Radiation Therapy in a Rural Setting

2015 ◽  
pp. 85-89
Author(s):  
S. F. Thomas ◽  
C. K. Hubbard
Keyword(s):  
Radiation Therapy ◽  
Rural Setting

The management of adenocarcinoma of the prostate in rural Georgia: A population-based analysis.

2014 ◽  
Vol 32 (4_suppl) ◽  
pp. 273-273
Author(s):  
William A. Hall ◽  
Dana Nickleach ◽  
Jeffrey M. Switchenko ◽  
Joseph Lipscomb ◽  
Michael Goodman ◽  
...  
Keyword(s):  
Radiation Therapy ◽  
Treatment Modality ◽  
Multivariable Analysis ◽  
Patient Characteristics ◽  
Population Based ◽  
Rural Setting ◽  
External Beam Radiation ◽  
Beam Radiation ◽  
Definitive Therapy ◽  
Adenocarcinoma Of The Prostate

273 Background: The management of adenocarcinoma of the prostate (ACP) in minority populations and in the rural setting remains understudied. We conducted a population-based analysis exploring the management of ACP in rural Georgia. Methods: All cases of ACP diagnosed from 2001 to 2003 in a rural, 33-county, Southwest Georgia region were included. Data were obtained for all patients through direct medical record abstraction. Patient characteristics were described and associated with three specific outcomes: receipt of therapy, initiation of planned therapy, and completion of radiation therapy (RT) when initiated. Results: One thousand eighty seven patients were available for the analysis; median patient age was 69, and 44% of the patients were African American (AA). A total of 804 patients underwent a course of definitive therapy or elected to pursue regular active surveillance (AS). Of the patients 8.9% underwent radical prostatectomy (RP) alone, 3.1% RP and external beam radiation therapy (EBRT), 30.2 % EBRT alone, 10.8% brachytherapy (BT) alone, and 44.5% combination EBRT and BT; 2.5 % of patients underwent AS. Hormone therapy (HT) was used in 43.8% of all patients available for analysis. In a multivariable analysis conducted for the entire patient cohort, not being married (OR 0.60, 95% CI 0.42-0.85, p=0.004), lack of insurance (OR 0.32, 95% CI 0.16-0.61, p=0.008), and older age (OR 0.93, 95% CI 0.91-0.95, p<0.001) were all independently associated with not receiving definitive therapy. Race was not significantly related to receipt of definitive therapy. The full course of EBRT was successfully completed as planned in 98.4% of patients. Conclusions: Amongst those patients undergoing therapy for ACP in rural Georgia, a combination of BT and EBRT was the most common treatment modality. In contrast to recent studies, we found that race was not a significant predictor of receipt of care in Southwest Georgia. In this rural setting, EBRT was associated with extremely high rates of treatment completion. Despite the geographic and socioeconomic challenges associated with rural residency, our population-based study demonstrates that EBRT is a common treatment modality, with high patient compliance, even when used in a rural setting.

Impact of Patient Distance to Radiation Therapy on Mastectomy Use in Early-Stage Breast Cancer Patients

2005 ◽  
Vol 23 (28) ◽  
pp. 7074-7080 ◽  
Author(s):  
Anneke T. Schroen ◽  
David R. Brenin ◽  
Maria D. Kelly ◽  
William A. Knaus ◽  
Craig L. Slingluff
Keyword(s):  
Breast Cancer ◽  
Radiation Therapy ◽  
Cancer Patients ◽  
Early Stage ◽  
Breast Conservation ◽  
Early Stage Breast Cancer ◽  
Rural Setting ◽  
Breast Cancer Patients ◽  
Treatment Access ◽  
New Facilities

Purpose Treatment access underlies quality cancer care. We hypothesize that mastectomy rates in a rural state are independently influenced by distance to radiation therapy (XRT) and by changing XRT access through opening new facilities. Patients and Methods Early-stage breast cancer patients diagnosed from 1996 to 2000 were identified in the Virginia state registry. Distance from patient zip code to nearest XRT facility was calculated with geographical software. Distance to XRT facility (≤ 10, > 10 to 25, > 25 to 50, and > 50 miles), American Joint Committee on Cancer tumor stage, age, race, and diagnosis year were evaluated for influencing mastectomy rate. Mastectomy use within 15 miles of five new facilities was assessed before and after opening. Results Among 20,094 patients, 43% underwent mastectomy, 53% underwent lumpectomy, and therapy of 4% of patients is unknown. Twenty-nine percent of patients lived more than 10 miles from XRT facility. Mastectomy increased with distance to XRT facility (43% at ≤ 10 miles, 47% at > 10 to 25 miles, 53% at > 25 to 50 miles, and 58% at > 50 miles; P < .001). Among 11,597 patients with T1 (< 2 cm) tumors, mastectomy also varied by distance (31% at ≤ 10 miles, 36% at > 10 to 25 miles, 41% at > 25 to 50 miles, and 49% at > 50 miles; P < .001). In multivariate analysis, mastectomy use was independently influenced by XRT distance after adjusting for age, race, T stage, and diagnosis year. Over the study period, mastectomy rates declined from 48% to 43% across Virginia, and there were similar declines in a 15-mile area around four new radiation facilities in urban settings. However, mastectomies decreased from 61% to 45% around a new XRT facility in a rural setting. Conclusion Distance to XRT facility significantly impacts mastectomy use. Opportunities for increasing breast-conservation rates through improved XRT access exist.

458: Effect of Obesity on PSA Recurrence Following Radiation Therapy Using 2006 Phoenix Consensus Definition

2007 ◽  
Vol 177 (4S) ◽  
pp. 153-154
Author(s):  
Sean P. Stroup ◽  
Brian K. Auge ◽  
James O. L'Esperance ◽  
Jennifer Cullen ◽  
Song Kang
Keyword(s):  
Radiation Therapy ◽  
Consensus Definition ◽  
Psa Recurrence

395: Nomogram Predicting 10 year Life Expectancy after Radical Prostatectomy or Radiation Therapy for Prostate Cancer

2007 ◽  
Vol 177 (4S) ◽  
pp. 131-132 ◽  
Author(s):  
Jochen Wafz ◽  
Andrea Gallina ◽  
Aldo M. Bocciardi ◽  
Sascha Ahyai ◽  
Paul Perrotta ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Radiation Therapy ◽  
Radical Prostatectomy ◽  
Life Expectancy

1059: Adjuvant Radiation Therapy Following Radical Prostatectomy for Adverse Pathology

2004 ◽  
Vol 171 (4S) ◽  
pp. 279-280
Author(s):  
Jonathan Rubenstein ◽  
Misop Han ◽  
Sheila A. Hawkins ◽  
William J. Catalona
Keyword(s):  
Radiation Therapy ◽  
Radical Prostatectomy ◽  
Adjuvant Radiation ◽  
Adjuvant Radiation Therapy

The Role of Radiation Therapy in the Treatment of Laryngeal Cancer

1984 ◽  
Vol 17 (1) ◽  
pp. 227-235
Author(s):  
Leslie E. Botnick ◽  
Christopher M. Rose ◽  
Izhak Goldberg ◽  
Abraham Recht
Keyword(s):  
Radiation Therapy ◽  
Laryngeal Cancer

Reclaim Radiation Therapy for Skin Cancer

2012 ◽  
Vol 43 (8) ◽  
pp. 16
Author(s):  
DAMIAN McNAMARA
Keyword(s):  
Radiation Therapy ◽  
Skin Cancer
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