Management of patients with metastatic prostate cancer (mPC) in a rural part of North Norway with a scattered population: does living near the department of oncology translate into a different pattern of care and survival?
The goal of the Norwegian Ministry of Health and Care Services is to offer an equal health-care service with the same outcomes wherever people are living within the country. The aim of this study was to evaluate whether this was true for patients diagnosed with metastatic prostate cancer (mPC) and l...
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2019
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ftdoajarticles:oai:doaj.org/article:daceb6123d0f4122bbc794c6944593d8 2023-05-15T15:10:08+02:00 Management of patients with metastatic prostate cancer (mPC) in a rural part of North Norway with a scattered population: does living near the department of oncology translate into a different pattern of care and survival? Carsten Nieder Astrid Dalhaug Ellinor Haukland Jan Norum 2019-01-01T00:00:00Z https://doi.org/10.1080/22423982.2019.1620086 https://doaj.org/article/daceb6123d0f4122bbc794c6944593d8 EN eng Taylor & Francis Group http://dx.doi.org/10.1080/22423982.2019.1620086 https://doaj.org/toc/2242-3982 2242-3982 doi:10.1080/22423982.2019.1620086 https://doaj.org/article/daceb6123d0f4122bbc794c6944593d8 International Journal of Circumpolar Health, Vol 78, Iss 1 (2019) prostate cancer distant metastases chemotherapy radiotherapy systemic therapy survival pattern of care Arctic medicine. Tropical medicine RC955-962 article 2019 ftdoajarticles https://doi.org/10.1080/22423982.2019.1620086 2022-12-31T08:42:16Z The goal of the Norwegian Ministry of Health and Care Services is to offer an equal health-care service with the same outcomes wherever people are living within the country. The aim of this study was to evaluate whether this was true for patients diagnosed with metastatic prostate cancer (mPC) and living in Nordland County, a region with a challenging geography and climate and having, several small and remote communities and only 1 department of oncology. The latter is located in the main city, Bodø. We also compared a subgroup living in communities having lower average annual income (less than NOK 240,000 (equivalent to USD 28,600)) with patients living in Bodø (NOK 285,000 (USD 33,900)). Overall 288 patients were included and stratified into 3 subgroups (favourable distance and income, unfavourable distance and income, and unfavourable distance and favourable income). No statistically significant differences were observed regarding patient characteristics. There was no indication towards under-treatment among patients from the distant regions or the lower income region. Given that disparities were not observed, it was not surprising to see comparable survival outcomes (p=0.35). In conclusion, these results suggest that the health-care system in Nordland County successfully delivers state-of-the-art oncology care to patients with mPC. Article in Journal/Newspaper Arctic Bodø Bodø Circumpolar Health International Journal of Circumpolar Health Nordland Nordland North Norway Nordland Directory of Open Access Journals: DOAJ Articles Arctic Norway Bodø ENVELOPE(14.405,14.405,67.280,67.280) International Journal of Circumpolar Health 78 1 1620086 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
prostate cancer distant metastases chemotherapy radiotherapy systemic therapy survival pattern of care Arctic medicine. Tropical medicine RC955-962 |
spellingShingle |
prostate cancer distant metastases chemotherapy radiotherapy systemic therapy survival pattern of care Arctic medicine. Tropical medicine RC955-962 Carsten Nieder Astrid Dalhaug Ellinor Haukland Jan Norum Management of patients with metastatic prostate cancer (mPC) in a rural part of North Norway with a scattered population: does living near the department of oncology translate into a different pattern of care and survival? |
topic_facet |
prostate cancer distant metastases chemotherapy radiotherapy systemic therapy survival pattern of care Arctic medicine. Tropical medicine RC955-962 |
description |
The goal of the Norwegian Ministry of Health and Care Services is to offer an equal health-care service with the same outcomes wherever people are living within the country. The aim of this study was to evaluate whether this was true for patients diagnosed with metastatic prostate cancer (mPC) and living in Nordland County, a region with a challenging geography and climate and having, several small and remote communities and only 1 department of oncology. The latter is located in the main city, Bodø. We also compared a subgroup living in communities having lower average annual income (less than NOK 240,000 (equivalent to USD 28,600)) with patients living in Bodø (NOK 285,000 (USD 33,900)). Overall 288 patients were included and stratified into 3 subgroups (favourable distance and income, unfavourable distance and income, and unfavourable distance and favourable income). No statistically significant differences were observed regarding patient characteristics. There was no indication towards under-treatment among patients from the distant regions or the lower income region. Given that disparities were not observed, it was not surprising to see comparable survival outcomes (p=0.35). In conclusion, these results suggest that the health-care system in Nordland County successfully delivers state-of-the-art oncology care to patients with mPC. |
format |
Article in Journal/Newspaper |
author |
Carsten Nieder Astrid Dalhaug Ellinor Haukland Jan Norum |
author_facet |
Carsten Nieder Astrid Dalhaug Ellinor Haukland Jan Norum |
author_sort |
Carsten Nieder |
title |
Management of patients with metastatic prostate cancer (mPC) in a rural part of North Norway with a scattered population: does living near the department of oncology translate into a different pattern of care and survival? |
title_short |
Management of patients with metastatic prostate cancer (mPC) in a rural part of North Norway with a scattered population: does living near the department of oncology translate into a different pattern of care and survival? |
title_full |
Management of patients with metastatic prostate cancer (mPC) in a rural part of North Norway with a scattered population: does living near the department of oncology translate into a different pattern of care and survival? |
title_fullStr |
Management of patients with metastatic prostate cancer (mPC) in a rural part of North Norway with a scattered population: does living near the department of oncology translate into a different pattern of care and survival? |
title_full_unstemmed |
Management of patients with metastatic prostate cancer (mPC) in a rural part of North Norway with a scattered population: does living near the department of oncology translate into a different pattern of care and survival? |
title_sort |
management of patients with metastatic prostate cancer (mpc) in a rural part of north norway with a scattered population: does living near the department of oncology translate into a different pattern of care and survival? |
publisher |
Taylor & Francis Group |
publishDate |
2019 |
url |
https://doi.org/10.1080/22423982.2019.1620086 https://doaj.org/article/daceb6123d0f4122bbc794c6944593d8 |
long_lat |
ENVELOPE(14.405,14.405,67.280,67.280) |
geographic |
Arctic Norway Bodø |
geographic_facet |
Arctic Norway Bodø |
genre |
Arctic Bodø Bodø Circumpolar Health International Journal of Circumpolar Health Nordland Nordland North Norway Nordland |
genre_facet |
Arctic Bodø Bodø Circumpolar Health International Journal of Circumpolar Health Nordland Nordland North Norway Nordland |
op_source |
International Journal of Circumpolar Health, Vol 78, Iss 1 (2019) |
op_relation |
http://dx.doi.org/10.1080/22423982.2019.1620086 https://doaj.org/toc/2242-3982 2242-3982 doi:10.1080/22423982.2019.1620086 https://doaj.org/article/daceb6123d0f4122bbc794c6944593d8 |
op_doi |
https://doi.org/10.1080/22423982.2019.1620086 |
container_title |
International Journal of Circumpolar Health |
container_volume |
78 |
container_issue |
1 |
container_start_page |
1620086 |
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1766341185254719488 |