Impact of the National Health Fund policy on hormone treatment for prostate cancer in Jamaica Repercusión de un subsidio del Fondo Nacional de Salud en la hormonoterapia para el cáncer de próstata en Jamaica
OBJECTIVE: To compare the proportion of patients choosing surgical versus medical castration to treat prostate cancer, before and after the National Health Fund (NHF) of Jamaica began to subsidize hormone therapy. METHODS: A retrospective review was performed at the University Hospital of the West I...
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Pan American Health Organization
2011
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ftdoajarticles:oai:doaj.org/article:57b91fb7f7ad4b3e94359f9d80644b3e 2023-05-15T15:17:42+02:00 Impact of the National Health Fund policy on hormone treatment for prostate cancer in Jamaica Repercusión de un subsidio del Fondo Nacional de Salud en la hormonoterapia para el cáncer de próstata en Jamaica Belinda F. Morrison William D. Aiken Marvin E. Reid 2011-06-01T00:00:00Z https://doaj.org/article/57b91fb7f7ad4b3e94359f9d80644b3e EN ES PT eng spa por Pan American Health Organization http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892011000600004 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 https://doaj.org/article/57b91fb7f7ad4b3e94359f9d80644b3e Revista Panamericana de Salud Pública, Vol 29, Iss 6, Pp 404-408 (2011) Neoplasias de la próstata orquiectomía antagonistas de andrógenos uso terapéutico honorarios por prescripción de medicamentos Jamaica Prostatic neoplasms orchiectomy androgen antagonists therapeutic use prescription fees Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2011 ftdoajarticles 2022-12-31T01:34:17Z OBJECTIVE: To compare the proportion of patients choosing surgical versus medical castration to treat prostate cancer, before and after the National Health Fund (NHF) of Jamaica began to subsidize hormone therapy. METHODS: A retrospective review was performed at the University Hospital of the West Indies (UHWI), Jamaica. The pathology database at UHWI was searched to identify patients who had prostate biopsies between January 2000 and December 2007. These were combined with records of biopsies at external institutions. Medical records of all patients with positive prostate biopsies were reviewed to determine if they had received androgen deprivation therapy (ADT). Patients were classified as having had surgical castration (bilateral orchiectomy) or medical castration. Chi-square statistics were used to determine the difference in proportions between those choosing medical versus surgical castration before and after March 2005, when the NHF began offering subsidies for ADT drugs. RESULTS: Of the 1 529 prostate biopsies performed during the study period, 680 (44.0%) cases of prostate cancer were diagnosed. Of these, 458 patients underwent ADT and had complete records available for analysis. The mean patient age was 72 years. During the entire study period, surgical castration was performed in 265 patients (58.0%) and medical castration in 193 (42.0%). A greater proportion of orchiectomies were performed before March 2005, rather than after (P < 0.001). Estrogens were the most common method of medical castration used before the NHF subsidy became available (62.0%); while luteinizing hormone-releasing hormone analogues (38.0%) and antiandrogens (36.5%) were most often chosen afterwards. CONCLUSIONS: Surgical castration was more common than medical castration before March 2005. After the NHF began to subsidize the cost of drugs for hormone therapy, medical castration was chosen more often. Increased access to drugs for hormone therapy has changed treatment patterns in Jamaica. OBJETIVO: Comparar la proporción de ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English Spanish Portuguese |
topic |
Neoplasias de la próstata orquiectomía antagonistas de andrógenos uso terapéutico honorarios por prescripción de medicamentos Jamaica Prostatic neoplasms orchiectomy androgen antagonists therapeutic use prescription fees Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
Neoplasias de la próstata orquiectomía antagonistas de andrógenos uso terapéutico honorarios por prescripción de medicamentos Jamaica Prostatic neoplasms orchiectomy androgen antagonists therapeutic use prescription fees Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Belinda F. Morrison William D. Aiken Marvin E. Reid Impact of the National Health Fund policy on hormone treatment for prostate cancer in Jamaica Repercusión de un subsidio del Fondo Nacional de Salud en la hormonoterapia para el cáncer de próstata en Jamaica |
