ArticleHealth services research2013
Radiation therapy resources and guideline-concordant radiotherapy for early-stage breast cancer patients in an underserved region.
Article in Health services research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Value of Geographical Information Systems in Analyzing Geographic Accessibility to Inform Radiotherapy Planning: A Systematic Review.JCO global oncology · 2022Pooled it
- Characterizing the Impact of Race and Contemporary Redlining on Receipt of Guideline-Concordant Locoregional Therapy Among Older Women With Breast Cancer.Advances in radiation oncology · 2025Article
- Assessing health disparities in breast cancer incidence burden in Tennessee: geospatial analysis.BMC women's health · 2021Article
- Article
- Did the adoption of accelerated partial-breast irradiation reduce the noncompliance with adjuvant radiation in lumpectomy patients?American journal of surgery · 2016Article
- Advanced Imaging and Receipt of Guideline Concordant Care in Women with Early Stage Breast Cancer.International journal of breast cancer · 2016Article
- Accelerated partial breast irradiation through brachytherapy for ductal carcinoma in situ: factors influencing utilization and risks of second breast tumors.Breast cancer research and treatment · 2015Article
- Patterns of locoregional treatment for nonmetastatic breast cancer by patient and health system factors.Cancer · 2015Article
- Disparities in Colorectal Cancer Treatment Delay Within Appalachia--The Role of For-Profit Hospitals.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2015Article
- The pervasive crisis of diminishing radiation therapy access for vulnerable populations in the United States-Part 4: Appalachian patients.Advances in radiation oncologyArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectiveTo examine the relationship between radiation therapy resources and guideline-concordant radiotherapy after breast-conserving surgery (BCS) in Kentucky. DATA SOURCES: The SEER registry and Area Resource File provided county-level data describing cancer care resources and socioeconomic conditions of Kentucky residents. STUDY
designThe outcome variable was rate of BCS without radiotherapy in each county for 2000-2007. Eight-year weighted average rates of radiation therapy providers and hospitals per 100,000 residents were explanatory variables of interest. Exploratory spatial data analyses and spatial econometric models were estimated. PRINCIPAL
findingsAppalachian counties in Kentucky had significantly fewer radiation oncologists, hospitals with radiation therapy facilities, and surgeons per 100,000 residents than non-Appalachian counties. The likelihood of BCS without radiation was significantly higher among Appalachian compared to non-Appalachian women (42.5 percent vs. 29.0 percent, p < .001). Higher proportions of women not receiving recommended radiotherapy after BCS were clustered in Eastern Kentucky around Lexington. This geographic disparity was partially explained by significantly fewer radiation therapy facilities in Appalachian Kentucky in adjusted analyses.
conclusionsScarce radiation therapy resources in Appalachian Kentucky are associated with disparities in receipt of guideline-concordant radiotherapy, suggesting that policy action is needed to improve the cancer treatment infrastructure in disadvantaged mountainous areas.
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