Determinants of the access to remote ...
Type de document :
Article dans une revue scientifique: Article original
PMID :
URL permanente :
Titre :
Determinants of the access to remote specialised services provided by national sarcoma reference centres
Auteur(s) :
Fayet, Y. [Auteur]
Tétreau, R. [Auteur]
Honoré, C. [Auteur]
Le Nail, L. R. [Auteur]
Dalban, C. [Auteur]
Gouin, F. [Auteur]
Causeret, S. [Auteur]
Piperno-Neumann, S. [Auteur]
Mathoulin-Pelissier, S. [Auteur]
Karanian, M. [Auteur]
Italiano, A. [Auteur]
Chaigneau, L. [Auteur]
Gantzer, J. [Auteur]
Bertucci, F. [Auteur]
Ropars, M. [Auteur]
Saada-Bouzid, E. [Auteur]
Cordoba, A. [Auteur]
Ruzic, J. C. [Auteur]
Varatharajah, S. [Auteur]
Ducimetière, F. [Auteur]
Chabaud, S. [Auteur]
Dubray-Longeras, P. [Auteur]
Fiorenza, F. [Auteur]
De Percin, S. [Auteur]
Lebbé, C. [Auteur]
Soibinet, P. [Auteur]
Michelin, P. [Auteur]
Rios, M. [Auteur]
Farsi, F. [Auteur]
Penel, Nicolas [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Bompas, E. [Auteur]
Duffaud, F. [Auteur]
Chevreau, C. [Auteur]
Le Cesne, A. [Auteur]
Blay, J. Y. [Auteur]
Le Loarer, F. [Auteur]
Ray-Coquard, I. [Auteur]
Tétreau, R. [Auteur]
Honoré, C. [Auteur]
Le Nail, L. R. [Auteur]
Dalban, C. [Auteur]
Gouin, F. [Auteur]
Causeret, S. [Auteur]
Piperno-Neumann, S. [Auteur]
Mathoulin-Pelissier, S. [Auteur]
Karanian, M. [Auteur]
Italiano, A. [Auteur]
Chaigneau, L. [Auteur]
Gantzer, J. [Auteur]
Bertucci, F. [Auteur]
Ropars, M. [Auteur]
Saada-Bouzid, E. [Auteur]
Cordoba, A. [Auteur]
Ruzic, J. C. [Auteur]
Varatharajah, S. [Auteur]
Ducimetière, F. [Auteur]
Chabaud, S. [Auteur]
Dubray-Longeras, P. [Auteur]
Fiorenza, F. [Auteur]
De Percin, S. [Auteur]
Lebbé, C. [Auteur]
Soibinet, P. [Auteur]
Michelin, P. [Auteur]
Rios, M. [Auteur]
Farsi, F. [Auteur]
Penel, Nicolas [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Bompas, E. [Auteur]
Duffaud, F. [Auteur]
Chevreau, C. [Auteur]
Le Cesne, A. [Auteur]
Blay, J. Y. [Auteur]
Le Loarer, F. [Auteur]
Ray-Coquard, I. [Auteur]
Titre de la revue :
BMC Cancer
Nom court de la revue :
BMC Cancer
Numéro :
21
Pagination :
631
Date de publication :
2021
ISSN :
1471-2407
Mot(s)-clé(s) en anglais :
Cancer inequalities
Spatial inequalities
Reference networks
Sarcoma
Cancer care accessibility
Rare cancers
Spatial inequalities
Reference networks
Sarcoma
Cancer care accessibility
Rare cancers
Discipline(s) HAL :
Sciences du Vivant [q-bio]
Résumé en anglais : [en]
Background
Spatial inequalities in cancer management have been evidenced by studies reporting lower quality of care or/and lower survival for patients living in remote or socially deprived areas. NETSARC+ is a national ...
