ArticleBritish journal of cancer2017
A cancer geography paradox? Poorer cancer outcomes with longer travelling times to healthcare facilities despite prompter diagnosis and treatment: a data-linkage study.
Article in British journal of cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03836794 (Does Geography and Place of Residence Affect Cancer Care), which is not on this map. Cited by 35 papers.
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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.
Does Geography and Place of Residence Affect Cancer Care: An Interview Study
Who cites it
35 citing papers in PubMed.
- "You lose a day for every appointment": A qualitative study of how rural versus urban residence shapes cancer care experiences in Northeast Scotland.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- Barriers to Investigator-Initiated Clinical Trial Enrollment in Frontline Large B-Cell Lymphoma.Clinical lymphoma, myeloma & leukemia · 2026Article
- Article
- The Road to Cancer Care: Understanding How Far Owners Travel for Their Pets' Oncology Treatment.Veterinary sciences · 2025Article
- Impact of Travel Burden on Timeliness of Care and Overall Survival for Breast Cancer: A National Cancer Database Analysis.Cancer medicine · 2025Article
- Anticipated effects of centralising complex gastrointestinal surgery in a rural area in Germany - perspective of health professionals: a qualitative study.BMC health services research · 2025Article
- Caseload per Year in Robotic-Assisted Minimally Invasive Esophagectomy: A Narrative Review.Cancers · 2024Review
- Development and piloting of an online course to improve knowledge, confidence and attitudes towards triaging images of skin lesions submitted online in primary care.BMC medical education · 2024Article
- Impact of remoteness and rurality on the treatment and survival of patients with glioblastoma in the north of Scotland.World neurosurgery: X · 2024Article
- Article
- [Effects of new minimum volume standards in visceral surgery on healthcare in Brandenburg, Germany, from the perspective of healthcare providers].Chirurgie (Heidelberg, Germany) · 2023Article
- Rural and Urban patients' Requirements and Experiences of Out-of-hours medical care after cancer (RUREO): a questionnaire study.BMJ open · 2023Article
- [Specialised treatment of colorectal cancer in certified cancer centres: Do patients really have to travel further?]Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2023Article
- Article
- Small-Area Geographic and Socioeconomic Inequalities in Colorectal Cancer in Cyprus.International journal of environmental research and public health · 2022Article
- The association between sociodemographic factors and time to diagnosis for colorectal cancer in northern Sweden.European journal of cancer care · 2022Article
- Listing at non-local transplant centers is associated with increased access to deceased donor kidney transplantation.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2022Article
- Association of Physician Referrals with Timely Cancer Care Using Tumor Registry and Claims Data.Health equity · 2022Article
- Radiotherapy travel times - is time running out in India?Ecancermedicalscience · 2022Article
- The impact of patient travel time on disparities in treatment for early stage lung cancer in California.PloS one · 2022Article
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9 authors.
Funding
Abstract
backgroundRurality and distance from cancer treatment centres have been shown to negatively impact cancer outcomes, but the mechanisms remain obscure.
methodsWe analysed the impact of travel time to key healthcare facilities and mainland/island residency on the cancer diagnostic pathway (treatment within 62 days of referral, and within 31 days of diagnosis) and 1-year mortality using a data-linkage study with 12 339 patients.
resultsAfter controlling for important confounders, mainland patients with more than 60 min of travelling time to their cancer treatment centre ((OR 1.42; 95% CI 1.25-1.61) and island dwellers (OR 1.32; 95% CI 1.09-1.59) were more likely to commence cancer treatment within 62 days of general practitioner (GP) referral and within 31 days of their cancer diagnosis compared with those living within 15 min. Island-dweller patients were more likely to have their diagnosis and treatment started on the same or next day (OR 1.72; 95% CI 1.31-2.25). Increased travelling time to a cancer treatment centre was associated with increased mortality to 1 year (30-59 min (HR 1.21; 95% CI 1.05-1.41), >60 min (HR 1.18; 95% CI 1.03-1.36), island dweller (HR 1.17; 95% CI 0.97-1.41).
conclusionsIsland dwelling and greater mainland travel burden was associated with more rapid cancer diagnosis and treatment following GP referral even after adjustment for advanced disease; however, these patients also experienced a survival disadvantage compared with those living nearer. Cancer services may need to be better configured to suit the different needs of dispersed populations.
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