrib>Giblin, Megan J.</creatorcontrib><creatorcontrib>Kleinerman, Ruth A.</creatorcontrib><creatorcontrib>Berrington de Gonzalez, Amy</creatorcontrib><creatorcontrib>Ebb, David H.</creatorcontrib><creatorcontrib>Tarbell, Nancy J.</creatorcontrib><creatorcontrib>MacDonald, Shannon M.</creatorcontrib><creatorcontrib>Weyman, Elizabeth A.</creatorcontrib><creatorcontrib>Yock, Torunn I.</creatorcontrib><title>Increased distance from a treating proton center is associated with diminished ability to follow patients enrolled on a multicenter radiation oncology registry</title><title>Radiotherapy and oncology</title><addtitle>Radiother Oncol</addtitle><description>•Residential distance from MGH significantly affects follow-up duration.•Employing numerous follow-up methods may improve long-term contact with patients.•Health outcomes of patients are fundamental to understanding the role of proton radiotherapy.
Purpose: Consistent follow-up and data collection are necessary to identify long-term benefits/detriments of proton radiotherapy. Obtaining comprehensive clinical follow-up can be difficult and time-intensive for proton centers. Here we evaluate what factors affect maximum follow-up time among MGH Pediatric Proton Consortium Registry (PPCR) participants. Patients and methods: Enrollment in the PPCR was offered to any patient <22 years receiving protons. Patients were excluded from analysis if they were taken off study due to death or withdrawal. Distance from MGH was calculated by the great-circle formula. We utilized both univariate and multivariate analyses to determine risk factors associated with follow-up time. Results: 333 PPCR patients enrolled between 10/2012 and 03/2017 were included. Median follow-up was 2.4 years (<1–5.5), and median distance away from the proton center was 256.4 km (<1.6–16,949.6). Distance from MGH significantly predicted follow-up time: patients living outside the Boston Metropolitan Statistical Area, >121 km from the proton center, had average follow-up that was 0.53 years less compared to those living within 121 km (p = 0.0002). Loss in average follow-up was also associated with Medicaid insurance, treatment delay due to insurance, and non-White race. Those co-enrolled on a proton trial or seen at a facility had significantly increased follow-up by almost one year (p < 0.0001). Conclusion: Patients living further from treating proton center have shorter follow-up durations. Increased distance from treating centers may adversely affect clinical outcomes research. Enhanced sharing of medical information among care providers and improved collection methods are needed to effectively evaluate the benefits of proton therapy.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Distance from treatment center</subject><subject>Female</subject><subject>Follow-up</subject><subject>Health Services Accessibility - statistics & numerical data</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Multicenter Studies as Topic</subject><subject>Neoplasms - radiotherapy</subject><subject>Pediatric oncology</subject><subject>Proton</subject><subject>Proton Therapy - statistics & numerical data</subject><subject>Radiotherapy</subject><subject>Registries</subject><subject>Registry</subject><subject>Risk Factors</subject><subject>United States</subject><subject>Young Adult</subject><issn>0167-8140</issn><issn>1879-0887</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUFv1DAQhS0EotvCP0CVj1wSxnaySS5IqCq00kq9wNly7MnWq8Te2l6q_TX9q0y1C0dOlkffe-Pnx9gnAbUAsf6yq5NxMdhaghhqEDVA94atRN8NFfR995atCOuqXjRwwS5z3gGABNW9ZxdKALRSwoq93Aeb0GR03PlcTLDIpxQXbnihefFhy_cplhi4xVAwcZ-5yTlabwqJnn15JOXig8-PdDejn3058hL5FOc5PvM9mZAycwyJJsSQl-HLYS7-bElByM3TnPLEOW6PPOGWnpOOH9i7ycwZP57PK_br--3Pm7tq8_Dj_ubbprJqLUvl2gFgQBRyMo1q1GBbB_3U4lqOwqlRTrIR07rB1oA1HSroQTR2NEIaNTZKXbHPJ18K-3TAXPTis8V5NgHjIWsphewktF1LaHNCbYo5J5z0PvnFpKMWoF-r0Tt9qka_VqNBaKqGZNfnDYdxQfdP9LcLAr6eAKScvz0mnS39nEXnE9qiXfT_3_AHC_OlqQ</recordid><startdate>201905</startdate><enddate>201905</enddate><creator>Lawell, Miranda P.</creator><creator>Bajaj, Benjamin V.M.</creator><creator>Gallotto, Sara L.</creator><creator>Hess, Clayton B.</creator><creator>Patteson, Brooke E.</creator><creator>Nartowicz, Jessica A.</creator><creator>Giblin, Megan J.</creator><creator>Kleinerman, Ruth A.</creator><creator>Berrington de Gonzalez, Amy</creator><creator>Ebb, David H.</creator><creator>Tarbell, Nancy J.</creator><creator>MacDonald, Shannon M.</creator><creator>Weyman, Elizabeth A.</creator><creator>Yock, Torunn I.</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-6408-8011</orcidid></search><sort><creationdate>201905</creationdate><title>Increased distance from a treating proton center is associated with diminished ability to follow patients enrolled on a multicenter radiation oncology registry</title><author>Lawell, Miranda P. ; Bajaj, Benjamin V.M. ; Gallotto, Sara L. ; Hess, Clayton B. ; Patteson, Brooke E. ; Nartowicz, Jessica A. ; Giblin, Megan J. ; Kleinerman, Ruth A. ; Berrington de Gonzalez, Amy ; Ebb, David H. ; Tarbell, Nancy J. ; MacDonald, Shannon M. ; Weyman, Elizabeth A. ; Yock, Torunn I.