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  1. Article ; Online: The impact of travel time to cancer treatment centre on post-diagnosis care and mortality among cancer patients in Scotland.

    Turner, Melanie / Carriere, Romi / Fielding, Shona / Ramsay, George / Samuel, Leslie / Maclaren, Andrew / Murchie, Peter

    Health & place

    2023  Volume 84, Page(s) 103139

    Abstract: Limited data exist on the effect of travelling time on post-diagnosis cancer care and mortality. We analysed the impact of travel time to cancer treatment centre on secondary care contact time and one-year mortality using a data-linkage study in Scotland ...

    Abstract Limited data exist on the effect of travelling time on post-diagnosis cancer care and mortality. We analysed the impact of travel time to cancer treatment centre on secondary care contact time and one-year mortality using a data-linkage study in Scotland with 17369 patients. Patients with longer travelling time and island-dwellers had increased incidence rate of secondary care cancer contact time. For outpatient oncology appointments, the incidence rate was decreased for island-dwellers. Longer travelling time was not associated with increased secondary care contact time for emergency cancer admissions or time to first emergency cancer admission. Living on an island increased mortality at one-year. Adjusting for cancer-specific secondary care contact time increased the hazard of death, and adjusting for oncology outpatient time decreased the hazard of death for island-dwellers. Those with longer travelling times experience the cancer treatment pathway differently with poorer outcomes. Cancer services may need to be better configured to suit differing needs of dispersed populations.
    MeSH term(s) Humans ; Health Services Accessibility ; Neoplasms/diagnosis ; Scotland/epidemiology ; Time ; Hospitalization ; Travel
    Language English
    Publishing date 2023-11-16
    Publishing country England
    Document type Journal Article
    ZDB-ID 1262540-1
    ISSN 1873-2054 ; 1353-8292
    ISSN (online) 1873-2054
    ISSN 1353-8292
    DOI 10.1016/j.healthplace.2023.103139
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Association of types of diabetes and insulin dependency on birth outcomes.

    Xaverius, Pamela K / Howard, Steven W / Kiel, Deborah / Thurman, Jerry E / Wankum, Ethan / Carter, Catherine / Fang, Clairy / Carriere, Romi

    World journal of clinical cases

    2021  Volume 10, Issue 7, Page(s) 2147–2158

    Abstract: Background: Diabetes rates among pregnant women in the United States have been increasing and are associated with adverse pregnancy outcomes.: Aim: To investigate differences in birth outcomes (preterm birth, macrosomia, and neonatal death) by ... ...

    Abstract Background: Diabetes rates among pregnant women in the United States have been increasing and are associated with adverse pregnancy outcomes.
    Aim: To investigate differences in birth outcomes (preterm birth, macrosomia, and neonatal death) by diabetes status.
    Methods: Cross-sectional design, using linked Missouri birth and death certificates (singleton births only), 2010 to 2012 (
    Results: Women with PD-I, PD-NI, and GD-I remained at a significantly increased odds for preterm birth (aOR 2.87, aOR 1.77, and aOR 1.73, respectively) and having a very large baby [macrosomia] (aOR 3.01, aOR 2.12, and aOR 1.96, respectively); in reference to non-diabetic women. Women with GD-NI were at a significantly increased risk for macrosomia (aOR1.53), decreased risk for their baby to die before their first birthday (aOR 0.41) and no difference in risk for preterm birth in reference to non-diabetic women.
    Conclusion: Diabetes is associated with the poor birth outcomes. Clinical management of diabetes during pregnancy and healthy lifestyle behaviors before pregnancy can reduce the risk for diabetes and poor birth outcomes.
    Language English
    Publishing date 2021-09-21
    Publishing country United States
    Document type Journal Article
    ISSN 2307-8960
    ISSN 2307-8960
    DOI 10.12998/wjcc.v10.i7.2147
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Rural dwellers are less likely to survive cancer - An international review and meta-analysis.

    Carriere, Romi / Adam, Rosalind / Fielding, Shona / Barlas, Raphae / Ong, Yuhan / Murchie, Peter

    Health & place

    2018  Volume 53, Page(s) 219–227

    Abstract: Background: Existing research from several countries has suggested that rural-dwellers may have poorer cancer survival than urban-dwellers. However, to date, the global literature has not been systematically reviewed to determine whether a rural cancer ... ...

    Abstract Background: Existing research from several countries has suggested that rural-dwellers may have poorer cancer survival than urban-dwellers. However, to date, the global literature has not been systematically reviewed to determine whether a rural cancer survival disadvantage is a global phenomenon.
    Methods: Medline, CINAHL, and EMBASE were searched for studies comparing rural and urban cancer survival. At least two authors independently screened and selected studies. We included epidemiological studies comparing cancer survival between urban and rural residents (however defined) that also took socioeconomic status into account. A meta-analysis was conducted using 11 studies with binary rural:urban classifications to determine the magnitude and direction of the association between rurality and differences in cancer survival. The mechanisms for urban-rural cancer survival differences reported were narratively synthesised in all 39 studies.
    Findings: 39 studies were included in this review. All were retrospective observational studies conducted in developed countries. Rural-dwellers were significantly more likely to die when they developed cancer compared to urban-dwellers (HR 1.05 (95% CI 1.02 - 1.07). Potential mechanisms were aggregated into an ecological model under the following themes: Patient Level Characteristics; Institutions; Community, Culture and Environment; Policy and Service Organization.
    Interpretation: Rural residents were 5% less likely to survive cancer. This effect was consistently observed across studies conducted in various geographical regions and using multiple definitions of rurality. High quality mixed-methods research is required to comprehensively evaluate the underlying factors. We have proposed an ecological model to provide a coherent framework for future explanatory research.
    Funding: None.
    MeSH term(s) Cancer Survivors ; Global Health ; Humans ; Rural Population ; Socioeconomic Factors ; Urban Population
    Language English
    Publishing date 2018-09-05
    Publishing country England
    Document type Journal Article ; Meta-Analysis ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 1262540-1
    ISSN 1873-2054 ; 1353-8292
    ISSN (online) 1873-2054
    ISSN 1353-8292
    DOI 10.1016/j.healthplace.2018.08.010
    Database MEDical Literature Analysis and Retrieval System OnLINE

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