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Travel distance to cancer-diagnostic facilities and tumour stage

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Travel distance to cancer-diagnostic facilities and tumour stage. / Virgilsen, Line Flytkjær; Møller, Henrik; Vedsted, Peter.

In: Health & place, Vol. 60, 102208, 15.10.2019, p. 102208.

Research output: Contribution to journalArticle

Harvard

Virgilsen, LF, Møller, H & Vedsted, P 2019, 'Travel distance to cancer-diagnostic facilities and tumour stage', Health & place, vol. 60, 102208, pp. 102208. https://doi.org/10.1016/j.healthplace.2019.102208

APA

Virgilsen, L. F., Møller, H., & Vedsted, P. (2019). Travel distance to cancer-diagnostic facilities and tumour stage. Health & place, 60, 102208. [102208]. https://doi.org/10.1016/j.healthplace.2019.102208

Vancouver

Virgilsen LF, Møller H, Vedsted P. Travel distance to cancer-diagnostic facilities and tumour stage. Health & place. 2019 Oct 15;60:102208. 102208. https://doi.org/10.1016/j.healthplace.2019.102208

Author

Virgilsen, Line Flytkjær ; Møller, Henrik ; Vedsted, Peter. / Travel distance to cancer-diagnostic facilities and tumour stage. In: Health & place. 2019 ; Vol. 60. pp. 102208.

Bibtex Download

@article{cf663033927a4d038703be01e543be03,
title = "Travel distance to cancer-diagnostic facilities and tumour stage",
abstract = "Specialisation and centralisation in healthcare systems increase patients' travel distance to cancer-diagnostic facilities but the impact of distance on tumour stage remains unclear. This study aimed to study the travel distance to cancer patient's GP and to the hospital of diagnosis and the association with tumour stage for 12 cancer types. A cohort study was conducted including cancer patients in Denmark diagnosed between 2005 and 2016 with rectum, malignant melanoma, breast, testis, oesophageal, colon, cervix, prostate, stomach, pancreatic, lung and ovary cancer (n = 256,663). Distance to each patient's GP and to the hospital of diagnosis were calculated using ArcGIS, Network Analyst. The results showed that for most easy-to-diagnose cancer types (rectum cancer, malignant melanoma, testis cancer) and cervix cancer, increasing travel distance to the hospital of diagnosis increased the odds of advanced disease at diagnosis. Contrary, increasing travel distance to the hospital was associated with decreased odds of being diagnosed with advanced disease stage among hard-to-diagnose cancer types (stomach, pancreatic, lung and ovarian cancer), and prostate cancer. Distance to the GP was overall not associated with tumour stage. The underlying mechanisms for these findings are multifaceted and might reflect differences in presentation, symptomologies and investigations used for diagnosis across cancer types.",
keywords = "ArcGIS, Cancer, Denmark, Diagnostic difficulty group, General practice, Travel distance, Tumour stage",
author = "Virgilsen, {Line Flytkj{\ae}r} and Henrik M{\o}ller and Peter Vedsted",
note = "Copyright {\circledC} 2019 Elsevier Ltd. All rights reserved.",
year = "2019",
month = "10",
day = "15",
doi = "10.1016/j.healthplace.2019.102208",
language = "English",
volume = "60",
pages = "102208",
journal = "Health & place",
issn = "1353-8292",

}

RIS (suitable for import to EndNote) Download

TY - JOUR

T1 - Travel distance to cancer-diagnostic facilities and tumour stage

AU - Virgilsen, Line Flytkjær

AU - Møller, Henrik

AU - Vedsted, Peter

N1 - Copyright © 2019 Elsevier Ltd. All rights reserved.

PY - 2019/10/15

Y1 - 2019/10/15

N2 - Specialisation and centralisation in healthcare systems increase patients' travel distance to cancer-diagnostic facilities but the impact of distance on tumour stage remains unclear. This study aimed to study the travel distance to cancer patient's GP and to the hospital of diagnosis and the association with tumour stage for 12 cancer types. A cohort study was conducted including cancer patients in Denmark diagnosed between 2005 and 2016 with rectum, malignant melanoma, breast, testis, oesophageal, colon, cervix, prostate, stomach, pancreatic, lung and ovary cancer (n = 256,663). Distance to each patient's GP and to the hospital of diagnosis were calculated using ArcGIS, Network Analyst. The results showed that for most easy-to-diagnose cancer types (rectum cancer, malignant melanoma, testis cancer) and cervix cancer, increasing travel distance to the hospital of diagnosis increased the odds of advanced disease at diagnosis. Contrary, increasing travel distance to the hospital was associated with decreased odds of being diagnosed with advanced disease stage among hard-to-diagnose cancer types (stomach, pancreatic, lung and ovarian cancer), and prostate cancer. Distance to the GP was overall not associated with tumour stage. The underlying mechanisms for these findings are multifaceted and might reflect differences in presentation, symptomologies and investigations used for diagnosis across cancer types.

AB - Specialisation and centralisation in healthcare systems increase patients' travel distance to cancer-diagnostic facilities but the impact of distance on tumour stage remains unclear. This study aimed to study the travel distance to cancer patient's GP and to the hospital of diagnosis and the association with tumour stage for 12 cancer types. A cohort study was conducted including cancer patients in Denmark diagnosed between 2005 and 2016 with rectum, malignant melanoma, breast, testis, oesophageal, colon, cervix, prostate, stomach, pancreatic, lung and ovary cancer (n = 256,663). Distance to each patient's GP and to the hospital of diagnosis were calculated using ArcGIS, Network Analyst. The results showed that for most easy-to-diagnose cancer types (rectum cancer, malignant melanoma, testis cancer) and cervix cancer, increasing travel distance to the hospital of diagnosis increased the odds of advanced disease at diagnosis. Contrary, increasing travel distance to the hospital was associated with decreased odds of being diagnosed with advanced disease stage among hard-to-diagnose cancer types (stomach, pancreatic, lung and ovarian cancer), and prostate cancer. Distance to the GP was overall not associated with tumour stage. The underlying mechanisms for these findings are multifaceted and might reflect differences in presentation, symptomologies and investigations used for diagnosis across cancer types.

KW - ArcGIS

KW - Cancer

KW - Denmark

KW - Diagnostic difficulty group

KW - General practice

KW - Travel distance

KW - Tumour stage

UR - http://www.scopus.com/inward/record.url?scp=85073122198&partnerID=8YFLogxK

U2 - 10.1016/j.healthplace.2019.102208

DO - 10.1016/j.healthplace.2019.102208

M3 - Article

C2 - 31627128

VL - 60

SP - 102208

JO - Health & place

JF - Health & place

SN - 1353-8292

M1 - 102208

ER -

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