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c362t-d59009ee12fa43439c5d08f5e62b1d3b2f241f64e5a0ca7e308014cba12a3b433</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Distance from treatment center</topic><topic>Female</topic><topic>Follow-up</topic><topic>Health Services Accessibility - statistics & numerical data</topic><topic>Humans</topic><topic>Infant</topic><topic>Male</topic><topic>Multicenter Studies as Topic</topic><topic>Neoplasms - radiotherapy</topic><topic>Pediatric oncology</topic><topic>Proton</topic><topic>Proton Therapy - statistics & numerical data</topic><topic>Radiotherapy</topic><topic>Registries</topic><topic>Registry</topic><topic>Risk Factors</topic><topic>United States</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lawell, Miranda P.</creatorcontrib><creatorcontrib>Bajaj, Benjamin V.M.</creatorcontrib><creatorcontrib>Gallotto, Sara L.</creatorcontrib><creatorcontrib>Hess, Clayton B.</creatorcontrib><creatorcontrib>Patteson, Brooke E.</creatorcontrib><creatorcontrib>Nartowicz, Jessica A.</creatorcontrib><creatorcontrib>Giblin, Megan J.</creatorcontrib><creatorcontrib>Kleinerman, Ruth A.</creatorcontrib><creatorcontrib>Berrington de Gonzalez, Amy</creatorcontrib><creatorcontrib>Ebb, David H.</creatorcontrib><creatorcontrib>Tarbell, Nancy J.</creatorcontrib><creatorcontrib>MacDonald, Shannon M.</creatorcontrib><creatorcontrib>Weyman, Elizabeth A.</creatorcontrib><creatorcontrib>Yock, Torunn I.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Radiotherapy and oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lawell, Miranda P.</au><au>Bajaj, Benjamin V.M.</au><au>Gallotto, Sara L.</au><au>Hess, Clayton B.</au><au>Patteson, Brooke E.</au><au>Nartowicz, Jessica A.</au><au>Giblin, Megan J.</au><au>Kleinerman, Ruth A.</au><au>Berrington de Gonzalez, Amy</au><au>Ebb, David H.</au><au>Tarbell, Nancy J.</au><au>MacDonald, Shannon M.</au><au>Weyman, Elizabeth A.</au><au>Yock, Torunn I.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Increased distance from a treating proton center is associated with diminished ability to follow patients enrolled on a multicenter radiation oncology registry</atitle><jtitle>Radiotherapy and oncology</jtitle><addtitle>Radiother Oncol</addtitle><date>2019-05</date><risdate>2019</risdate><volume>134</volume><spage>25</spage><epage>29</epage><pages>25-29</pages><issn>0167-8140</issn><eissn>1879-0887</eissn><abstract>•Residential distance from MGH significantly affects follow-up duration.•Employing numerous follow-up methods may improve long-term contact with patients.•Health outcomes of patients are fundamental to understanding the role of proton radiotherapy.
Purpose: Consistent follow-up and data collection are necessary to identify long-term benefits/detriments of proton radiotherapy. Obtaining comprehensive clinical follow-up can be difficult and time-intensive for proton centers. Here we evaluate what factors affect maximum follow-up time among MGH Pediatric Proton Consortium Registry (PPCR) participants. Patients and methods: Enrollment in the PPCR was offered to any patient <22 years receiving protons. Patients were excluded from analysis if they were taken off study due to death or withdrawal. Distance from MGH was calculated by the great-circle formula. We utilized both univariate and multivariate analyses to determine risk factors associated with follow-up time. Results: 333 PPCR patients enrolled between 10/2012 and 03/2017 were included. Median follow-up was 2.4 years (<1–5.5), and median distance away from the proton center was 256.4 km (<1.6–16,949.6). Distance from MGH significantly predicted follow-up time: patients living outside the Boston Metropolitan Statistical Area, >121 km from the proton center, had average follow-up that was 0.53 years less compared to those living within 121 km (p = 0.0002). Loss in average follow-up was also associated with Medicaid insurance, treatment delay due to insurance, and non-White race. Those co-enrolled on a proton trial or seen at a facility had significantly increased follow-up by almost one year (p < 0.0001). Conclusion: Patients living further from treating proton center have shorter follow-up durations. Increased distance from treating centers may adversely affect clinical outcomes research. Enhanced sharing of medical information among care providers and improved collection methods are needed to effectively evaluate the benefits of proton therapy.</abstract><cop>Ireland</cop><pub>Elsevier B.V</pub><pmid>31005220</pmid><doi>10.1016/j.radonc.2019.01.007</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0001-6408-8011</orcidid></addata></record> |
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| subjects | Adolescent Adult Child Child, Preschool Distance from treatment center Female Follow-up Health Services Accessibility - statistics & numerical data Humans Infant Male Multicenter Studies as Topic Neoplasms - radiotherapy Pediatric oncology Proton Proton Therapy - statistics & numerical data Radiotherapy Registries Registry Risk Factors United States Young Adult |
| title | Increased distance from a treating proton center is associated with diminished ability to follow patients enrolled on a multicenter radiation oncology registry |
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