Patterns of care for anal cancer in the United States - a comparison between academic and community cancer centers

Autor: Carlo F. Abelli, Victor E. Pricolo, Matteo Bonvini
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Male
Cancer Research
medicine.medical_treatment
0302 clinical medicine
Practice Patterns
Physicians'
Academic Medical Centers
education.field_of_study
HPV related cancer
Incidence (epidemiology)
Age Factors
Cancer Care Facilities
Middle Aged
Anus Neoplasms
lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens
Combined Modality Therapy
Oncology
030220 oncology & carcinogenesis
Practice Guidelines as Topic
Carcinoma
Squamous Cell
Female
030211 gastroenterology & hepatology
Guideline Adherence
Research Article
medicine.medical_specialty
Population
NCDB
lcsh:RC254-282
Squamous cell carcinoma of the anus
03 medical and health sciences
Sex Factors
Internal medicine
Genetics
medicine
Humans
Anal cancer
education
Neoplasm Staging
Retrospective Studies
business.industry
Cancer
NCCN guidelines
Retrospective cohort study
Community Health Centers
medicine.disease
Comorbidity
United States
Radiation therapy
Socioeconomic Factors
business
Zdroj: BMC Cancer, Vol 18, Iss 1, Pp 1-5 (2018)
BMC Cancer
ISSN: 1471-2407
Popis: Background Management of squamous cell carcinoma of the anus (SCCA) is becoming more relevant, as its incidence increases. The purpose of this study was to investigate possible differences in patient population and care delivery for SCCA between academic and community cancer programs in the United States. Methods A review of available data from the American College of Surgeons Committee on Cancer National Cancer DataBase focused on gender, age, race, type of health insurance, comorbidity score, distance traveled for care, stage at diagnosis, and therapy utilization (surgery, chemotherapy, and radiation therapy) as first course of treatment (FCT). The analysis included 38,766 patients treated for SCCA. Of them, 14,422 patients received treatment at Academic Cancer Programs (ACPs), while 24,344 were treated at Community Cancer Programs (CCPs) between the years 2003 and 2013. Results Over the 11-year study period, ACPs had significantly more male patients, of younger age, a greater non-white race population, with more Medicaid or no insurance coverage, who traveled farther for cancer center care (p
Databáze: OpenAIRE
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