The impact of travel time to cancer treatment centre on post-diagnosis care and mortality among cancer patients in Scotland

Melanie Turner; Romi Carriere; Shona Fielding; George Ramsay; Leslie Samuel; Andrew Maclaren; Peter Murchie

doi:10.1016/j.healthplace.2023.103139

The impact of travel time to cancer treatment centre on post-diagnosis care and mortality among cancer patients in Scotland

Melanie Turner^* (Corresponding Author), Romi Carriere, Shona Fielding, George Ramsay, Leslie Samuel, Andrew Maclaren, Peter Murchie

^*Corresponding author for this work

Newcastle University

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Abstract

Limited data exist on the effect of travelling time on post-diagnosis cancer care and mortality. We analysed the impact of travel time to cancer treatment centre on secondary care contact time and one-year mortality using a data-linkage study in Scotland with 17369 patients. Patients with longer travelling time and island-dwellers had increased incidence rate of secondary care cancer contact
time. For outpatient oncology appointments, the incidence rate was decreased for island-dwellers. Longer travelling time was not associated with increased secondary care contact time for emergency cancer admissions or time to first emergency cancer admission. Living on an island increased mortality at one-year. Adjusting for cancer-specific secondary care contact time increased the hazard of death, and adjusting for oncology outpatient time decreased the hazard of death for island-dwellers. Those with longer travelling times experience the cancer treatment pathway differently with poorer outcomes. Cancer services may need to be better configured to suit differing needs of dispersed populations.

Original language	English
Article number	103139
Journal	Health & Place
Volume	84
Early online date	16 Nov 2023
DOIs	https://doi.org/10.1016/j.healthplace.2023.103139
Publication status	Published - Nov 2023

Bibliographical note

Funding
This research was supported by a grant from NHS Grampian Endowment Fund (Grant no.16/11/017). The funder had no role in the design and conduct of the study; collection, management, analysis and interpretation of the data; preprataion, review or approval of the manuscript; or the decision to submit the manuscript for publication.
For the purpose of open access, the author has applied a Creative Commons Attribution (CC BY) licence to any Author Accepted Manuscript version arising from this submission.

Data Availability Statement

The data that support the findings of this study are not openly available due to ethical and legal restrictions. Data are located in controlled access data storage. Data from SMR06, SMR01, SMR00 and NRS Deaths are available on a Public Benefit and Privacy Panel (PBPP) application to Electronic Data Research and Innovation Service (eDRIS), Public Health Scotland, Edinburgh, Scotland.

Keywords

Cancer
Survivorship
Secondary Care
Incidence
Travel

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
Final published version, 2.06 MBLicence: CC BY

Cite this

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title = "The impact of travel time to cancer treatment centre on post-diagnosis care and mortality among cancer patients in Scotland",

abstract = "Limited data exist on the effect of travelling time on post-diagnosis cancer care and mortality. We analysed the impact of travel time to cancer treatment centre on secondary care contact time and one-year mortality using a data-linkage study in Scotland with 17369 patients. Patients with longer travelling time and island-dwellers had increased incidence rate of secondary care cancer contacttime. For outpatient oncology appointments, the incidence rate was decreased for island-dwellers. Longer travelling time was not associated with increased secondary care contact time for emergency cancer admissions or time to first emergency cancer admission. Living on an island increased mortality at one-year. Adjusting for cancer-specific secondary care contact time increased the hazard of death, and adjusting for oncology outpatient time decreased the hazard of death for island-dwellers. Those with longer travelling times experience the cancer treatment pathway differently with poorer outcomes. Cancer services may need to be better configured to suit differing needs of dispersed populations. ",

keywords = "Cancer, Survivorship, Secondary Care, Incidence, Travel",

author = "Melanie Turner and Romi Carriere and Shona Fielding and George Ramsay and Leslie Samuel and Andrew Maclaren and Peter Murchie",

note = "Funding This research was supported by a grant from NHS Grampian Endowment Fund (Grant no.16/11/017). The funder had no role in the design and conduct of the study; collection, management, analysis and interpretation of the data; preprataion, review or approval of the manuscript; or the decision to submit the manuscript for publication. For the purpose of open access, the author has applied a Creative Commons Attribution (CC BY) licence to any Author Accepted Manuscript version arising from this submission. ",

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doi = "10.1016/j.healthplace.2023.103139",

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AU - Turner, Melanie

AU - Carriere, Romi

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AU - Ramsay, George

AU - Samuel, Leslie

AU - Maclaren, Andrew

AU - Murchie, Peter

N1 - Funding This research was supported by a grant from NHS Grampian Endowment Fund (Grant no.16/11/017). The funder had no role in the design and conduct of the study; collection, management, analysis and interpretation of the data; preprataion, review or approval of the manuscript; or the decision to submit the manuscript for publication. For the purpose of open access, the author has applied a Creative Commons Attribution (CC BY) licence to any Author Accepted Manuscript version arising from this submission.

PY - 2023/11

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N2 - Limited data exist on the effect of travelling time on post-diagnosis cancer care and mortality. We analysed the impact of travel time to cancer treatment centre on secondary care contact time and one-year mortality using a data-linkage study in Scotland with 17369 patients. Patients with longer travelling time and island-dwellers had increased incidence rate of secondary care cancer contacttime. For outpatient oncology appointments, the incidence rate was decreased for island-dwellers. Longer travelling time was not associated with increased secondary care contact time for emergency cancer admissions or time to first emergency cancer admission. Living on an island increased mortality at one-year. Adjusting for cancer-specific secondary care contact time increased the hazard of death, and adjusting for oncology outpatient time decreased the hazard of death for island-dwellers. Those with longer travelling times experience the cancer treatment pathway differently with poorer outcomes. Cancer services may need to be better configured to suit differing needs of dispersed populations.

AB - Limited data exist on the effect of travelling time on post-diagnosis cancer care and mortality. We analysed the impact of travel time to cancer treatment centre on secondary care contact time and one-year mortality using a data-linkage study in Scotland with 17369 patients. Patients with longer travelling time and island-dwellers had increased incidence rate of secondary care cancer contacttime. For outpatient oncology appointments, the incidence rate was decreased for island-dwellers. Longer travelling time was not associated with increased secondary care contact time for emergency cancer admissions or time to first emergency cancer admission. Living on an island increased mortality at one-year. Adjusting for cancer-specific secondary care contact time increased the hazard of death, and adjusting for oncology outpatient time decreased the hazard of death for island-dwellers. Those with longer travelling times experience the cancer treatment pathway differently with poorer outcomes. Cancer services may need to be better configured to suit differing needs of dispersed populations.

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The impact of travel time to cancer treatment centre on post-diagnosis care and mortality among cancer patients in Scotland

Abstract

Bibliographical note

Data Availability Statement

Keywords

UN SDGs

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Cite this