Breast cancer treatment and ethnicity in British Columbia, Canada

Yavari, Parvin; Barroetavena, Maria Cristina; Hislop, T. Greg; Bajdik, Chris

doi:10.1186/1471-2407-10-154

Cited by 10 publications

(11 citation statements)

References 21 publications

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“…Patient refusal was also noted as a barrier [9,71], though it was ill-defined in the study by Puts et al [71], as patients were not asked for their reasons for refusing treatment. The authors did note that it was most often older patients living alone, potentially refusing for such reasons as a lack of physician recommendation or not perceiving a need.…”

Section: Resultsmentioning

confidence: 99%

“…Chinese women in BC refused adjuvant RT after breast-conserving surgery more than South Asian or Iranian women. This was attributed to the desire expressed by Chinese women “to be rid of their cancer” in a way they did not believe possible with RT [9]. No such differences were found between ethnic groups for surgery, chemotherapy, or hormone therapy utilization.…”

Section: Resultsmentioning

confidence: 99%

“…It would be important to discern whether such fears and beliefs do exist amongst Canadians. In a theme acknowledged in only a single Canadian study in this review [9], but more frequently elsewhere [89,90], women of one ethnic group were found to often refuse adjuvant RT for breast cancer due to fears of efficacy and side effects. The lack of further insight into Canadians’ perceptions of radiation may reflect an important gap in the literature deserving further study.…”

Section: Discussionmentioning

confidence: 99%

“…Current Canadian utilization rates fall below this benchmark, as can be suggested by the fact that 32.8% of those diagnosed with cancer in Ontario, and 31.0% nationally, are receiving a course of RT within two years of diagnosis [5]. A number of factors may be contributing to suboptimal RT utilization rates, from those attributable to the health care system [6-8] to those relating directly to the patient and the provider [9-14]. …”

Section: Introductionmentioning

confidence: 99%

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Barriers to accessing radiation therapy in Canada: a systematic review

et al. 2012

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IntroductionRadiation therapy (RT) is effective treatment for curing and palliating cancer, yet concern exists that not all Canadians for whom RT is indicated receive it. Many factors may contribute to suboptimal use of RT. A review of recent Canadian literature was undertaken to identify such barriers.MethodsMEDLINE, CINAHL, and EMBase databases were used to search keywords relating to barriers to accessing or utilizing RT in Canada. Collected abstracts were reviewed independently. Barriers identified in relevant articles were categorized as relating to the health systems, patient socio-demographic, patient factors, or provider factors contexts and thematic analysis performed for each context.Results535 unique abstracts were collected. 75 met inclusion criteria. 46 (61.3%) addressed multiple themes. The most cited barriers to accessing RT when indicated were patient age (n = 26, 34.7%), distance to treatment centre (n = 23, 30.7%), wait times (n = 22, 29.3%), and lack of physician understanding about the use of RT (n = 16, 21.6%).ConclusionsBarriers to RT are reported in many areas. The role of provider factors and the lack of attention to patient fears and mistrust as potential barriers were unexpected findings demanding further attention. Solutions should be sought to overcome identified barriers facilitating more effective cancer care for Canadians.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Barriers to accessing radiation therapy in Canada: a systematic review

et al. 2012

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“…They invoke very disparate ideas about what geography 'is' and involves in relation to service access: from the number of kilometers between two points on a map (involving more or less demanding travel for Beccaro et al [16], and Blais et al [20] Barnsley et al [12], and Hall and Holman [49] Barnsley et al [12], and Hall et al [49] Ethnicity Neal and Allgar [93] Yavari et al [138] Rich et al [109], and Yavari et al [138] Yavari et al [138] Yavari et al [138] Hall patients), the relative abundance of health facilities in more affluent areas (offering more opportunity to patients for support in treatment adherence and recovery), to the concentration of poverty in particular areas (reflecting a host of barriers to health and care). Yet this apparent incoherence can be understood as a virtue, because it means that the stratifier of geography is differentiated in a way that 'gets at' distinct aspects of what it is and how it matters or might matter.…”

Section: Conceptual Challenges and Opportunitiesmentioning

confidence: 99%

Research in cancer care disparities in countries with universal healthcare: mapping the field and its conceptual contours

Sinding

Warren

Fitzpatrick‐Lewis

et al. 2014

Support Care Cancer

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The paper reviews published studies focused on disparities in receipt of cancer treatments and supportive care services in countries where cancer care is free at the point of access. We map these studies in terms of the equity stratifiers they examined, the countries in which they took place, and the care settings and cancer populations they investigated. Based on this map, we reflect on patterns of scholarly attention to equity and disparity in cancer care. We then consider conceptual challenges and opportunities in the field, including how treatment disparities are defined, how equity stratifiers are defined and conceptualized and how disparities are explained, with special attention to the challenge of psychosocial explanations.

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Global trends of cancer: The role of diet, lifestyle, and environmental factors

Bahrami¹,

Tafrihi

2023

Cancer Innovation

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Effective treatment of cancer requires understanding the nature of the disease and accurately addressing the main root causes. General risk factors for cancer include poor nutrition, an acidogenic diet, an unhealthy lifestyle, and exposure to carcinogens such as toxins, chemicals, and radiation. The risk of developing cancers may be reduced by sufficient oxygenation and maintaining optimal alkalinity and nutritional balance at the cell level. The review paper summarizes some diet and lifestyle modifications that may potentially be considered for preventing and controlling some cancers. Moreover, worldwide statistical data for cancer incidence rates published by International Agency for Research on Cancer are analyzed for certain cancers regionally, concerning the effect of dietary habits and environmental factors that meaningfully correlate with the global trends of cancer. The study of cancer root causes integrated with analyzing the statistics related to cancer incidence rates suggests that the risk of developing cancer may be reduced by modifying dietary habits and lifestyle factors, as well as reducing exposure to carcinogens. Those with healthy balanced dietary habits may have a lower cancer risk than those who frequently have unhealthy diets; hence, considering a balanced natural diet and healthy lifestyle may be suggested as a complementary or alternative solution in cancer treatments.

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Breast cancer treatment and ethnicity in British Columbia, Canada

Cited by 10 publications

References 21 publications

Barriers to accessing radiation therapy in Canada: a systematic review

Barriers to accessing radiation therapy in Canada: a systematic review

Research in cancer care disparities in countries with universal healthcare: mapping the field and its conceptual contours

Global trends of cancer: The role of diet, lifestyle, and environmental factors

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