How gender, age, and geography influence the utilization of radiation therapy in the management of malignant melanoma

French, John; McGahan, Colleen; Duncan, Graeme; Lengoc, Sonca; Soo, Jenny; Cannon, Jerry

doi:10.1016/j.ijrobp.2006.06.051

Cited by 18 publications

(10 citation statements)

References 17 publications

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“…It generally develops in the fourth to sixth decades. Its localization depends on gender, and it most commonly develops on the trunk in men and in the lower extremities in women [3]. Contrary to the general localization in men, the current case presented with a lesion on the right half of his face.…”

Section: Discussioncontrasting

confidence: 61%

Video-Assisted Thoracoscopic Surgery Lobectomy for Pulmonary Malignant Melanoma Metastasis

Samancılar¹,

Kaya²,

Akçay³

et al. 2015

Eurasian J Med

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Malign melanoma (MM) develops as a result of malign transformation of the melanocytes and constitutes 2-4% of all skin cancers, while being the most common cause of mortality among all skin cancers. In addition to other organs, distant organ metastases also include lung metastasis. A metastasectomy is an acceptable treatment option in cases of malign melanoma with isolated lung metastasis. The current report presents a case with isolated lung metastasis that underwent a right upper VATS (videoassisted thoracoscopic surgery) lobectomy due to tumour localization. Keywords: Malignant melanoma, videothoracoscopy, lobectomy ÖzetMalign melanom (MM), melanositlerin malign transformasyonu sonucunda gelişen, tüm deri kanserlerin %2-4'ünü oluşturan fakat cilt kanserleri içinde en sık mortaliteye sahip olan kanser türüdür. Akciğer metastazı da uzak organ metastazları arasında yer almaktadır. İzole akciğer metastazı olan malign melanomlu olgularda metastazektomi kabul edilebilir bir tedavi seçeneğidir. Bu çalışmada, izole akciğer metastazı bulunan, yerleşim yeri nedeniyle VYTC (video yardımlı torakoskopik cerrahi) ile sağ üst lobektomi uygulanmış olgu sunulmaktadır.

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Section: Discussioncontrasting

confidence: 61%

Video-Assisted Thoracoscopic Surgery Lobectomy for Pulmonary Malignant Melanoma Metastasis

Samancılar¹,

Kaya²,

Akçay³

et al. 2015

Eurasian J Med

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“…Other approaches to examining geographical variations have involved an examination of the density of provision within pre-defined health service areas with which to explore the impact of distance; the underlying theory being that the higher the density of facilities/expertise, the lower the distance needed to be travelled to access that service and hence the heavier the demand (see for example (Polsky et al 2006)). The findings of French et al (2006) that referral patterns for radiation therapy for treatment of malignant melanoma show a geographic variation wherein referral rates are lower for those areas that have poorer access to a cancer centre would seem to support such findings although their study also suggested that there was some screening out of those patients who did not require further treatment after diagnosis in areas where there were fewer such centres (i.e. more remote areas).…”

Section: Measures Of Distancementioning

confidence: 98%

“…In the light of concerns related to variations in health inequalities, an increasing number of studies have analysed distance to screening, radiation therapy utilization and other forms of cancer treatment in relation to survival rates (Bentham et al 1995;Hyndman et al 2000;Sheehan et al 2000;Bryant et al 2002;Dejardin et al 2005;French et al 2006;Pagano et al 2007). Variations in access to oncology centres have been studied as a potential explanatory factor for inequalities in patient survival from lung cancer in the South East of England (Jack et al 2003).…”

Section: Health Service Under Considerationmentioning

confidence: 99%

The role of GIS for health utilization studies: literature review

Higgs

2009

Health Serv Outcomes Res Method

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There have been a plethora of studies investigating access issues in relation to health services but until recently a relative lack of research on geographical factors that may be influencing utilisation patterns. This paper includes a timely review on what is known from existing studies, a description of the main methodological concerns highlighted by such studies and draws on the review to present some ideas for more research in this area. The use of Geographical Information Systems (GIS) in investigating the relative importance of geographical factors on utilisation patterns is advocated through a review of published studies and a call made for more research to examine potential relationships with for example health outcomes. Recent advances with regard to the availability of detailed geographically disaggregate data and new location-based techniques such as developments in Global Positioning Systems (GPS) hold out great promise in such regards. Finally the policy relevance of such studies is re-iterated in terms of helping to tackle perceived inequities in the system, addressing health inequalities as well as gauging the effectiveness of current and planned service configurations.

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“…While the majority of the studies made some need adjustment, variables used for need adjustment (need factors) vary considerably. For example, in examination of access to radiotherapy based on [37,41,42].…”

Section: Statistical Approachesmentioning

confidence: 99%

Inequity in access to cancer care: a review of the Canadian literature

Maddison

Asada

Urquhart

2011

Cancer Causes Control

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Despite the policy and research attention on ensuring equitable access--equal access for equal need--to health care, research continues to identify inequities in access to cancer services. We conducted a literature review to identify the current state of knowledge about inequity in access to cancer health services in Canada in terms of the continuum of care, disease sites, and dimensions of inequity (e.g., income). We searched MEDLINE, CINAHL, and Embase for studies published between 1990 and 2009. We retrieved 51 studies, which examine inequity in access to cancer services from screening to end-of-life care, for multiple cancer types, and a variety of socioeconomic, geographic, and demographic factors that may cause concern for inequity in Canada. This review demonstrates that income has the most consistent influence on inequity in access to screening, while age and geography are most influential for treatment services and end-of-life care, even after adjusting for patient need. Our review also reports on methods used in the literature and new techniques to explore. Equitable access to cancer care is vitally important in all health systems. Obtaining information on the current status of inequities in access to cancer care is a critical first step toward action.

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How gender, age, and geography influence the utilization of radiation therapy in the management of malignant melanoma

Cited by 18 publications

References 17 publications

Video-Assisted Thoracoscopic Surgery Lobectomy for Pulmonary Malignant Melanoma Metastasis

Video-Assisted Thoracoscopic Surgery Lobectomy for Pulmonary Malignant Melanoma Metastasis

The role of GIS for health utilization studies: literature review

Inequity in access to cancer care: a review of the Canadian literature

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