Do radiation oncology outreach clinics affect the use of radiotherapy?
| Autor: | Weidong Kong, William J. Mackillop, Padraig Warde, Michael Brundage, Timothy P. Hanna, Pierre-Yves McLaughlin, Eric Gutierrez, Catherine de Metz |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Multivariate analysis medicine.medical_treatment 030204 cardiovascular system & hematology Outreach clinic Health Services Accessibility 03 medical and health sciences Young Adult 0302 clinical medicine Regional cancer Internal medicine Neoplasms Radiation oncology medicine Humans Radiology Nuclear Medicine and imaging Aged Aged 80 and over Ontario Radiotherapy business.industry Cancer Hematology Middle Aged medicine.disease Hospitals Radiation therapy Outreach Oncology 030220 oncology & carcinogenesis Health Care Surveys Radiation Oncology Female business Delivery of Health Care |
| Zdroj: | Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology. 127(1) |
| ISSN: | 1879-0887 |
| Popis: | Background and purpose The scope and effect of radiation oncology (RO) outreach activities within centralized radiotherapy (RT) systems is poorly defined. The purpose of this study was to describe the outreach activities of Ontario’s regional cancer centres, and to explore the relationship between radiation oncology (RO) outreach clinics and rates of radiotherapy (RT) utilization at hospitals without RT on site (HWOS-RT). Materials and methods Ontario RO centres’ outreach activities were identified by semi-structured interview. A multivariate analysis determined the association between on-site RT facilities, or presence of RO clinic at HWOS-RT, and RT utilization within one year of diagnosis (RT1Y), for all patients diagnosed with cancer in Ontario in 2011–2012. Results RO outreach varied widely by region. Of the largest 58 diagnosing hospitals, 14 had RT on-site, 19 had no RT but RO outreach clinic(s) and 25 had no RT or RO clinic. RT was used more frequently for patients diagnosed at hospitals with on-site RT compared to those at HWOS-RT (RT1Y = 35% vs. 29%, RR = 1.32 [95% CI 1.27–1.38]). For HWOS-RT, RT was used more frequently if there was an RO clinic (RT1Y = 31% vs. 29%, RR = 1.06 [95% CI 1.02–1.10]). Conclusions RO outreach clinics were associated with a small but significant increase in RT utilization. There is opportunity to improve access to RT by optimizing the effectiveness of RO outreach. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect