Ninety‐day mortality after radiotherapy for head and neck cancer: Population‐based comparison between rural and urban patients

Background This study assesses whether 90‐day mortality differs between patients living in rural and urban areas, as lower access to supportive care services in rural areas could result in higher mortality. Methods All patients with head and neck cancer (HNC) treated between 1998 and 2014 with radio...

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Published in:Head & neck 2021-11, Vol.43 (11), p.3306-3313
Main Authors: Schlijper, Roel, Bos, Siske, Hamilton, Sarah N., Tran, Eric, Berthelet, Eric, Wu, Jonn, Olson, Robert A.
Format: Article
Language:English
Subjects:
Head & neck cancer
head and neck cancer
Mortality
population‐based
Radiation therapy
radiotherapy
Rural areas
rurality
Urban environments
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container_title Head & neck
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creator Schlijper, Roel
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description Background This study assesses whether 90‐day mortality differs between patients living in rural and urban areas, as lower access to supportive care services in rural areas could result in higher mortality. Methods All patients with head and neck cancer (HNC) treated between 1998 and 2014 with radiotherapy in British Columbia were included. Patients were divided into rurality areas according to the Modified Statistics Canada (mSC) definition, which classifies a population 
doi_str_mv 10.1002/hed.26819
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Methods All patients with head and neck cancer (HNC) treated between 1998 and 2014 with radiotherapy in British Columbia were included. Patients were divided into rurality areas according to the Modified Statistics Canada (mSC) definition, which classifies a population &lt;30 000 as rural and ≥30 000 as urban. Results Five thousand five hundred and fifty‐four patients were included in this study, of which 68% lived in urban centers. The 90‐day mortality for rural versus urban patients were 3.0% and 3.9% (p = 0.09), respectively. Univariate and multivariate analyses showed no association with 90‐day mortality and rurality. Conclusion After controlling for potentially confounding factors, we did not find a significant association between 90‐day mortality and rurality in patients who were treated with radiotherapy for HNC in British Columbia.</description><identifier>ISSN: 1043-3074</identifier><identifier>EISSN: 1097-0347</identifier><identifier>DOI: 10.1002/hed.26819</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley &amp; Sons, Inc</publisher><subject>Head &amp; neck cancer ; head and neck cancer ; Mortality ; population‐based ; Radiation therapy ; radiotherapy ; Rural areas ; rurality ; Urban environments</subject><ispartof>Head &amp; neck, 2021-11, Vol.43 (11), p.3306-3313</ispartof><rights>2021 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3309-905bbd0db56f19ec4425a96040e7cd47d1a2a673a5194210ffeaea3858a13a783</citedby><cites>FETCH-LOGICAL-c3309-905bbd0db56f19ec4425a96040e7cd47d1a2a673a5194210ffeaea3858a13a783</cites><orcidid>0000-0002-1816-2599 ; 0000-0003-1066-0347</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids></links><search><creatorcontrib>Schlijper, Roel</creatorcontrib><creatorcontrib>Bos, Siske</creatorcontrib><creatorcontrib>Hamilton, Sarah N.</creatorcontrib><creatorcontrib>Tran, Eric</creatorcontrib><creatorcontrib>Berthelet, Eric</creatorcontrib><creatorcontrib>Wu, Jonn</creatorcontrib><creatorcontrib>Olson, Robert A.</creatorcontrib><title>Ninety‐day mortality after radiotherapy for head and neck cancer: Population‐based comparison between rural and urban patients</title><title>Head &amp; neck</title><description>Background This study assesses whether 90‐day mortality differs between patients living in rural and urban areas, as lower access to supportive care services in rural areas could result in higher mortality. 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subjects Head & neck cancer
head and neck cancer
Mortality
population‐based
Radiation therapy
radiotherapy
Rural areas
rurality
Urban environments
title Ninety‐day mortality after radiotherapy for head and neck cancer: Population‐based comparison between rural and urban patients
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