Radiotherapy waiting times for women with breast cancer in South East England

Elizabeth Davies, Ruth Jack, David Robinson, Tom Massey, Ashu Sehgal, Henrik Moller

    Research output: Chapter in Book/Report/Conference proceedingMeeting abstract

    Abstract

    Objective To examine 1) factors affecting whether women with breast cancer patients received radiotherapy within 60 days of their diagnosis or previous treatment, and 2) the relationship between length of wait and subsequent survival. Methods 35354 women resident in South East England and diagnosed with breast cancer between 1992 and 2001 who received radiotherapy within 6 months of diagnosis were identified from the Thames Cancer Registry. Time to radiotherapy was measured from either the date of diagnosis or the start of the previous treatment, whichever was shorter. Unadjusted and adjusted logistic regression models were fitted to examine whether patients received radiotherapy within 60 days of their diagnosis or previous treatment. Kaplan-Meier analysis was used to assess survival from date of radiotherapy, by whether patients waited 0-30, 31-60 or 61 or more days for radiotherapy. Results There was significant variation between different cancer networks in the proportion of patients receiving radiotherapy within 60 days of diagnosis or previous treatment, (adjusted proportions ranged from 43% to 81%). The adjusted proportions of patients receiving radiotherapy within 60 days decreased from 68% in 1992 to 33% in 2001. There was no association between deprivation of area of residence, age or stage and radiotherapy wait after adjustment. Patients who waited 31-60 days for radiotherapy had the highest 5-year survival (81%), followed by patients who waited 61 days or longer (78%). Those waiting 0-30 days had the lowest survival (73%). Conclusion Results are consistent with other findings suggesting variation between cancer networks, increasing waits over time and that differing waiting times are associated with different survival. This study covered a period of time before the investment following the Cancer Plan of 2000. Further studies could examine different methods of measuring waiting time, the causes and consequences of waits for radiotherapy and the effect of current initiatives and investment.
    Original languageEnglish
    Title of host publicationUK Association of Cancer Registries 14th Annual Conference
    PublisherUnknown Publisher
    Pages14 - 14
    Number of pages1
    Publication statusPublished - 2005
    EventUK Association of Cancer Registries Conference -
    Duration: 28 Sept 200529 Sept 2005

    Conference

    ConferenceUK Association of Cancer Registries Conference
    Period28/09/200529/09/2005

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