Travel time to hospital and treatment for breast, colon, rectum, lung, ovary and prostate cancer

Jones, AP, Haynes, R, Sauerzapf, V, Crawford, SM, Zhao, H and Forman, D (2008) Travel time to hospital and treatment for breast, colon, rectum, lung, ovary and prostate cancer. European Journal of Cancer, 44 (7). pp. 992-999. ISSN 1879-0852

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Abstract

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.

Item Type: Article
Faculty \ School: Faculty of Science > School of Environmental Sciences
Faculty of Medicine and Health Sciences > Norwich Medical School
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Depositing User: Rosie Cullington
Date Deposited: 25 Feb 2011 12:08
Last Modified: 11 Nov 2019 14:30
URI: https://ueaeprints.uea.ac.uk/id/eprint/24821
DOI: 10.1016/j.ejca.2008.02.001

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