topic_facet |
Neoplasias de la próstata orquiectomía antagonistas de andrógenos uso terapéutico honorarios por prescripción de medicamentos Jamaica Prostatic neoplasms orchiectomy androgen antagonists therapeutic use prescription fees Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
OBJECTIVE: To compare the proportion of patients choosing surgical versus medical castration to treat prostate cancer, before and after the National Health Fund (NHF) of Jamaica began to subsidize hormone therapy. METHODS: A retrospective review was performed at the University Hospital of the West Indies (UHWI), Jamaica. The pathology database at UHWI was searched to identify patients who had prostate biopsies between January 2000 and December 2007. These were combined with records of biopsies at external institutions. Medical records of all patients with positive prostate biopsies were reviewed to determine if they had received androgen deprivation therapy (ADT). Patients were classified as having had surgical castration (bilateral orchiectomy) or medical castration. Chi-square statistics were used to determine the difference in proportions between those choosing medical versus surgical castration before and after March 2005, when the NHF began offering subsidies for ADT drugs. RESULTS: Of the 1 529 prostate biopsies performed during the study period, 680 (44.0%) cases of prostate cancer were diagnosed. Of these, 458 patients underwent ADT and had complete records available for analysis. The mean patient age was 72 years. During the entire study period, surgical castration was performed in 265 patients (58.0%) and medical castration in 193 (42.0%). A greater proportion of orchiectomies were performed before March 2005, rather than after (P < 0.001). Estrogens were the most common method of medical castration used before the NHF subsidy became available (62.0%); while luteinizing hormone-releasing hormone analogues (38.0%) and antiandrogens (36.5%) were most often chosen afterwards. CONCLUSIONS: Surgical castration was more common than medical castration before March 2005. After the NHF began to subsidize the cost of drugs for hormone therapy, medical castration was chosen more often. Increased access to drugs for hormone therapy has changed treatment patterns in Jamaica. OBJETIVO: Comparar la proporción de ... |
format |
Article in Journal/Newspaper |
author |
Belinda F. Morrison William D. Aiken Marvin E. Reid |
author_facet |
Belinda F. Morrison William D. Aiken Marvin E. Reid |
author_sort |
Belinda F. Morrison |
title |
Impact of the National Health Fund policy on hormone treatment for prostate cancer in Jamaica Repercusión de un subsidio del Fondo Nacional de Salud en la hormonoterapia para el cáncer de próstata en Jamaica |
title_short |
Impact of the National Health Fund policy on hormone treatment for prostate cancer in Jamaica Repercusión de un subsidio del Fondo Nacional de Salud en la hormonoterapia para el cáncer de próstata en Jamaica |
title_full |
Impact of the National Health Fund policy on hormone treatment for prostate cancer in Jamaica Repercusión de un subsidio del Fondo Nacional de Salud en la hormonoterapia para el cáncer de próstata en Jamaica |
title_fullStr |
Impact of the National Health Fund policy on hormone treatment for prostate cancer in Jamaica Repercusión de un subsidio del Fondo Nacional de Salud en la hormonoterapia para el cáncer de próstata en Jamaica |
title_full_unstemmed |
Impact of the National Health Fund policy on hormone treatment for prostate cancer in Jamaica Repercusión de un subsidio del Fondo Nacional de Salud en la hormonoterapia para el cáncer de próstata en Jamaica |
title_sort |
impact of the national health fund policy on hormone treatment for prostate cancer in jamaica repercusión de un subsidio del fondo nacional de salud en la hormonoterapia para el cáncer de próstata en jamaica |
publisher |
Pan American Health Organization |
publishDate |
2011 |
url |
https://doaj.org/article/57b91fb7f7ad4b3e94359f9d80644b3e |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 29, Iss 6, Pp 404-408 (2011) |
op_relation |
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892011000600004 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 https://doaj.org/article/57b91fb7f7ad4b3e94359f9d80644b3e |
_version_ |
1766347940029267968 |