Emergence of Integrated Urology-Radiation Oncology Practices in the State of Texas
Purpose Integrated urology-radiation oncology (RO) practices have been advocated as a means to improve community-based prostate cancer care by joining urologic and radiation care in a single-practice environment. However, little is known regarding the scope and actual physical integration of such pr...
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| Veröffentlicht in: | International journal of radiation oncology, biology, physics biology, physics, 2012-09, Vol.84 (1), p.15-19 |
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| container_title | International journal of radiation oncology, biology, physics |
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| creator | Jhaveri, Pavan M., MD Sun, Zhuyi, BS Ballas, Leslie, MD Followill, David S., PhD Hoffman, Karen E., MD, MHSc, MPH Jiang, Jing, MS Smith, Benjamin D., MD |
| description | Purpose Integrated urology-radiation oncology (RO) practices have been advocated as a means to improve community-based prostate cancer care by joining urologic and radiation care in a single-practice environment. However, little is known regarding the scope and actual physical integration of such practices. We sought to characterize the emergence of such practices in Texas, their extent of physical integration, and their potential effect on patient travel times for radiation therapy. Methods and Materials A telephone survey identified integrated urology-RO practices, defined as practices owned by urologists that offer RO services. Geographic information software was used to determine the proximity of integrated urology-RO clinic sites with respect to the state's population. We calculated patient travel time and distance from each integrated urology-RO clinic offering urologic services to the RO treatment facility owned by the integrated practice and to the nearest nonintegrated (independent) RO facility. We compared these times and distances using the Wilcoxon-Mann-Whitney test. Results Of 229 urology practices identified, 12 (5%) offered integrated RO services, and 182 (28%) of 640 Texas urologists worked in such practices. Approximately 53% of the state population resides within 10 miles of an integrated urology-RO clinic site. Patients with a diagnosis of prostate cancer at an integrated urology-RO clinic site travel a mean of 19.7 miles (26.1 min) from the clinic to reach the RO facility owned by the integrated urology-RO practice vs 5.9 miles (9.2 min) to reach the nearest nonintegrated RO facility ( P |
| doi_str_mv | 10.1016/j.ijrobp.2012.06.007 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3837447</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0360301612007791</els_id><sourcerecordid>1687665849</sourcerecordid><originalsourceid>FETCH-LOGICAL-c609t-763d39cd8e7b5b77e30f6875c31af02bd77cff489328e3ab2851fd202cf51a033</originalsourceid><addsrcrecordid>eNqFUl1rFDEUDaLYtfoPRAZE8GXGfE5mXgQpVQuFSj_At5DJ3NnNOJtsk2xx_70Zd23Vlz4FknPOPSfnIvSa4IpgUn8YKzsG320qigmtcF1hLJ-gBWlkWzIhvj9FC8xqXLIMPkIvYhwxxoRI_hwdUSqblrdkgS5P1xCW4AwUfijOXIJl0An64ib4yS935aXurU7Wu-LCmd9XxbegTbIGYmFdkVZQXKVMmfnX8FPHl-jZoKcIrw7nMbr5fHp98rU8v_hydvLpvDQ1blMpa9az1vQNyE50UgLDQ91IYRjRA6ZdL6UZBt60jDbAdEcbQYaeYmoGQTRm7Bh93Otutt0aegMuBT2pTbBrHXbKa6v-fXF2pZb-TrGGSc5lFni7F_AxWRWNTWBWxjsHJilKCW85Exn1_jAm-NstxKTWNhqYJu3Ab6Mi2XRdi4a3j0Mx44KIhs6qfA81wccYYLj3TbCa-1Wj2ver5n4VrlXuN9Pe_J35nvSn0Ax4dwDoaPQ0BO2MjQ-4mlGeoz18HuSG7iyEOf-8Br0Nc_ze28ec_C9gJutsnvkDdhBHvw0ut6-IipmjruZdnFeR0MyW2ekv7kjaBA</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1034515825</pqid></control><display><type>article</type><title>Emergence of Integrated Urology-Radiation Oncology Practices in the State of Texas</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>Jhaveri, Pavan M., MD ; Sun, Zhuyi, BS ; Ballas, Leslie, MD ; Followill, David S., PhD ; Hoffman, Karen E., MD, MHSc, MPH ; Jiang, Jing, MS ; Smith, Benjamin D., MD</creator><creatorcontrib>Jhaveri, Pavan M., MD ; Sun, Zhuyi, BS ; Ballas, Leslie, MD ; Followill, David S., PhD ; Hoffman, Karen E., MD, MHSc, MPH ; Jiang, Jing, MS ; Smith, Benjamin D., MD</creatorcontrib><description>Purpose Integrated urology-radiation oncology (RO) practices have been advocated as a means to improve community-based prostate cancer care by joining urologic and radiation care in a single-practice environment. However, little is known regarding the scope and actual physical integration of such practices. We sought to characterize the emergence of such practices in Texas, their extent of physical integration, and their potential effect on patient travel times for radiation therapy. Methods and Materials A telephone survey identified integrated urology-RO practices, defined as practices owned by urologists that offer RO services. Geographic information software was used to determine the proximity of integrated urology-RO clinic sites with respect to the state's population. We calculated patient travel time and distance from each integrated urology-RO clinic offering urologic services to the RO treatment facility owned by the integrated practice and to the nearest nonintegrated (independent) RO facility. We compared these times and distances using the Wilcoxon-Mann-Whitney test. Results Of 229 urology practices identified, 12 (5%) offered integrated RO services, and 182 (28%) of 640 Texas urologists worked in such practices. Approximately 53% of the state population resides within 10 miles of an integrated urology-RO clinic site. Patients with a diagnosis of prostate cancer at an integrated urology-RO clinic site travel a mean of 19.7 miles (26.1 min) from the clinic to reach the RO facility owned by the integrated urology-RO practice vs 5.9 miles (9.2 min) to reach the nearest nonintegrated RO facility ( P <.001). Conclusions Integrated urology-RO practices are common in Texas and are generally clustered in urban areas. In most integrated practices, the urology clinics and the integrated RO facilities are not at the same location, and driving times and distances from the clinic to the integrated RO facility exceed those from the clinic to the nearest nonintegrated RO facility.</description><identifier>ISSN: 0360-3016</identifier><identifier>EISSN: 1879-355X</identifier><identifier>DOI: 10.1016/j.ijrobp.2012.06.007</identifier><identifier>PMID: 22789491</identifier><identifier>CODEN: IOBPD3</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject><![CDATA[Biological and medical sciences ; COMPUTER CODES ; DIAGNOSIS ; Geographic Information Systems ; Group Practice - organization & administration ; Group Practice - trends ; Gynecology. Andrology. Obstetrics ; Health participants ; Health Services Accessibility - statistics & numerical data ; Hematology, Oncology and Palliative Medicine ; Humans ; Male genital diseases ; Medical sciences ; NEOPLASMS ; Nephrology. Urinary tract diseases ; Ownership - statistics & numerical data ; PATIENTS ; Professional Practice - organization & administration ; Professional Practice - trends ; Professional Practice Location - statistics & numerical data ; Professional Practice Location - trends ; PROSTATE ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Radiation Oncology - organization & administration ; Radiation Oncology - trends ; Radiology ; RADIOLOGY AND NUCLEAR MEDICINE ; RADIOTHERAPY ; Statistics, Nonparametric ; Texas ; Time Factors ; Tumors ; Tumors of the urinary system ; Urinary tract. Prostate gland ; Urology - organization & administration ; Urology - trends ; Workforce]]></subject><ispartof>International journal of radiation oncology, biology, physics, 2012-09, Vol.84 (1), p.15-19</ispartof><rights>Elsevier Inc.</rights><rights>2012 Elsevier Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2012 Elsevier Inc. All rights reserved.</rights><rights>2012 Elsevier Inc. All rights reserved. 