Evidence map›Paper›PMID 39509662›Full record

ArticleJCO global oncology2024

Factors Associated With Default of Treatment and Follow-Up Among Patients With Cancer: A Cross-Sectional Study From a Lower-Middle-Income Country.

Deepak Sundriyal, Mayank Kapoor, Preeti Antil, Sweety Gupta, Parmod Kumar, Ujjawal Kumar Shriwastav, Amit Sehrawat

Abstract read
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Article in JCO global oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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.

2 · The registry

The trial behind it

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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

2 citing papers in PubMed.

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4 · The record

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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

7 authors.

Deepak SundriyalDepartment of Medical Oncology, Hematology, All India Institute of Medical Sciences, Rishikesh, India.ORCID 0000-0002-6378-7694
Mayank KapoorDepartment of Medical Oncology, Hematology, All India Institute of Medical Sciences, Rishikesh, India.ORCID 0000-0002-7764-0044
Preeti AntilCollege of Nursing, Atal Bihari Vajpayee Institute of Medical Sciences and Dr. RML Hospital, Delhi, India.
Sweety GuptaDepartment of Radiation Oncology, All India Institute of Medical Sciences, Rishikesh, India.ORCID 0000-0002-3893-2781
Parmod KumarDepartment of Medical Oncology, Hematology, All India Institute of Medical Sciences, Jodhpur, India.
Ujjawal Kumar ShriwastavChitwan Medical College, Bharatpur, Nepal.ORCID 0009-0001-3423-496X
Amit SehrawatDepartment of Medical Oncology, Hematology, All India Institute of Medical Sciences, Rishikesh, India.ORCID 0000-0001-7100-8999

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDesirable outcomes during the treatment of patients with cancer require adherence to evaluation, treatment, and follow-up. This study aimed to evaluate the factors associated with default in patients with cancer. MATERIALS AND

methodsWe included patients with a histologically confirmed diagnosis of cancer who defaulted during evaluation, treatment, and follow-up. All patients' detailed demographic and clinical data were recorded. Those lost to follow-up were interviewed telephonically. The factors associated with default were noted. Descriptive statistics were used to compute the demographic and clinical characteristics.

resultsIn total, 172 patients were included. Geriatric and female patients were 38.9% and 37.2%, respectively. Fifty-eight percent of the patients lived in rural areas, whereas 45.9% were illiterate. More than one third (34.3%) of the patients who defaulted received the curative-intent treatment, whereas 62.1% of patients had a good performance status immediately before default. The average distance traveled by the patients to reach the cancer facility was 143 ± 13.15 km. The most common reasons for default were the lack of social support, financial constraints, difficulty in commuting, and too sick to come in 45 (26.2%), 35 (20.3%), 28 (16.3%), and 23 (13.4%) patients, respectively. Twenty-nine (16.9%) patients reported more than one reason for default.

conclusionLack of social support, financial constraints, transportation barriers, and inadequate counseling by the health care provider serve as barriers to uninterrupted cancer care. These factors are often interrelated and can be attenuated by adopting the hub and spoke model. Simultaneously, a good relationship between the patient and the health care provider fostered by appropriate counseling is imperative to increase adherence to cancer treatment and improve the outcome.

Indexed as

NeoplasmsAdultAgedAged, 80 and overCross-Sectional StudiesFemaleFollow-Up StudiesHumansMaleMiddle AgedPatient Compliance

Identifiers

PMID39509662
PMCPMC11583348

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