Evidence map›Paper›PMID 25908923›Full record

ArticleCurrent oncology (Toronto, Ont.)2015

Access to oncology consultation in a cancer cohort in northeastern Ontario.

M Conlon, M Hartman, B Ballantyne, N Aubin, M Meigs, A Knight

Open access · goldAbstract read
In one paragraph

Article in Current oncology (Toronto, Ont.), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact, top 92% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 7 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

M ConlonEpidemiology, Outcomes and Evaluation Research, Northeast Cancer Centre, Sudbury, ON. ; Northeast Cancer Centre, Health Sciences North, Sudbury, ON. ; Laurentian University, Sudbury, ON. ; Northern Ontario School of Medicine, Sudbury, ON.
M HartmanNortheast Cancer Centre, Health Sciences North, Sudbury, ON. ; Cancer Care Ontario, Toronto, ON.
B BallantyneNortheast Cancer Centre, Health Sciences North, Sudbury, ON. ; Systemic Therapy Program, Northeast Cancer Centre, Sudbury, ON. ; Cambrian College, Sudbury, ON.
N AubinNortheast Cancer Centre, Health Sciences North, Sudbury, ON.
M MeigsEpidemiology, Outcomes and Evaluation Research, Northeast Cancer Centre, Sudbury, ON. ; Northeast Cancer Centre, Health Sciences North, Sudbury, ON.
A KnightNortheast Cancer Centre, Health Sciences North, Sudbury, ON. ; Northern Ontario School of Medicine, Sudbury, ON. ; Cancer Care Ontario, Toronto, ON. ; Systemic Therapy Program, Northeast Cancer Centre, Sudbury, ON.
Health Sciences North · CACancer Care Ontario · CALaurentian University · CANortheast Cancer Centre · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo enhance cancer symptom management for residents of Sudbury-Manitoulin District, an ambulatory palliative clinic (pac) was established at the Northeast Cancer Centre of Health Sciences North. The pac is accessed from a medical or radiation oncology consultation. The primary purpose of the present population-based retrospective study was to estimate the percentage of cancer patients who died without ever having a medical or radiation oncology consultation. A secondary purpose was to determine factors associated with never having received one of those specialized consultations.

methodsAdministrative data was obtained through the Ontario Cancer Data Linkage Project. For each index case, we constructed a timeline, in days, of all Ontario Health Insurance Plan billing codes and associated service dates starting with the primary cancer diagnosis and ending with death.

resultsWithin the 5-year study period (2004-2008), 6683 people in the area of interest with a valid record of primary cancer diagnosis died from any cause. Most (n = 5988, 89.6%) had 1 primary cancer diagnosis. For that subgroup, excluding those with a disease duration of 0 days (n = 67), about 18.4% (n = 1088) never had a consultation with a medical or radiation oncologist throughout their disease trajectory. Patients who were older or who resided in a rural area were significantly less likely to have had a consultation.

conclusionsSpecific strategies directed toward older and rural patients might help to address this important access-to-care issue.

Indexed as

Health services accessibilitymedical recordspalliative carereferral and consultationrural health services

Identifiers

PMID25908923
PMCPMC4399626
OpenAlexW2053981990

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.