Factors associated with delays in time to treatment initiation in Colombian women with cervical cancer: A cross-sectional analysis

Vargas, Juliana Alexandra Hernández; Barbosa, Paula Ximena Ramírez; Valbuena‐Garcia, Ana María; Acuña, Lizbeth; González-Diaz, Jaime A.

doi:10.1016/j.gore.2021.100697

Cited by 6 publications

(6 citation statements)

References 15 publications

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“…Also, existing literature suggests that women in the contributory regime are less likely to face administrative or socioeconomic barriers to quality cancer care [28]. Literature reports shorter administrative-approval wait times for women in the contributory regime at privately-owned, higher-quality cancer care facilities, further increasing the timeliness of care [29]. Additionally, a study by Chayo et al [30] reported that women in the contributory regime had a higher (57.9%) five-year overall rate of surviving cervical cancer, compared to 41.9% of women in the subsidized regime simply by receiving timely treatment.…”

Section: Discussionmentioning

confidence: 99%

“…Transportation expenses from rural areas to urban cancer care facilities pose a financial challenge for subsidized women, often competing with essential household expenses [27][28][29]. Typically, 6% of Colombian households face difficulties in accessing any healthcare services; however that figure rises to 19% in the poorest rural communities [36].…”

Section: Discussionmentioning

confidence: 99%

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Impact of the universal health insurance benefits on cervical cancer mortality in Colombia

Lewis,

Hernandez,

Garcés-Palacio

et al. 2024

BMC Health Serv Res

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Background Cervical cancer patients in Colombia have a lower likelihood of survival compared to breast cancer patients. In 1993, Colombia enrolled citizens in one of two health insurance regimes (contributory-private insurance and subsidized- public insurance) with fewer benefits in the subsidized regime. In 2008, the Constitutional Court required the Colombian government to unify services of both regimes by 2012. This study evaluated the impact of this insurance change on cervical cancer mortality before and after 2012. Methods We accessed 24,491 cervical cancer mortality records for 2006–2020 from the vital statistics of Colombia’s National Administrative Department of Statistics (DANE). We calculated crude mortality rates by health insurance type and departments (geopolitical division). Changes by department were analyzed by rate differences between 2006 and 2012 and 2013–2020, for each health insurance type. We analyzed trends using join-point regressions by health insurance and the two time-periods. Results The contributory regime (private insurance) exhibited a significant decline in cervical cancer mortality from 2006 to 2012, characterized by a noteworthy average annual percentage change (AAPC) of -3.27% (P = 0.02; 95% CI [-5.81, -0.65]), followed by a marginal non-significant increase from 2013 to 2020 (AAPC 0.08%; P = 0.92; 95% CI [-1.63, 1.82]). In the subsidized regime (public insurance), there is a non-significant decrease in mortality between 2006 and 2012 (AAPC − 0.29%; P = 0.76; 95% CI [-2.17, 1.62]), followed by a significant increase from 2013 to 2020 (AAPC of 2.28%; P < 0.001; 95% CI [1.21, 3.36]). Examining departments from 2013 to 2020 versus 2006 to 2012, the subsidized regime showed fewer cervical cancer-related deaths in 5 out of 32 departments, while 6 departments had higher mortality. In 21 departments, mortality rates remained similar between both regimes. Conclusion Improvement of health benefits of the subsidized regime did not show a positive impact on cervical cancer mortality in women enrolled in this health insurance scheme, possibly due to unresolved administrative and socioeconomic barriers that hinder access to quality cancer screening and treatment.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Impact of the universal health insurance benefits on cervical cancer mortality in Colombia

Lewis,

Hernandez,

Garcés-Palacio

et al. 2024

BMC Health Serv Res

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“…In contrast, cervical cancer showed no association between age and waiting times in previous studies [19, 20], while a few studies reported a significant reduction in the TTI with older age [21]. For cervical cancer treatment, it is possible that younger patients are more likely to seek fertility preservation, leading to longer TTIs [22].…”

Section: Discussionmentioning

confidence: 99%

Time to Treatment Initiation for Six Cancer Types: An Analysis of Data from a Nationwide Registry in Japan

Watanabe

Rikitake²,

Kakuwa

et al. 2023

World j. surg.

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Background Delay in the time to treatment initiation (TTI) may adversely affect the survival of patients, but its current status in Japan is unknown. This study aims to describe the TTI for six cancer types: lung, breast, colorectal, stomach, head and neck (H&N), and cervical. Data for this study were derived from a nationwide registry in Japan. Methods This observational study employed the national database of hospital-based cancer registries (HBCRs) and health services utilization data. Using HBCR data, we identified all patients with cancer who started their cancer therapy at the same hospitals between January 1 and December 31, 2017. We calculated the TTI for each cancer type and treatment option, stratifying the results by age group and geographical region. Results The overall median TTI was 33 days, with shorter TTIs for colorectal and H&N cancers and chemotherapy. The TTI was the shortest for younger patients and the longest for the elderly, especially for lung cancer. When categorized by eight Japanese geographical regions, Tohoku and Kanto had the longest TTI. The result remained the same even after adjusting cancer type, treatment, age, and stage information. Conclusion For colorectal and H&N cancers, in which a longer TTI is associated with a poorer prognosis, TTI was found to be particularly shorter. Although we could not discuss our results in light of the patient survival in this study, future research should explore the best balance between thorough evaluation before treatment and necessary time for that.

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“…Además, como método secundario se recomienda el tamizaje y tratamiento de lesiones precancerosas. A pesar de la existencia de estos métodos, la desigualdad económica, social, cultural y racial, incide en el acceso a servicios médicos incluso en los países desarrollados (Hernández et al, 2021).…”

Section: Introductionunclassified

Modelamiento de tópicos utilizando mensajes de Twitter relacionados al cáncer cervical

Reátegui

2022

Interfases

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El cáncer cervical es un problema de salud a nivel mundial que genera una gran cantidad de información que circula por las redes sociales. El modelado de tópicos permite automáticamente identificar los tópicos que tratan en un conjunto de documentos. En el presente trabajo se ha aplicado modelamiento de tópicos para identificar tópicos de un conjunto de tweets que tratan sobre al cáncer cervical. Se aplicó el algoritmo LDA y la métrica de la coherencia para la evaluación. Se identificaron 7 tópicos relacionados al efecto de las vacunas contra el VPH, la relación que existe entre el VPH y otras enfermedades, formas de prevención como vacunas y test de Papanicolaou, programas que prestan servicios médicos para la prevención y eliminación de esta enfermedad, historias de mujeres que han padecido de cáncer cervical y estudios dirigidos a mujeres latinas.

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Factors associated with delays in time to treatment initiation in Colombian women with cervical cancer: A cross-sectional analysis

Cited by 6 publications

References 15 publications

Impact of the universal health insurance benefits on cervical cancer mortality in Colombia

Impact of the universal health insurance benefits on cervical cancer mortality in Colombia

Time to Treatment Initiation for Six Cancer Types: An Analysis of Data from a Nationwide Registry in Japan

Modelamiento de tópicos utilizando mensajes de Twitter relacionados al cáncer cervical

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