2012</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c609t-763d39cd8e7b5b77e30f6875c31af02bd77cff489328e3ab2851fd202cf51a033</citedby><cites>FETCH-LOGICAL-c609t-763d39cd8e7b5b77e30f6875c31af02bd77cff489328e3ab2851fd202cf51a033</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0360301612007791$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,776,780,881,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=26324221$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22789491$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://www.osti.gov/biblio/22149435$$D View this record in Osti.gov$$Hfree_for_read</backlink></links><search><creatorcontrib>Jhaveri, Pavan M., MD</creatorcontrib><creatorcontrib>Sun, Zhuyi, BS</creatorcontrib><creatorcontrib>Ballas, Leslie, MD</creatorcontrib><creatorcontrib>Followill, David S., PhD</creatorcontrib><creatorcontrib>Hoffman, Karen E., MD, MHSc, MPH</creatorcontrib><creatorcontrib>Jiang, Jing, MS</creatorcontrib><creatorcontrib>Smith, Benjamin D., MD</creatorcontrib><title>Emergence of Integrated Urology-Radiation Oncology Practices in the State of Texas</title><title>International journal of radiation oncology, biology, physics</title><addtitle>Int J Radiat Oncol Biol Phys</addtitle><description>Purpose Integrated urology-radiation oncology (RO) practices have been advocated as a means to improve community-based prostate cancer care by joining urologic and radiation care in a single-practice environment. However, little is known regarding the scope and actual physical integration of such practices. We sought to characterize the emergence of such practices in Texas, their extent of physical integration, and their potential effect on patient travel times for radiation therapy. Methods and Materials A telephone survey identified integrated urology-RO practices, defined as practices owned by urologists that offer RO services. Geographic information software was used to determine the proximity of integrated urology-RO clinic sites with respect to the state's population. We calculated patient travel time and distance from each integrated urology-RO clinic offering urologic services to the RO treatment facility owned by the integrated practice and to the nearest nonintegrated (independent) RO facility. We compared these times and distances using the Wilcoxon-Mann-Whitney test. Results Of 229 urology practices identified, 12 (5%) offered integrated RO services, and 182 (28%) of 640 Texas urologists worked in such practices. Approximately 53% of the state population resides within 10 miles of an integrated urology-RO clinic site. Patients with a diagnosis of prostate cancer at an integrated urology-RO clinic site travel a mean of 19.7 miles (26.1 min) from the clinic to reach the RO facility owned by the integrated urology-RO practice vs 5.9 miles (9.2 min) to reach the nearest nonintegrated RO facility ( P <.001). Conclusions Integrated urology-RO practices are common in Texas and are generally clustered in urban areas. In most integrated practices, the urology clinics and the integrated RO facilities are not at the same location, and driving times and distances from the clinic to the integrated RO facility exceed those from the clinic to the nearest nonintegrated RO facility.</description><subject>Biological and medical sciences</subject><subject>COMPUTER CODES</subject><subject>DIAGNOSIS</subject><subject>Geographic Information Systems</subject><subject>Group Practice - organization & administration</subject><subject>Group Practice - trends</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Health participants</subject><subject>Health Services Accessibility - statistics & numerical data</subject><subject>Hematology, Oncology and Palliative Medicine</subject><subject>Humans</subject><subject>Male genital diseases</subject><subject>Medical sciences</subject><subject>NEOPLASMS</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Ownership - statistics & numerical data</subject><subject>PATIENTS</subject><subject>Professional Practice - organization & administration</subject><subject>Professional Practice - trends</subject><subject>Professional Practice Location - statistics & numerical data</subject><subject>Professional Practice Location - trends</subject><subject>PROSTATE</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Radiation Oncology - organization & administration</subject><subject>Radiation Oncology - trends</subject><subject>Radiology</subject><subject>RADIOLOGY AND NUCLEAR MEDICINE</subject><subject>RADIOTHERAPY</subject><subject>Statistics, Nonparametric</subject><subject>Texas</subject><subject>Time Factors</subject><subject>Tumors</subject><subject>Tumors of the urinary system</subject><subject>Urinary tract. Prostate gland</subject><subject>Urology - organization & administration</subject><subject>Urology - trends</subject><subject>Workforce</subject><issn>0360-3016</issn><issn>1879-355X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFUl1rFDEUDaLYtfoPRAZE8GXGfE5mXgQpVQuFSj_At5DJ3NnNOJtsk2xx_70Zd23Vlz4FknPOPSfnIvSa4IpgUn8YKzsG320qigmtcF1hLJ-gBWlkWzIhvj9FC8xqXLIMPkIvYhwxxoRI_hwdUSqblrdkgS5P1xCW4AwUfijOXIJl0An64ib4yS935aXurU7Wu-LCmd9XxbegTbIGYmFdkVZQXKVMmfnX8FPHl-jZoKcIrw7nMbr5fHp98rU8v_hydvLpvDQ1blMpa9az1vQNyE50UgLDQ91IYRjRA6ZdL6UZBt60jDbAdEcbQYaeYmoGQTRm7Bh93Otutt0aegMuBT2pTbBrHXbKa6v-fXF2pZb-TrGGSc5lFni7F_AxWRWNTWBWxjsHJilKCW85Exn1_jAm-NstxKTWNhqYJu3Ab6Mi2XRdi4a3j0Mx44KIhs6qfA81wccYYLj3TbCa-1Wj2ver5n4VrlXuN9Pe_J35nvSn0Ax4dwDoaPQ0BO2MjQ-4mlGeoz18HuSG7iyEOf-8Br0Nc_ze28ec_C9gJutsnvkDdhBHvw0ut6-IipmjruZdnFeR0MyW2ekv7kjaBA</recordid><startdate>20120901</startdate><enddate>20120901</enddate><creator>Jhaveri, Pavan M., MD</creator><creator>Sun, Zhuyi, BS</creator><creator>Ballas, Leslie, MD</creator><creator>Followill, David S., PhD</creator><creator>Hoffman, Karen E., MD, MHSc, MPH</creator><creator>Jiang, Jing, MS</creator><creator>Smith, Benjamin D., MD</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><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><scope>7U7</scope><scope>C1K</scope><scope>OTOTI</scope><scope>5PM</scope></search><sort><creationdate>20120901</creationdate><title>Emergence of Integrated Urology-Radiation Oncology Practices in the State of Texas</title><author>Jhaveri, Pavan M., MD ; Sun, Zhuyi, BS ; Ballas, Leslie, MD ; Followill, David S., PhD ; Hoffman, Karen E., MD, MHSc, MPH ; Jiang, Jing, MS ; Smith, Benjamin D., MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c609t-763d39cd8e7b5b77e30f6875c31af02bd77cff489328e3ab2851fd202cf51a033</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Biological and medical sciences</topic><topic>COMPUTER CODES</topic><topic>DIAGNOSIS</topic><topic>Geographic Information Systems</topic><topic>Group Practice - organization & administration</topic><topic>Group Practice - trends</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Health participants</topic><topic>Health Services Accessibility - statistics & numerical data</topic><topic>Hematology, Oncology and Palliative Medicine</topic><topic>Humans</topic><topic>Male genital diseases</topic><topic>Medical sciences</topic><topic>NEOPLASMS</topic><topic>Nephrology. Urinary tract diseases</topic><topic>Ownership - statistics & numerical data</topic><topic>PATIENTS</topic><topic>Professional Practice - organization & administration</topic><topic>Professional Practice - trends</topic><topic>Professional Practice Location - statistics & numerical data</topic><topic>Professional Practice Location - trends</topic><topic>PROSTATE</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Radiation Oncology - organization & administration</topic><topic>Radiation Oncology - trends</topic><topic>Radiology</topic><topic>RADIOLOGY AND NUCLEAR MEDICINE</topic><topic>RADIOTHERAPY</topic><topic>Statistics, Nonparametric</topic><topic>Texas</topic><topic>Time Factors</topic><topic>Tumors</topic><topic>Tumors of the urinary system</topic><topic>Urinary tract. Prostate gland</topic><topic>Urology - organization & administration</topic><topic>Urology - trends</topic><topic>Workforce</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jhaveri, Pavan M., MD</creatorcontrib><creatorcontrib>Sun, Zhuyi, BS</creatorcontrib><creatorcontrib>Ballas, Leslie, MD</creatorcontrib><creatorcontrib>Followill, David S., PhD</creatorcontrib><creatorcontrib>Hoffman, Karen E., MD, MHSc, MPH</creatorcontrib><creatorcontrib>Jiang, Jing, MS</creatorcontrib><creatorcontrib>Smith, Benjamin D., MD</creatorcontrib><collection>Pascal-Francis</collection><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><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>OSTI.GOV</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal of radiation oncology, biology, physics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jhaveri, Pavan