Geographic Disparities in Surgery for Breast and Rectal Cancer in Canada

Forte, Tonia; Porter, Geoff; Rahal, Rami; DeCaria, K.; Niu, Jin; Bryant, Heather

doi:10.3747/co.21.1936

Cited by 6 publications

(8 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Similar to our results, they found the highest percentage of patients undergoing mastectomy lived in very remote parts of the country (52%) compared with women living in urban and non-remote rural areas (38%). 2 Jacobs et al showed that the proportion of mastectomy for rural patients with stages I-III breast cancer was higher (59.9%) compared with urban patients (44.9%). 26 Similar data were presented by Markossian et al Researchers noticed that female rural residents had lowered odds of receiving breast-conserving surgery compared to mastectomy.…”

Section: Discussionmentioning

confidence: 99%

“…One of the potential barriers in achieving equitable access to appropriate cancer therapy is the geographic area of the patient's residence, especially for patients living in rural communities. 2,3 Breast cancer treatment depends on the stage of disease. Breast-conserving surgery (BCS) with radiation therapy is preferred therapeutic procedure for low stage breast cancer.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Inequalities in breast-conserving surgery for female breast cancer in Świętokrzyskie Province, Poland

et al. 2021

View full text Add to dashboard Cite

Introduction: Breast cancer is the most common cancer among women in the world. Differences in the treatment of breast cancer may be observed by age, disease stage, place of residence and comorbid conditions. Aim: The aim of the study was to analyse the differences in the use of breast-conserving surgery among women in the Świętokrzyskie Province. Material and methods: The study included 483 female residents of Świętokrzyskie Province who were diagnosed with invasive breast cancer in 2013. Following indicators, recommended to evaluate the compliance with the best oncology practice, were calculated: a proportion of patients receiving post-operative breast radiotherapy after the breast-conserving surgery and a proportion of the breast-conservation surgery in pT1 cases. Results and discussion: The difference in the distribution of surgical procedures by age group (breast-conserving surgery vs. mastectomy) in pT1 cases was statistically significant (P = 0.006). The highest values of both indicators were observed in the age group recommended for breast cancer screening in Poland, while the lowest in women 70 years of age and older. Our study revealed a non-significantly higher proportion of patients receiving post-operative breast radiotherapy after breast conserving-surgery in urban than in rural women, amounting to 36.5% and 29.4%, respectively. Conclusions: Existing inequalities in the use of breast-conserving surgery indicate the need to consider the recommended breast cancer treatment to the highest possible proportion of patients residing in rural areas.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Inequalities in breast-conserving surgery for female breast cancer in Świętokrzyskie Province, Poland

et al. 2021

View full text Add to dashboard Cite

show abstract

“…This may be partially attributable to Canada's universal health coverage but also to an ongoing effort to make screening more accessible, especially for women in lower socioeconomic status neighbourhoods. 25,26 In the Hamilton region, a "Screen for Life" bus was initiated in 2012, and more than 600 patients were screened in its first year of operation. The program targeted neighbourhoods with low socioeconomic status and poor access to screening centres, and cultural groups less inclined to accept cancer screening.…”

Section: Discussionmentioning

confidence: 99%

“…Several studies showed that reconstruction was more likely to be chosen by women who were younger and white and who resided in an urban setting where there was better access to plastic surgeons. [24][25][26] Higher socioeconomic status has also been reported to be associated with a higher rate of breast reconstruction following mastectomy. 27 However, a report from Nova Scotia suggested that this might not be the case in Canada.…”

mentioning

confidence: 99%

Relation between socioeconomic variables and surgical, systemic and radiation treatment in a cohort of patients with breast cancer in an urban Canadian centre

Li¹,

Cornacchi²,

Farrokhyar³

et al. 2019

cjs

View full text Add to dashboard Cite

Background: Studies have shown an association between socioeconomic status and breast cancer treatment. We examined the relation between socioeconomic status and the treatment of breast cancer (surgical, systemic and radiation) in a universal health care system. Method: Data from a single urban Canadian centre were collected for consecutive patients who received a diagnosis of breast cancer from January 2010 to December 2011. Variables included patient and disease factors, surgery type, systemic and radiation treatment, and breast reconstruction. Socioeconomic variables were obtained from 2006 Canadian census data. We used multivariable logistic regression to identify predictors of breast cancer treatment. Results: A total of 721 patients were treated for breast cancer during the study period. Socioeconomic variables were not related to type of breast surgery for breast cancer. Age less than 50 years, having a first-degree relative with breast cancer and income status were predictors of breast reconstruction. Employment status was a consistent predictor of systemic and radiation treatment. Conclusion: Employment consistently predicted systemic and radiation treatment, and age and income were predictors of breast reconstruction in a universal health care system. Further research is required to determine precisely how socioeconomic factors affect care and to minimize possible disparities in delivery of health care services. Contexte : Des études ont montré un lien entre la situation socio-économique et le traitement du cancer du sein. Nous avons analysé ce lien entre la situation socioéconomique et le traitement (chirurgie, chimiothérapie, radiothérapie) du cancer du sein dans un système de santé universel. Méthodes : Les données d'un seul centre urbain canadien ont été compilées pour les patientes consécutives ayant reçu un diagnostic de cancer du sein entre janvier 2010 et décembre 2011. Les variables incluaient des facteurs propres aux patientes et à la mala die, le type de chirurgie, la chimiothérapie, la radiothérapie et la reconstruction mammaire. Les variables socio-économiques proviennent des données du recensement canadien de 2006. Nous avons utilisé la régression logistique multivariée pour identifier les prédicteurs du traitement du cancer du sein. Résultats : En tout, 721 patientes ont été traitées pour un cancer du sein durant la période de l'étude. Les variables socio-économiques n'ont pas influé sur le type de chirurgie mammaire pour cancer du sein. L'âge inférieur à 50 ans, un cancer du sein chez une parente au premier degré et le revenu ont été des prédicteurs de la reconstruction mammaire. La situation professionnelle a été un prédicteur fiable du traitement systémique et de la radiothérapie. Conclusion : L'emploi a été un prédicteur fiable du traitement systémique et de la radiothérapie, et l'âge et le revenu ont été des prédicteurs de la reconstruction mammaire, dans un système de santé universel. Il faudra approfondir la recherche pour déterminer plus précisément l'influence des facteurs socio-...

show abstract

“…In Ontario, higher income and rural (vs urban) residence have been significantly associated with a higher prevalence of melanoma . In addition, recent studies indicate that significant geographic disparities exist to accessing surgery for other common cancers, including rectal, and breast cancer . In New Brunswick, the majority of melanoma management is carried out by dermatologists and plastic surgeons .…”

Section: Introductionmentioning

confidence: 99%

Melanoma patterns of care in Ontario: A call for a strategic alignment of multidisciplinary care

Hong

Cheng

Baxter

et al. 2017

Journal of Surgical Oncology

View full text Add to dashboard Cite

show abstract

Geographic Disparities in Surgery for Breast and Rectal Cancer in Canada

Abstract: Equitable access to appropriate cancer treatment is fundamental for achieving universal, high-quality cancer care [...]

Cited by 6 publications

References 5 publications

Inequalities in breast-conserving surgery for female breast cancer in Świętokrzyskie Province, Poland

Inequalities in breast-conserving surgery for female breast cancer in Świętokrzyskie Province, Poland

Relation between socioeconomic variables and surgical, systemic and radiation treatment in a cohort of patients with breast cancer in an urban Canadian centre

Melanoma patterns of care in Ontario: A call for a strategic alignment of multidisciplinary care

Contact Info

Product

Resources

About