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On the Association between Travel Distance and Treatment Choice for Low-Risk Prostate Cancer: Results from a Rural State

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Journal of Cancer Therapy 2016年第9期7卷 656-664页

作者： Chris Hellekson Grant Larson Scott Poswilko James Beal abe sahmoun J. Kyle Russo The University of North Dakota School of Medicine and Health Sciences Grand Forks ND USA Bismarck Cancer Center Bismarck ND USA

Background: Evidence suggests that cancer patients with increased travel burden to treatment centers may have limited treatment options. Purpose: To investigate the association between travel distance to a treatment facility and initial treatment choice among young men with low-risk prostate cancer in a rural state. Methods: A retrospective medical charts review was conducted of young men (65 years or younger) newly diagnosed with low-risk prostate cancer from January 1, 2005 through December 31, 2014 who were treated with either active surveillance, radical prostatectomy, or brachytherapy at either of the two major hospital systems in Bismarck, ND, USA. Results: Information on a random sample of 242 patients was studied. The majority of patients (66%) received radical prostatectomy. Patients who received radical prostatectomy were significantly younger (p-value 0.001). PSA at diagnosis, clinical stage, and Gleason score were not associated with treatment choice (p-value = 0.06;p-value = 0.1794;and p-value = 1.00;respectively). Adjusting for age at diagnosis, PSA at diagnosis, and treatment facility, treatment choice was not associated with travel distance (p-value = 0.309). Patients treated at St. Alexius facility were more likely to undergo radical prostatectomy than Sanford health patients (p-value Conclusions: We found no association between travel distance and treatment choice for low-risk prostate cancer. Treatment choice was associated with institution which may suggest institutional bias in patterns of care.

关键词： Low-Risk Prostate Cancer Rural Brachytherapy Prostatectomy Young Men Travel Distance

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Statins use and risk for brain metastasis from lung cancer

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中国神经肿瘤杂志 2010年第3期8卷 162-162页

作者： Leigh D Eken J Beal JR Ganti AK sahmoun AE. Un iversity of North Dakota School of Medicine and Health Sciences Grand Forks North Dakota USA Department of Family and Community Medicine University of North Dakota School of Medicine and Health Sciences Grand Porks North Dakota USA Department of Internal Medicine Division of Oneology/Hematology University of Nebraska Medical Center Omaha Nebraska USA Department of Internal Medicine VA-Nebraska-Western Iowa Healthcare System Omaha Nebraska USA Department of Internal Medicine University of North Dakota School of Medicine and Health Sciences Fargo North Dakota USA5.

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