M., MD</au><au>Sun, Zhuyi, BS</au><au>Ballas, Leslie, MD</au><au>Followill, David S., PhD</au><au>Hoffman, Karen E., MD, MHSc, MPH</au><au>Jiang, Jing, MS</au><au>Smith, Benjamin D., MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Emergence of Integrated Urology-Radiation Oncology Practices in the State of Texas</atitle><jtitle>International journal of radiation oncology, biology, physics</jtitle><addtitle>Int J Radiat Oncol Biol Phys</addtitle><date>2012-09-01</date><risdate>2012</risdate><volume>84</volume><issue>1</issue><spage>15</spage><epage>19</epage><pages>15-19</pages><issn>0360-3016</issn><eissn>1879-355X</eissn><coden>IOBPD3</coden><abstract>Purpose Integrated urology-radiation oncology (RO) practices have been advocated as a means to improve community-based prostate cancer care by joining urologic and radiation care in a single-practice environment. However, little is known regarding the scope and actual physical integration of such practices. We sought to characterize the emergence of such practices in Texas, their extent of physical integration, and their potential effect on patient travel times for radiation therapy. Methods and Materials A telephone survey identified integrated urology-RO practices, defined as practices owned by urologists that offer RO services. Geographic information software was used to determine the proximity of integrated urology-RO clinic sites with respect to the state's population. We calculated patient travel time and distance from each integrated urology-RO clinic offering urologic services to the RO treatment facility owned by the integrated practice and to the nearest nonintegrated (independent) RO facility. We compared these times and distances using the Wilcoxon-Mann-Whitney test. Results Of 229 urology practices identified, 12 (5%) offered integrated RO services, and 182 (28%) of 640 Texas urologists worked in such practices. Approximately 53% of the state population resides within 10 miles of an integrated urology-RO clinic site. Patients with a diagnosis of prostate cancer at an integrated urology-RO clinic site travel a mean of 19.7 miles (26.1 min) from the clinic to reach the RO facility owned by the integrated urology-RO practice vs 5.9 miles (9.2 min) to reach the nearest nonintegrated RO facility ( P <.001). Conclusions Integrated urology-RO practices are common in Texas and are generally clustered in urban areas. In most integrated practices, the urology clinics and the integrated RO facilities are not at the same location, and driving times and distances from the clinic to the integrated RO facility exceed those from the clinic to the nearest nonintegrated RO facility.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>22789491</pmid><doi>10.1016/j.ijrobp.2012.06.007</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0360-3016 |
| ispartof | International journal of radiation oncology, biology, physics, 2012-09, Vol.84 (1), p.15-19 |
| issn | 0360-3016 1879-355X |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Biological and medical sciences COMPUTER CODES DIAGNOSIS Geographic Information Systems Group Practice - organization & administration Group Practice - trends Gynecology. Andrology. Obstetrics Health participants Health Services Accessibility - statistics & numerical data Hematology, Oncology and Palliative Medicine Humans Male genital diseases Medical sciences NEOPLASMS Nephrology. Urinary tract diseases Ownership - statistics & numerical data PATIENTS Professional Practice - organization & administration Professional Practice - trends Professional Practice Location - statistics & numerical data Professional Practice Location - trends PROSTATE Public health. Hygiene Public health. Hygiene-occupational medicine Radiation Oncology - organization & administration Radiation Oncology - trends Radiology RADIOLOGY AND NUCLEAR MEDICINE RADIOTHERAPY Statistics, Nonparametric Texas Time Factors Tumors Tumors of the urinary system Urinary tract. Prostate gland Urology - organization & administration Urology - trends Workforce |
| title | Emergence of Integrated Urology-Radiation Oncology Practices in the State of Texas |
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