Impact of Severe Acute Respiratory Syndrome on Patient Access to Palliative Radiation Therapy
Identifieur interne : 004794 ( Main/Exploration ); précédent : 004793; suivant : 004795Impact of Severe Acute Respiratory Syndrome on Patient Access to Palliative Radiation Therapy
Auteurs : Justin Lee [Canada] ; Lori Holden [Canada] ; Kinwah Fung [Canada] ; Cyril Danjoux [Canada] ; Edward Chow [Canada] ; Carol Gillies [Canada]Source :
- Supportive Cancer Therapy [ 1543-2912 ] ; 2005.
Abstract
This study evaluated the impact of the severe acute respiratory syndrome (SARS) epidemic on access and utilization of palliative radiation therapy (RT) at a single institution using a retrospective chart review. A total of 649 patients seen between January and May 2002 and between January and May 2003 were evaluated. Treatment characteristics and waiting times were recorded. March 20 to May 30, 2003, was defined as the peak period of incidence and was compared with the same period in 2002. During the SARS epidemic, there was a 21% decrease in the number of patient consultations and a 15% reduction in the number of patients treated with RT. There was no significant change in the tumor type or reason for referral. Short fractionation schedules were employed for 35% of treated patients compared with 34% in 2002. Patient waiting times between referral and treatment decreased during the period of interest, from 16 days to 8 days (
Url:
DOI: 10.3816/SCT.2005.n.004
PubMed: 18628197
PubMed Central: 7129567
Affiliations:
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Toronto, Ontario</wicri:regionArea><orgName type="university">Université de Toronto</orgName><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="aff4">Toronto Sunnybrook Regional Cancer Centre, Sunnybrook and Women's College Health Sciences Centre, Toronto, Ontario, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Toronto Sunnybrook Regional Cancer Centre, Sunnybrook and Women's College Health Sciences Centre, Toronto, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Holden, Lori" sort="Holden, Lori" uniqKey="Holden L" first="Lori" last="Holden">Lori Holden</name><affiliation wicri:level="4"><nlm:aff id="aff2">Department of Radiation Therapy, University of Toronto, Toronto, Ontario, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Radiation Therapy, University of Toronto, Toronto, Ontario</wicri:regionArea><orgName type="university">Université de Toronto</orgName><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="aff4">Toronto Sunnybrook Regional Cancer Centre, Sunnybrook and Women's College Health Sciences Centre, Toronto, Ontario, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Toronto Sunnybrook Regional Cancer Centre, Sunnybrook and Women's College Health Sciences Centre, Toronto, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Fung, Kinwah" sort="Fung, Kinwah" uniqKey="Fung K" first="Kinwah" last="Fung">Kinwah Fung</name><affiliation wicri:level="1"><nlm:aff id="aff3">Institute for Clinical Evaluative Sciences, Sunnybrook and Women's College Health Sciences Centre, Toronto, Ontario, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Institute for Clinical Evaluative Sciences, Sunnybrook and Women's College Health Sciences Centre, Toronto, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff4">Toronto Sunnybrook Regional Cancer Centre, Sunnybrook and Women's College Health Sciences Centre, Toronto, Ontario, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Toronto Sunnybrook Regional Cancer Centre, Sunnybrook and Women's College Health Sciences Centre, Toronto, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Danjoux, Cyril" sort="Danjoux, Cyril" uniqKey="Danjoux C" first="Cyril" last="Danjoux">Cyril Danjoux</name><affiliation wicri:level="4"><nlm:aff id="aff1">Department of Radiation Oncology, University of Toronto, Toronto, Ontario, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Radiation Oncology, University of Toronto, Toronto, Ontario</wicri:regionArea><orgName type="university">Université de Toronto</orgName><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="aff4">Toronto Sunnybrook Regional Cancer Centre, Sunnybrook and Women's College Health Sciences Centre, Toronto, Ontario, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Toronto Sunnybrook Regional Cancer Centre, Sunnybrook and Women's College Health Sciences Centre, Toronto, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Chow, Edward" sort="Chow, Edward" uniqKey="Chow E" first="Edward" last="Chow">Edward Chow</name><affiliation wicri:level="4"><nlm:aff id="aff1">Department of Radiation Oncology, University of Toronto, Toronto, Ontario, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Radiation Oncology, University of Toronto, Toronto, Ontario</wicri:regionArea><orgName type="university">Université de Toronto</orgName><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="aff4">Toronto Sunnybrook Regional Cancer Centre, Sunnybrook and Women's College Health Sciences Centre, Toronto, Ontario, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Toronto Sunnybrook Regional Cancer Centre, Sunnybrook and Women's College Health Sciences Centre, Toronto, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Gillies, Carol" sort="Gillies, Carol" uniqKey="Gillies C" first="Carol" last="Gillies">Carol Gillies</name><affiliation wicri:level="4"><nlm:aff id="aff2">Department of Radiation Therapy, University of Toronto, Toronto, Ontario, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Radiation Therapy, University of Toronto, Toronto, Ontario</wicri:regionArea><orgName type="university">Université de Toronto</orgName><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="aff4">Toronto Sunnybrook Regional Cancer Centre, Sunnybrook and Women's College Health Sciences