Examining urban and rural differences in how distance to care influences the initiation and completion of treatment among insured cervical cancer patients
Cancer Epidemiology, Biomarkers & Prevention Apr 25, 2019
Spees LP, et al. - Using a statewide cancer registry linked to multipayer, insurance claims, researchers assessed if treatment initiation and completion among insured urban and rural cervical cancer patients were differentially impacted by geographic distance, a contributor to urban–rural health differences. Findings revealed a differential impact of geographic distance on the start and completion of therapy among urban and rural cervical cancer patients. Initiation of timely treatment was less likely to be reported among stage IA-IVA patients who lived ≥15 miles from the nearest treatment facility vs those <5 miles, in urban areas. Completion of concurrent chemoradiotherapy in 56 days was more frequently seen in rural women residing ≥15 miles from the nearest radiation facility among a population of IB2-IVA stage cancer patients.
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