Time to Diagnosis and Treatment Initiation During the COVID-19 Pandemic Among Rural Patients With Cancer-Reference-Cited by-同舟云学术

Time to Diagnosis and Treatment Initiation During the COVID-19 Pandemic Among Rural Patients With Cancer

Published:2024-03-30 Issue:4 Volume:36 Page:387-390
ISSN:1010-5395
Container-title:Asia Pacific Journal of Public Health
language:en
Short-container-title:Asia Pac J Public Health

Author:

Okado Izumi¹^ORCID,Liu Michelle¹,Elhajj Carry¹,Hernandez Brenda Y.¹,Wilkens Lynne¹,Holcombe Randall F.¹²

Affiliation:

1. University of Hawai‘i Cancer Center, Honolulu, HI, USA

2. University of Vermont Cancer Center, Burlington, VT, USA

Abstract

Time to diagnosis (TTD) and treatment initiation (TTI) are important measures of access to and quality of cancer care. This study addressed the knowledge gap on the impact of the COVID-19 pandemic on TTD and TTI for rural cancer patients. Sixty-three cancer patients residing in rural areas of the state of Hawaii were surveyed in 2020 to 2021. Overall, 67.5% of participants reported TTD within one month of reporting symptoms to a health care provider. Mean TTI for the overall sample was 55.3 days, and among breast cancer patients, 57.9 days. Compared with pre-pandemic state registry data, mean TTI for the overall sample and breast cancer patients were significantly longer than the state registry null value of 40 days ( P = .02 and P =.05, respectively). During the COVID-19 pandemic, cancer patients in rural Hawaii experienced substantial delays in TTI compared with pre-pandemic years.

Funder

Agency for Healthcare Research and Quality

Publisher

SAGE Publications

Link

https://journals.sagepub.com/doi/pdf/10.1177/10105395241240968

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