Diagnostic and treatment pathways for men with prostate cancer in Queensland: Investigating spatial and demographic inequalities

Baade, Peter D., Aitken, Joanne F., Ferguson, Megan, Gardiner, Robert A. and Chambers, Suzanne K. (2010) Diagnostic and treatment pathways for men with prostate cancer in Queensland: Investigating spatial and demographic inequalities. BMC Cancer, 10 452: 1-8. doi:10.1186/1471-2407-10-452


Author Baade, Peter D.
Aitken, Joanne F.
Ferguson, Megan
Gardiner, Robert A.
Chambers, Suzanne K.
Title Diagnostic and treatment pathways for men with prostate cancer in Queensland: Investigating spatial and demographic inequalities
Journal name BMC Cancer   Check publisher's open access policy
ISSN 1471-2407
Publication date 2010-08-23
Sub-type Article (original research)
DOI 10.1186/1471-2407-10-452
Open Access Status DOI
Volume 10
Issue 452
Start page 1
End page 8
Total pages 8
Editor Melissa Norton
Place of publication London, U.K
Publisher BioMed Central
Collection year 2011
Language eng
Formatted abstract
Background: Patterns of diagnosis and management for men diagnosed with prostate cancer in Queensland, Australia, have not yet been systematically documented and so assumptions of equity are untested. This longitudinal study investigates the association between prostate cancer diagnostic and treatment outcomes and key area-level characteristics and individual-level demographic, clinical and psychosocial factors.

Methods/Design: A total of 1064 men diagnosed with prostate cancer between February 2005 and July 2007 were recruited through hospital-based urology outpatient clinics and private practices in the centres of Brisbane, Townsville and Mackay (82% of those referred). Additional clinical and diagnostic information for all 6609 men diagnosed with prostate cancer in Queensland during the study period was obtained via the population-based Queensland Cancer Registry.

Respondent data are collected using telephone and self-administered questionnaires at pre-treatment and at 2 months, 6 months, 12 months, 24 months, 36 months, 48 months and 60 months post-treatment. Assessments include demographics, medical history, patterns of care, disease and treatment characteristics together with outcomes associated with prostate cancer, as well as information about quality of life and psychological adjustment. Complementary detailed treatment information is abstracted from participants' medical records held in hospitals and private treatment facilities and collated with health service utilisation data obtained from Medicare Australia. Information about the characteristics of geographical areas is being obtained from data custodians such as the Australian Bureau of Statistics. Geo-coding and spatial technology will be used to calculate road travel distances from patients' residences to treatment centres. Analyses will be conducted using standard statistical methods along with multilevel regression models including individual and area-level components.

Conclusions: Information about the diagnostic and treatment patterns of men diagnosed with prostate cancer is crucial for rational planning and development of health delivery and supportive care services to ensure equitable access to health services, regardless of geographical location and individual characteristics.

This study is a secondary outcome of the randomised controlled trial registered with the Australian New Zealand Clinical Trials Registry (ACTRN12607000233426)
© 2010 Baade et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Keyword Stage breast-cancer
Radiation-therapy
Socioeconomic variation
Carcinoma
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

 
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Created: Fri, 11 Feb 2011, 14:27:38 EST by Geraldine Fitzgerald on behalf of School of Public Health