Lire la suite >Background Spatial inequalities in cancer management have been evidenced by studies reporting lower quality of care or/and lower survival for patients living in remote or socially deprived areas. NETSARC+ is a national reference network implemented to improve the outcome of sarcoma patients in France since 2010, providing remote access to specialized diagnosis and Multidisciplinary Tumour Board (MTB). The IGéAS research program aims to assess the potential of this innovative organization, with remote management of cancers including rare tumours, to go through geographical barriers usually impeding the optimal management of cancer patients. Methods Using the nationwide NETSARC+ databases, the individual, clinical and geographical determinants of the access to sarcoma-specialized diagnosis and MTB were analysed. The IGéAS cohort (n = 20,590) includes all patients living in France with first sarcoma diagnosis between 2011 and 2014. Early access was defined as specialised review performed before 30 days of sampling and as first sarcoma MTB discussion performed before the first surgery. Results Some clinical populations are at highest risk of initial management without access to sarcoma specialized services, such as patients with non-GIST visceral sarcoma for diagnosis [OR 1.96, 95% CI 1.78 to 2.15] and MTB discussion [OR 3.56, 95% CI 3.16 to 4.01]. Social deprivation of the municipality is not associated with early access on NETSARC+ remote services. The quintile of patients furthest away from reference centres have lower chances of early access to specialized diagnosis [OR 1.18, 95% CI 1.06 to 1.31] and MTB discussion [OR 1.24, 95% CI 1.10 to 1.40] but this influence of the distance is slight in comparison with clinical factors and previous studies on the access to cancer-specialized facilities. Conclusions In the context of national organization driven by reference network, distance to reference centres slightly alters the early access to sarcoma specialized services and social deprivation has no impact on it. The reference networks’ organization, designed to improve the access to specialized services and the quality of cancer management, can be considered as an interesting device to reduce social and spatial inequalities in cancer management. The potential of this organization must be confirmed by further studies, including survival analysis.Lire moins >
Lire la suite >Background Spatial inequalities in cancer management have been evidenced by studies reporting lower quality of care or/and lower survival for patients living in remote or socially deprived areas. NETSARC+ is a national reference network implemented to improve the outcome of sarcoma patients in France since 2010, providing remote access to specialized diagnosis and Multidisciplinary Tumour Board (MTB). The IGéAS research program aims to assess the potential of this innovative organization, with remote management of cancers including rare tumours, to go through geographical barriers usually impeding the optimal management of cancer patients. Methods Using the nationwide NETSARC+ databases, the individual, clinical and geographical determinants of the access to sarcoma-specialized diagnosis and MTB were analysed. The IGéAS cohort (n = 20,590) includes all patients living in France with first sarcoma diagnosis between 2011 and 2014. Early access was defined as specialised review performed before 30 days of sampling and as first sarcoma MTB discussion performed before the first surgery. Results Some clinical populations are at highest risk of initial management without access to sarcoma specialized services, such as patients with non-GIST visceral sarcoma for diagnosis [OR 1.96, 95% CI 1.78 to 2.15] and MTB discussion [OR 3.56, 95% CI 3.16 to 4.01]. Social deprivation of the municipality is not associated with early access on NETSARC+ remote services. The quintile of patients furthest away from reference centres have lower chances of early access to specialized diagnosis [OR 1.18, 95% CI 1.06 to 1.31] and MTB discussion [OR 1.24, 95% CI 1.10 to 1.40] but this influence of the distance is slight in comparison with clinical factors and previous studies on the access to cancer-specialized facilities. Conclusions In the context of national organization driven by reference network, distance to reference centres slightly alters the early access to sarcoma specialized services and social deprivation has no impact on it. The reference networks’ organization, designed to improve the access to specialized services and the quality of cancer management, can be considered as an interesting device to reduce social and spatial inequalities in cancer management. The potential of this organization must be confirmed by further studies, including survival analysis.Lire moins >
Langue :
Anglais
Audience :
Internationale
Vulgarisation :
Non
Établissement(s) :
Université de Lille
CHU Lille
CHU Lille
Date de dépôt :
2023-11-15T06:30:22Z
2024-04-19T11:27:29Z
2024-04-19T11:27:29Z
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