{"database":"biostudies-literature","file_versions":[],"scores":null,"additional":{"submitter":["Spees LP"],"funding":["NCATS NIH HHS","AHRQ HHS","NCI NIH HHS","Health Services Research"],"pagination":["882-889"],"full_dataset_link":["https://www.ebi.ac.uk/biostudies/studies/S-EPMC6500480"],"repository":["biostudies-literature"],"omics_type":["Unknown"],"volume":["28(5)"],"pubmed_abstract":["BACKGROUND:Although rural cancer patients encounter substantial barriers to care, they more often report receiving timely care than urban patients. We examined whether geographic distance, a contributor to urban-rural health disparities, differentially influences treatment initiation and completion among insured urban and rural cervical cancer patients. METHODS:We identified women diagnosed with cervical cancer from 2004 to 2013 from a statewide cancer registry linked to multipayer, insurance claims. Primary outcomes were initiation of guideline-concordant care within 6 weeks of diagnosis and, among stage IB2-IVA cancer patients, completion of concurrent chemoradiotherapy (CCRT) in 56 days. We estimated risk ratios using modified Poisson regressions, stratified by urban/rural status, to ex"],"journal":["Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology"],"pubmed_title":["Examining Urban and Rural Differences in How Distance to Care Influences the Initiation and Completion of Treatment among Insured Cervical Cancer Patients."],"pmcid":["PMC6500480"],"funding_grant_id":["T32-HS000032","T32 CA116339","UL1 TR002489","T32 HS000032"],"pubmed_authors":["Brewster WR","Spees LP","Baggett C","Weinberger M","Wheeler SB","Varia MA","Zhou X","Petermann VM"],"additional_accession":[]},"is_claimable":false,"name":"Examining Urban and Rural Differences in How Distance to Care Influences the Initiation and Completion of Treatment among Insured Cervical Cancer Patients.","description":"BACKGROUND:Although rural cancer patients encounter substantial barriers to care, they more often report receiving timely care than urban patients. We examined whether geographic distance, a contributor to urban-rural health disparities, differentially influences treatment initiation and completion among insured urban and rural cervical cancer patients. METHODS:We identified women diagnosed with cervical cancer from 2004 to 2013 from a statewide cancer registry linked to multipayer, insurance claims. Primary outcomes were initiation of guideline-concordant care within 6 weeks of diagnosis and, among stage IB2-IVA cancer patients, completion of concurrent chemoradiotherapy (CCRT) in 56 days. We estimated risk ratios using modified Poisson regressions, stratified by urban/rural status, to ex","dates":{"release":"2019-01-01T00:00:00Z","publication":"2019 May","modification":"2025-04-21T16:07:03.812Z","creation":"2020-05-22T18:49:01Z"},"accession":"S-EPMC6500480","cross_references":{"pubmed":["30733307"],"doi":["10.1158/1055-9965.epi-18-0945","10.1158/1055-9965.EPI-18-0945"]}}