The impact of travel time to cancer treatment centre on post-diagnosis care and mortality among cancer patients in Scotland

Dados Bibliográficos

ID12543769
AutoresMelanie Turner (0000-0002-5009-8793, University of Aberdeen, autor correspondente), Romi Carriere (Newcastle University), Shona Fielding (0000-0001-5363-8188, University of Aberdeen), George Ramsay (0000-0001-9862-2323, Aberdeen Royal Infirmary), Leslie Samuel (0000-0002-8402-8670, University of Aberdeen), Andrew S Maclaren (0000-0001-6185-9167, University of Aberdeen), Andrew MacLaren, Peter Murchie (0000-0001-9968-5991, University of Aberdeen)
Ano2023
Volume84
Páginas103139-103139
Data de publicação2023-11-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoHealth & Place (JOURNAL)
Identificadores do periódicoISSN: 1353-8292 • E-ISSN: 1873-2054
EditoraElsevier BV (PUBLISHER)
DOI10.1016/j.healthplace.2023.103139
PMID37979314
OpenAlexW4388721610
IdiomaEN
Citações recebidas1
Referências citadas36

Limited data exist on the effect of travelling time on post-diagnosis cancer care and mortality. We analysed the impact of travel time to cancer treatment centre on secondary care contact time and one-year mortality using a data-linkage study in Scotland with 17369 patients. Patients with longer travelling time and island-dwellers had increased incidence rate of secondary care cancer contact time. For outpatient oncology appointments, the incidence rate was decreased for island-dwellers. Longer travelling time was not associated with increased secondary care contact time for emergency cancer admissions or time to first emergency cancer admission. Living on an island increased mortality at one-year. Adjusting for cancer-specific secondary care contact time increased the hazard of death, and adjusting for oncology outpatient time decreased the hazard of death for island-dwellers. Those with longer travelling times experience the cancer treatment pathway differently with poorer outcomes. Cancer services may need to be better configured to suit differing needs of dispersed populations

Cancer · Cancer incidence · Cancer treatment · Hazard · Hazard ratio · Incidence (geometry · Mortality rate · Demography · Global Cancer Incidence and Screening · Health Systems, Economic Evaluations, Quality of Life · Healthcare Policy and Management · Medicine · Emergency Medicine · Gerontology · Internal Medicine