Cervical cancer care in rural Virginia: The impact of distance from an academic medical center on outcomes & the role of non-specialized radiation centers

To determine whether distance to a tertiary care facility affects outcomes for locally advanced cervical cancer and to evaluate the impact of receiving care at non-specialized centers in rural communities. Retrospective, single institution study of patients with locally advanced cervical cancer mana...

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Bibliographic Details
Published in:Gynecologic oncology 2018-08, Vol.150 (2), p.338-342
Main Authors: Rauh, Lisa A., Saks, Erin J., Nakad-Rodriguez, Diana, Showalter, Timothy N., Duska, Linda R.
Format: Article
Language:English
Subjects:
Cervical cancer
Chemo-radiation
Disparities
Distance
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Summary:To determine whether distance to a tertiary care facility affects outcomes for locally advanced cervical cancer and to evaluate the impact of receiving care at non-specialized centers in rural communities. Retrospective, single institution study of patients with locally advanced cervical cancer managed with chemo-radiation from January 1, 2000 to June 1, 2014. Kaplan-Meier survival curves and Cox proportional hazard models were used to compare progression free and overall survival for patients by median distance to the tertiary care facility (72 miles) and facility where treatment was received. 180 patients met inclusion criteria. There was no difference in PFS or OS between the travel distance cohorts. When compared by location of external beam radiation, patients treated at outside facilities were older (p = 0.02) and significantly more likely to be insured (95.6% versus 71.7%, p 
ISSN:0090-8258
1095-6859
DOI:10.1016/j.ygyno.2018.06.019