Centre, Toronto, Ontario, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Toronto Sunnybrook Regional Cancer Centre, Sunnybrook and Women's College Health Sciences Centre, Toronto, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author></analytic><series><title level="j">Supportive Cancer Therapy</title><idno type="ISSN">1543-2912</idno><idno type="eISSN">1943-3395</idno><imprint><date when="2005">2005</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>This study evaluated the impact of the severe acute respiratory syndrome (SARS) epidemic on access and utilization of palliative radiation therapy (RT) at a single institution using a retrospective chart review. A total of 649 patients seen between January and May 2002 and between January and May 2003 were evaluated. Treatment characteristics and waiting times were recorded. March 20 to May 30, 2003, was defined as the peak period of incidence and was compared with the same period in 2002. During the SARS epidemic, there was a 21% decrease in the number of patient consultations and a 15% reduction in the number of patients treated with RT. There was no significant change in the tumor type or reason for referral. Short fractionation schedules were employed for 35% of treated patients compared with 34% in 2002. Patient waiting times between referral and treatment decreased during the period of interest, from 16 days to 8 days (<italic>P</italic> = 0.021). This study demonstrates a reduction in palliative RT services that is similar in magnitude to decreases observed in other essential cancer services during the SARS epidemic. Use of single-fraction RT and delayed follow-up visits may help to minimize hospital transfers and visits in the event of future infectious disease outbreaks.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Svoboda, T" uniqKey="Svoboda T">T Svoboda</name></author><author><name sortKey="Henry, B" uniqKey="Henry B">B Henry</name></author><author><name sortKey="Shulman, L" uniqKey="Shulman L">L Shulman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Dwosh, Ha" uniqKey="Dwosh H">HA Dwosh</name></author><author><name sortKey="Hong, Hh" uniqKey="Hong H">HH Hong</name></author><author><name sortKey="Austgarden, D" uniqKey="Austgarden D">D Austgarden</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Woodward, G" uniqKey="Woodward G">G Woodward</name></author><author><name sortKey="Stukel, T" uniqKey="Stukel T">T Stukel</name></author><author><name sortKey="Schull, M" uniqKey="Schull M">M Schull</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Booth, Cm" uniqKey="Booth C">CM Booth</name></author><author><name sortKey="Matukas, Lm" uniqKey="Matukas L">LM Matukas</name></author><author><name sortKey="Tomlinson, Ga" uniqKey="Tomlinson G">GA Tomlinson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Poutanen, Sm" uniqKey="Poutanen S">SM Poutanen</name></author><author><name sortKey="Low, De" uniqKey="Low D">DE Low</name></author><author><name sortKey="Henry, B" uniqKey="Henry B">B Henry</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nickell, La" uniqKey="Nickell L">LA Nickell</name></author><author><name sortKey="Crighton, Ej" uniqKey="Crighton E">EJ Crighton</name></author><author><name sortKey="Tracy, Cs" uniqKey="Tracy C">CS Tracy</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Loblaw, Da" uniqKey="Loblaw D">DA Loblaw</name></author><author><name sortKey="Laperriere, Nj" uniqKey="Laperriere N">NJ Laperriere</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wu, Js" uniqKey="Wu J">JS Wu</name></author><author><name sortKey="Wong, R" uniqKey="Wong R">R Wong</name></author><author><name sortKey="Johnston, M" uniqKey="Johnston M">M Johnston</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Chow, E" uniqKey="Chow E">E Chow</name></author><author><name sortKey="Hruby, G" uniqKey="Hruby G">G Hruby</name></author><author><name sortKey="Davis, L" uniqKey="Davis L">L Davis</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bernstein, A" uniqKey="Bernstein A">A Bernstein</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Weinstein, Ra" uniqKey="Weinstein R">RA Weinstein</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Canada</li></country><region><li>Ontario</li></region><settlement><li>Toronto</li></settlement><orgName><li>Université de Toronto</li></orgName></list><tree><country name="Canada"><region name="Ontario"><name sortKey="Lee, Justin" sort="Lee, Justin" uniqKey="Lee J" first="Justin" last="Lee">Justin Lee</name></region><name sortKey="Chow, Edward" sort="Chow, Edward" uniqKey="Chow E" first="Edward" last="Chow">Edward Chow</name><name sortKey="Chow, Edward" sort="Chow, Edward" uniqKey="Chow E" first="Edward" last="Chow">Edward Chow</name><name sortKey="Danjoux, Cyril" sort="Danjoux, Cyril" uniqKey="Danjoux C" first="Cyril" last="Danjoux">Cyril Danjoux</name><name sortKey="Danjoux, Cyril" sort="Danjoux, Cyril" uniqKey="Danjoux C" first="Cyril" last="Danjoux">Cyril Danjoux</name><name sortKey="Fung, Kinwah" sort="Fung, Kinwah" uniqKey="Fung K" first="Kinwah" last="Fung">Kinwah Fung</name><name sortKey="Fung, Kinwah" sort="Fung, Kinwah" uniqKey="Fung K" first="Kinwah" last="Fung">Kinwah Fung</name><name sortKey="Gillies, Carol" sort="Gillies, Carol" uniqKey="Gillies C" first="Carol" last="Gillies">Carol Gillies</name><name sortKey="Gillies, Carol" sort="Gillies, Carol" uniqKey="Gillies C" first="Carol" last="Gillies">Carol Gillies</name><name sortKey="Holden, Lori" sort="Holden, Lori" uniqKey="Holden L" first="Lori" last="Holden">Lori Holden</name><name sortKey="Holden, Lori" sort="Holden, Lori" uniqKey="Holden L" first="Lori" last="Holden">Lori Holden</name><name sortKey="Lee, Justin" sort="Lee, Justin" uniqKey="Lee J" first="Justin" last="Lee">Justin Lee</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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