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Titolo:
Factors affecting the use of palliative radiotherapy in Ontario
Autore:
Huang, J; Zhou, S; Groome, P; Tyldesley, S; Zhang-Solomans, J; Mackillop, WJ;
Indirizzi:
Queens Univ, Kingston Reg Canc Ctr, Dept Oncol, Radiat Oncol Res Unit, Kingston, ON, Canada Queens Univ Kingston ON Canada diat Oncol Res Unit, Kingston, ON, Canada
Titolo Testata:
JOURNAL OF CLINICAL ONCOLOGY
fascicolo: 1, volume: 19, anno: 2001,
pagine: 137 - 144
SICI:
0732-183X(20010101)19:1<137:FATUOP>2.0.ZU;2-B
Fonte:
ISI
Lingua:
ENG
Soggetto:
SOCIOECONOMIC-STATUS; RADIATION-THERAPY; CANCER; MANAGEMENT; DISEASE; HEALTH; CANADA; PAIN; CARE; AGE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
29
Recensione:
Indirizzi per estratti:
Indirizzo: Mackillop, WJ Kingston Gen Hosp, Radiat Oncol Res Unit, Apps Level 4, Kingston, ON K7L 2V7, Canada Kingston Gen Hosp Apps Level 4 Kingston ON Canada K7L 2V7 da
Citazione:
J. Huang et al., "Factors affecting the use of palliative radiotherapy in Ontario", J CL ONCOL, 19(1), 2001, pp. 137-144

Abstract

Purpose: To describe the use of palliative radiotherapy (PRT) and to identify factors associated with the use of PRT. Materials and Methods: The Ontario Cancer Registry was used to identify 193,253 adult patients who died of cancer between 1986 and 1995, Radiotherapyrecords from all Ontario cancer centers and the data on socioeconomic status (SES) from the Canadian Census were linked to the Ontario Cancer Registry data. The proportion of cases who received at least one course of PRT at any time within 2 years of death (PRT2Y) was used as a primary measure of the use rate of PRT,Results: Overall, 26.4% of cases underwent at least one course of PRT, PRT2Y remained relatively constant over the study period. PRT2Y was disease-specific and ranged from 4% for pancreatic cancer to 41% for prostate cancer. Age was negatively associated with PRT2Y (adjusted odds ratio [OR], 4.5 for the youngest group), and SES was positively associated with PRT2Y (adjusted OR, 1.2 for patients from wealthy communities). patients who were initially diagnosed in a hospital affiliated with a cancer center (adjusted OR, 1.4) or who lived in a county in which a cancer center is located (adjusted OR, 1.2), or who resided in certain regions (adjusted OR, 1.20 for Hamiltonand 1.17 for Kingston), were more likely ta be treated with PRT,Conclusion: The use of PRT varied across the dispersed papulation in Ontario and was influenced by factors unrelated to the patient's needs. An effort should be made ta reduce barriers to access for disadvantaged groups, J Clin Oncol 19:137-144, (C) 2001 by American Society of Clinical Oncology.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/09/20 alle ore 09:38:00