Impact of Severe Acute Respiratory Syndrome on Patient Access to Palliative Radiation Therapy
Identifieur interne : 001D02 ( Ncbi/Merge ); précédent : 001D01; suivant : 001D03Impact 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
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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><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Support Cancer Ther</journal-id><journal-id journal-id-type="iso-abbrev">Support Cancer Ther</journal-id><journal-title-group><journal-title>Supportive Cancer Therapy</journal-title></journal-title-group><issn pub-type="ppub">1543-2912</issn><issn pub-type="epub">1943-3395</issn><publisher><publisher-name>Elsevier. Published by Elsevier Inc.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">18628197</article-id><article-id pub-id-type="pmc">7129567</article-id><article-id pub-id-type="publisher-id">S1543-2912(13)60045-4</article-id><article-id pub-id-type="doi">10.3816/SCT.2005.n.004</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Impact of Severe Acute Respiratory Syndrome on Patient Access to Palliative Radiation Therapy</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Lee</surname><given-names>Justin</given-names></name><xref rid="aff1" ref-type="aff">a</xref><xref rid="aff4" ref-type="aff">d</xref></contrib><contrib contrib-type="author"><name><surname>Holden</surname><given-names>Lori</given-names></name><xref rid="aff2" ref-type="aff">b</xref><xref rid="aff4" ref-type="aff">d</xref></contrib><contrib contrib-type="author"><name><surname>Fung</surname><given-names>Kinwah</given-names></name><xref rid="aff3" ref-type="aff">c</xref><xref rid="aff4" ref-type="aff">d</xref></contrib><contrib contrib-type="author"><name><surname>Danjoux</surname><given-names>Cyril</given-names></name><xref rid="aff1" ref-type="aff">a</xref><xref rid="aff4" ref-type="aff">d</xref></contrib><contrib contrib-type="author"><name><surname>Chow</surname><given-names>Edward</given-names></name><xref rid="aff1" ref-type="aff">a</xref><xref rid="aff4" ref-type="aff">d</xref></contrib><contrib contrib-type="author"><name><surname>Gillies</surname><given-names>Carol</given-names></name><email>carol.gillies@sw.ca</email><xref rid="aff2" ref-type="aff">b</xref><xref rid="aff4" ref-type="aff">d</xref><xref rid="cor1" ref-type="corresp">*</xref></contrib></contrib-group><aff id="aff1"><label>a</label>Department of Radiation Oncology, University of Toronto, Toronto, Ontario, Canada</aff><aff id="aff2"><label>b</label>Department of Radiation Therapy, University of Toronto, Toronto, Ontario, Canada</aff><aff id="aff3"><label>c</label>Institute for Clinical Evaluative Sciences, Sunnybrook and Women's College Health Sciences Centre, Toronto, Ontario, Canada</aff><aff id="aff4"><label>d</label>Toronto Sunnybrook Regional Cancer Centre, Sunnybrook and Women's College Health Sciences Centre, Toronto, Ontario, Canada</aff><author-notes><corresp id="cor1"><label>*</label>Address for correspondence: Carol Gillies, RTT, MSc, Department of Radiation Therapy, Toronto Sunnybrook Regional Cancer Centre, 2075 Bayview Ave, Toronto, ON, Canada M4N 3M5 Fax: 416-480-4672 <email>carol.gillies@sw.ca</email></corresp></author-notes><pub-date pub-type="pmc-release"><day>21</day><month>2</month><year>2013</year></pub-date><pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="ppub"><month>1</month><year>2005</year></pub-date><pub-date pub-type="epub"><day>21</day><month>2</month><year>2013</year></pub-date><volume>2</volume><issue>2</issue><fpage>109</fpage><lpage>113</lpage><history><date date-type="received"><day>9</day><month>11</month><year>2004</year></date><date date-type="rev-recd"><day>7</day><month>12</month><year>2004</year></date><date date-type="accepted"><day>7</day><month>12</month><year>2004</year></date></history><permissions><copyright-statement>Copyright © 2005 Elsevier. Published by Elsevier Inc. All rights reserved.</copyright-statement><copyright-year>2005</copyright-year><copyright-holder>Elsevier</copyright-holder><license><license-p>Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.</license-p></license></permissions><abstract><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></abstract><kwd-group><title>Key words</title><kwd>Critical cancer services</kwd><kwd>Palliative radiation therapy</kwd><kwd>Resource utilization</kwd></kwd-group></article-meta></front></pmc><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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HfdIndexSelect -h $EXPLOR_AREA/Data/Ncbi/Merge/RBID.i -Sk "pubmed:18628197" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Ncbi/Merge/biblio.hfd \
| NlmPubMed2Wicri -a SrasV1
| This area was generated with Dilib version V0.6.33. |  |