Cancer medicine
Association of Travel Time With Definitive Prostate Cancer Treatment: A United States Registry Cohort Study
Door Dagnino F, Korn S, Daniels D en 15 anderen.
Inhoud in het Engels
Abstract
Purpose
Prostate cancer (PCa) mortality disparities are partly driven by unequal access to care. Transportation barriers may limit access to definitive treatment. We studied how driving travel time affects receipt of definitive PCa treatment.
Materials and methods
We conducted a cohort study of men with non-metastatic PCa (2000-2015; follow-up through 2018) across the metropolitan area cancer registries of seven US states. Travel time was estimated using Google Maps isochrones representing driving time thresholds to reach the hospital appended to geomasked residential addresses. Outcomes were "no treatment," "radical surgery," or "radiotherapy". Covariate-adjusted multinomial logistic regression with interaction terms assessed modification by sociodemographic factors.