Who Does Not Receive Treatment for Cancer?

Ward, Marcia M.; Ullrich, Fred; Matthews, Kevin; Rushton, Gérard; Goldstein, Michael A.; Bajorin, Dean F.; Hanley, Amy; Lynch, Charles F.

doi:10.1200/jop.2012.000829

Cited by 36 publications

(36 citation statements)

References 11 publications

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“…Conservatively assuming that 1436 deaths in patients with cancer would have occurred in our geographic area in 2014 (that is, a number identical to the number of deaths seen in 2008, the year of the most recent available data), we expect that 264 residents (95% ci: 244 to 273 individuals) might not have received the important benefit of a medical or Our finding that decedents with a rural residence in our district were less likely to have received a consultation accords with the general literature related to rural residence and decreased access to [20][21][22] . Similarly, our study also demonstrates that older cancer patients might have decreased access to cancer specialists 18,23 and cancer services 18,20,24,25 .…”

Section: Discussionsupporting

confidence: 67%

Access to Oncology Consultation in a Cancer Cohort in Northeastern Ontario

et al. 2015

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BackgroundTo enhance cancer symptom management for residents of Sudbury–Manitoulin District, an ambulatory palliative clinic (pac) was established at the Northeast Cancer Centre of Health Sciences North. The pac is accessed from a medical or radiation oncology consultation. The primary purpose of the present population-based retrospective study was to estimate the percentage of cancer patients who died without ever having a medical or radiation oncology consultation. A secondary purpose was to determine factors associated with never having received one of those specialized consultations.MethodsAdministrative data was obtained through the Ontario Cancer Data Linkage Project. For each index case, we constructed a timeline, in days, of all Ontario Health Insurance Plan billing codes and associated service dates starting with the primary cancer diagnosis and ending with death.ResultsWithin the 5-year study period (2004–2008), 6683 people in the area of interest with a valid record of primary cancer diagnosis died from any cause. Most (n = 5988, 89.6%) had 1 primary cancer diagnosis. For that subgroup, excluding those with a disease duration of 0 days (n = 67), about 18.4% (n = 1088) never had a consultation with a medical or radiation oncologist throughout their disease trajectory. Patients who were older or who resided in a rural area were significantly less likely to have had a consultation.ConclusionsSpecific strategies directed toward older and rural patients might help to address this important access-to-care issue.

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Section: Discussionsupporting

confidence: 67%

Access to Oncology Consultation in a Cancer Cohort in Northeastern Ontario

et al. 2015

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“…[6][7][8][9][10]13,14 However, what may be counterintuitive is that patients living closer to treatment facilities were more likely to refuse therapy. There were several associated factors, not limited to sociodemographic, economic, clinicopathologic, and facilityrelated factors.…”

Section: Discussionmentioning

confidence: 99%

Factors predicting for patient refusal of head and neck cancer therapy

Amini

Verma

et al. 2019

Head & Neck

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“…; Ward et al . ). Refusal, delay and non‐completion of treatment has been shown to adversely impact clinical outcomes such as treatment resistance, disease progression and lower survival (Moore ; Hershman et al .…”

Section: Introductionmentioning

confidence: 97%

Prevalence and characteristics associated with default of treatment and follow-up in patients with cancer

et al. 2015

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Defaulting is an important issue across all medical specialties, but much more so in cancer as delayed or incomplete treatment has been shown to result in worse clinical outcomes such as treatment resistance, disease progression as well as lower survival. Our objective was to identify psychosocial variables and characteristics associated with default among cancer patients. A total of 467 consecutive adult cancer patients attending the oncology clinic at a single academic medical centre completed the Hospital Anxiety and Depression Scale and reported their preference for psychological support at baseline, 4-6 weeks and 12-18 months follow-up. Default was defined as refusal, delay or discontinuation of treatment or visit, despite the ability to do so. A total of 159 of 467 (34.0%) cancer patients were defaulters. Of these 159 defaulters, 89 (56.0%) desired psychological support, compared to only 13 (4.2%) of 308 non-defaulters. Using a logistic regression, patients who were defaulters had 52 times higher odds (P = 0.001; 95% confidence interval 20.61-134.47) of desiring psychological support than non-defaulters after adjusting for covariates. These findings suggest that defaulters should be offered psychological support which may increase cancer treatment acceptance rates and improve survival.

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Who Does Not Receive Treatment for Cancer?

Cited by 36 publications

References 11 publications

Access to Oncology Consultation in a Cancer Cohort in Northeastern Ontario

Access to Oncology Consultation in a Cancer Cohort in Northeastern Ontario

Factors predicting for patient refusal of head and neck cancer therapy

Prevalence and characteristics associated with default of treatment and follow-up in patients with cancer

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