دورية أكاديمية
أعرض في EDS

Timeliness of cancer care in a regional Victorian health service: A comparison of high-volume (Lung) and low-volume (oesophagogastric) tumour streams.

التفاصيل البيبلوغرافية
العنوان: Timeliness of cancer care in a regional Victorian health service: A comparison of high-volume (Lung) and low-volume (oesophagogastric) tumour streams.
المؤلفون: Kabwe M; Loddon Mallee Integrated Cancer Service, Bendigo Health, Bendigo, Victoria, Australia.; Department of Pharmacy and Biomedical Sciences, La Trobe Institute for Molecular Science, La Trobe University, Bendigo, Victoria, Australia., Robinson A; Loddon Mallee Integrated Cancer Service, Bendigo Health, Bendigo, Victoria, Australia., Shethia Y; Loddon Mallee Integrated Cancer Service, Bendigo Health, Bendigo, Victoria, Australia., Parker C; Loddon Mallee Integrated Cancer Service, Bendigo Health, Bendigo, Victoria, Australia., Blum R; Loddon Mallee Integrated Cancer Service, Bendigo Health, Bendigo, Victoria, Australia., Solo I; Loddon Mallee Integrated Cancer Service, Bendigo Health, Bendigo, Victoria, Australia., Leach M; Loddon Mallee Integrated Cancer Service, Bendigo Health, Bendigo, Victoria, Australia.; Rural Health, Monash University, Bendigo, Victoria, Australia.
المصدر: Cancer reports (Hoboken, N.J.) [Cancer Rep (Hoboken)] 2021 Feb; Vol. 4 (1), pp. e1301. Date of Electronic Publication: 2020 Oct 07.
نوع المنشور: Comparative Study; Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: John Wiley & Sons, Inc Country of Publication: United States NLM ID: 101747728 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2573-8348 (Electronic) Linking ISSN: 25738348 NLM ISO Abbreviation: Cancer Rep (Hoboken) Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Hoboken, NJ : John Wiley & Sons, Inc., [2018]-
مواضيع طبية MeSH: Esophageal Neoplasms/*therapy , Lung Neoplasms/*therapy , Medical Oncology/*statistics & numerical data , Regional Medical Programs/*statistics & numerical data , Stomach Neoplasms/*therapy, Aged ; Esophageal Neoplasms/diagnosis ; Female ; Humans ; Lung Neoplasms/diagnosis ; Male ; Medical Oncology/organization & administration ; Middle Aged ; Quality of Life ; Regional Medical Programs/organization & administration ; Registries/statistics & numerical data ; Retrospective Studies ; Stomach Neoplasms/diagnosis ; Time-to-Treatment ; Victoria
مستخلص: Background: Timeliness of cancer care is vital for improved survival and quality of life of patients. Service and care centralisation at larger-volume centres has been associated with improved outcomes. However, there is a lack of systematic data on the impact of tumour stream volume on timeliness of care.
Aims: To investigate and compare timeliness of care for lung cancer, a high-volume (more commonly diagnosed) tumour stream, and oesophagogastric (OG) cancer, a low-volume (less commonly diagnosed) tumour stream, at a regional health service in Victoria, Australia.
Methods: A retrospective cohort study comprising random samples of 75 people newly diagnosed with lung cancer (International Classification of Diseases and Related Health Problems-10 [ICD-10] diagnosis codes C34 in the Victorian Cancer Registry [VCR]) and 50 people newly diagnosed with OG cancer (ICD-10 diagnosis codes C15 or C16 in VCR) at one regional Victorian health service between 2016 and 2017. Binary logistic regression was used to calculate odds ratios (ORs) and 95% confidence intervals (CIs) for associations between patient factors and suboptimal timeliness of care.
Results: In comparison to OG cancer patients, lung cancer patients had reduced odds of suboptimal timeliness of care in reference to times outside OCP for referral to diagnosis (OR [95% CI] = 0.34 [0.14 to 0.83]) but increased odds of suboptimal timeliness for diagnosis to treatment (OR [95% CI] = 2.48 [1.01 to 6.09]).
Conclusion: In the low-volume OG cancer stream, patients had longer wait times from referral to an MDM, where treatment decisions occur, but shorter time to commencement of first treatment. Conversely in the high-volume lung cancer group, there was delayed initiation of first treatment following presentation at MDM. There is need to explore ways to fast-track MDM presentation and commencement of therapy among people diagnosed with low-volume and high-volume cancers, respectively.
(© 2020 The Authors. Cancer Reports published by Wiley Periodicals LLC.)
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فهرسة مساهمة: Keywords: lung cancer; oesophagogastric cancer; optimal care pathway; timeliness of care
تواريخ الأحداث: Date Created: 20201007 Date Completed: 20211129 Latest Revision: 20211129
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC7941434
DOI: 10.1002/cnr2.1301
PMID: 33026194
قاعدة البيانات: MEDLINE
الوصف
تدمد:2573-8348
DOI:10.1002/cnr2.1301