کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3943805 1254133 2006 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Advanced cervical cancer treatment in Harris County: Pilot evaluation of factors that prevent optimal therapy
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی زنان، زایمان و بهداشت زنان
پیش نمایش صفحه اول مقاله
Advanced cervical cancer treatment in Harris County: Pilot evaluation of factors that prevent optimal therapy
چکیده انگلیسی

Objective.To document obstacles to completing outpatient treatment faced by indigent patients with cervical cancer and compare treatment costs.Methods.A retrospective pilot case series study assessed all indigent Harris County residents referred from Lyndon Baines Johnson Hospital (LBJ) to The University of Texas M. D. Anderson Cancer Center (M. D. Anderson) for advanced cervical cancer treatment between February 2001 and April 2004. Twenty-seven patients required hospital admission during the expected course of outpatient treatment and were identified as the study group. Nine patients, drawn from the same cohort but able to successfully complete the expected course of treatment as outpatients, were selected as the control group.Results.The median total treatment costs per patient in the study group (n = 27) was $28,892 more than the median treatment costs for the patients in the control group (n = 9) (P = 0.01). Median number of inpatient days in the study group was 19.6. Social factors identified as significantly different between the study and control groups included transportation difficulties (P = 0.006) and lack of social support (P = 0.08). Additional factors identified in the study group may have social significance such as accessible local housing (11% vs. 0%, P = 0.56) and noncompliance with treatment (37% vs. 11%, P = 0.22).Conclusion.A combination of the lack of adequate methods of transportation and social support may contribute to the high cost of treating indigent patients with cervical cancer in Harris County, Texas.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Gynecologic Oncology - Volume 103, Issue 2, November 2006, Pages 547–553
نویسندگان
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