Impact of Distance to a Urologist on Early Diagnosis of Prostate Cancer Among Black and White Patients

Holmes, Jordan A.; Carpenter, William R.; Wu, Yang; Hendrix, Laura H.; Peacock, Sharon; Massing, Mark W.; Schenck, Anna P.; Meyer, Anne Marie; Diao, Kevin; Wheeler, Stephanie B.; Godley, Paul A.; Stitzenberg, Karyn B.; Chen, Ronald C.

doi:10.1016/j.juro.2011.10.156

Cited by 50 publications

(55 citation statements)

References 27 publications

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“…Amongst cancer patients long travel distance constitutes a perceived barrier to treatment [9]. Additionally, a patient's socioeconomic status has been associated with their ability to access specialty centers at increasing distance [10][11][12]. Similarly, travel time to health care services has been shown to influence access, utilization and outcomes for patients with various malignancies [9,[11][12][13][14].…”

Section: Introductionmentioning

confidence: 99%

“…Additionally, a patient's socioeconomic status has been associated with their ability to access specialty centers at increasing distance [10][11][12]. Similarly, travel time to health care services has been shown to influence access, utilization and outcomes for patients with various malignancies [9,[11][12][13][14]. For example, women with breast cancer are more likely to present with advanced staged disease, less likely to receive breast conserving surgery and less likely to receive postoperative adjuvant care as the distance from their home to a health care facility increases [13,[15][16][17][18].…”

Section: Introductionmentioning

confidence: 99%

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Geographic disparities amongst patients with gynecologic malignancies at an urban NCI-designated cancer center

Temkin

Fleming

Amrane

et al. 2015

Gynecologic Oncology

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Geographic disparities amongst patients with gynecologic malignancies at an urban NCI-designated cancer center

Temkin

Fleming

Amrane

et al. 2015

Gynecologic Oncology

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“…This results in a geographical inequity, such that individuals living farther from a cancer treatment center experience a greater travel burden in order to attend their treatment, particularly those living in rural and remote areas 3 . This travel burden has been shown to have significant effects on patients' tumor stage and grade at the time of diagnosis [4][5][6][7][8][9] , decisions concerning treatment 3,[10][11][12][13] , and survival…”

mentioning

confidence: 99%

Socioeconomic disparities in head and neck cancer patients’ access to cancer treatment centers

Walker

Schuurman

Auluck³

et al. 2017

Rural Remote Health

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Introduction: Both socioeconomic status and travel time to cancer treatment have been associated with treatment choice and patient outcomes. An improved understanding of the relationship between these two dimensions of access may enable cancer control experts to better target patients with poor access, particularly in isolated suburban and rural communities. Methods: Using geographical information systems, head and neck cancer patients across British Columbia, Canada from 1981 to 2009, were mapped and their travel times to the nearest treatment center at their time of diagnosis were modelled. Patients' travel times were analysed by urban, suburban, and rural neighborhood types and an index of multiple socioeconomic deprivation was used to assess the role of socioeconomic status in patients' spatial access. Results: Significant associations between socioeconomic deprivation and spatial access to treatment were identified, with the most deprived quintiles of patients experiencing nearly twice the travel time as the least deprived quintile. The sharpest disparities were observed among the most deprived patient populations in suburban and rural areas. However, the establishment of new treatment centers has decreased overall travel times by 28% in recent decades. Conclusions: Residence in a neighborhood with high socioeconomic deprivation is strongly associated with head and neck cancer patients' spatial access to cancer treatment centers. Patients residing in the most socioeconomically deprived neighborhoods consistently have longer travel times in urban, suburban, and rural communities in the study area.Key words: cancer treatment, socioeconomic status, deprivation, head and neck cancers, spatial access, geographic information systems, Canada.© BB Walker, N Schuurman, A Auluck, SA Lear, M Rosin 2017. A Licence to publish this material has been given to James Cook University, http://www.jcu.edu.au 2 IntroductionWith an estimated 525 000 new cases in 2012, head and neck cancers are the eighth most common non-melanoma cancers globally 1. This number is expected to grow significantly in the coming decades, resulting in increased demand for treatment 2 .To maximize efficiency, comprehensive cancer treatment facilities are most commonly located in areas where they service the largest proportion of the patient population, generally in large urban centers. This results in a geographical inequity, such that individuals living farther from a cancer treatment center experience a greater travel burden in order to attend their treatment, particularly those living in rural and remote areas , and survival 14. The time required for patients to travel from the home to a cancer treatment center is therefore an important factor throughout the continuum of care, and may inform more efficient and equitable cancer control programs and policy.The travel time required for an individual to reach a treatment center provides a quantitative measure of access 15 . However, an individual's access to a health service may also be measured as the ...

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“…Entretanto, a assistência à saúde, principalmente no serviço público, carece de melhorias estruturais e de acesso, para que o diagnóstico e consequentemente o tratamento para essa doença sejam realizados adequadamente e em tempo hábil (18) . Um estudo americano sugeriu que a distância física percorrida até a unidade de saúde com acesso a consulta com urologista pode ser uma barreira para o diagnóstico precoce do CaP (24) . Na UBS onde o estudo foi realizado, não há oferta de consultas com Urologista, sendo necessário que os usuários sejam atendidos em outras unidades do município.…”

Section: Resultsunclassified

Fatores De Risco Para O Câncer De Próstata: População De Uma Unidade Básica De Saúde

Czorny

Pinto²,

Pompeo³

et al. 2017

Cogitare Enferm.

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PROSTATE CANCER RISK FACTORS: POPULATION FROM A BASIC HEALTH UNITABSTRACT: The present investigation aimed to identify prostate cancer risk factors in men assisted in a basic health unit in the state of São Paulo in November 2015. It was a descriptive, cross-sectional and quantitative study, with a sample of 150 male users that went to the unit for a medical appointment and/or nursing care. The most relevant risk factors were age, level of education, sedentary lifestyle, consumption of alcohol, red meat, milk and fat and a high body mass index. The most used screening test was the prostatespecific antigen exam, followed by a rectal examination. The number of participants that presented at least one prostate cancer risk factor was high and that family history prompted men to seek prevention measures, such as appointments with urologists and screening exams. DESCRIPTORS: Men's health; Prostatic neoplasms; Risk factors; Primary health care. El estudio apuntó a identificar los factores de riesgo de cáncer de próstata entre hombres atendidos durante noviembre de 2015 en un Centro de Salud del Estado de São Paulo. Estudio descriptivo, transversal, de abordaje cuantitativo. Muestra integrada por 150 usuarios masculinos, que comparecieron en la unidad para realización de consulta y/o acogimiento de enfermería. Los factores de riesgo de mayor relevancia resultaron: edad, nivel de escolarización, sedentarismo, abuso de bebidas alcohólicas, ingesta de carnes rojas, leche y grasas, e Índice de Masa Corporal elevado. El examen de rastreo más realizado fue el de Antígeno Prostático Específico, seguido del tacto rectal. El número de participantes que presentó factores de riesgo de cáncer de próstata fue elevado. Se observó que la historia familiar de la enfermedad motiva a los hombres a buscar medidas preventivas, realizando consultas con el urólogo y análisis de rastreo.

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Impact of Distance to a Urologist on Early Diagnosis of Prostate Cancer Among Black and White Patients

Abstract: Longer distance to a urologist may disproportionally impact black patients. Decreasing modifiable barriers to health care access, such as distance to care, may decrease racial disparities in prostate cancer.

Cited by 50 publications

References 27 publications

Geographic disparities amongst patients with gynecologic malignancies at an urban NCI-designated cancer center

Geographic disparities amongst patients with gynecologic malignancies at an urban NCI-designated cancer center

Socioeconomic disparities in head and neck cancer patients’ access to cancer treatment centers

Fatores De Risco Para O Câncer De Próstata: População De Uma Unidade Básica De Saúde

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