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Determinants of the access to remote specialised services provided by national sarcoma reference centres

dc.rights.licenseopenen_US
dc.contributor.authorFAYET, Yohan
dc.contributor.authorTETREAU, Raphael
dc.contributor.authorHONORE, Charles
dc.contributor.authorLE NAIL, Louis-Romee
dc.contributor.authorDALBAN, Cecile
dc.contributor.authorGOUIN, Francois
dc.contributor.authorCAUSERET, Sylvain
dc.contributor.authorPIPERNO-NEUMANN, Sophie
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorMATHOULIN-PELISSIER, Simone
dc.contributor.authorKARANIAN, Marie
dc.contributor.authorITALIANO, Antoine
dc.contributor.authorCHAIGNEAU, Loic
dc.contributor.authorGANTZER, Justine
dc.contributor.authorBERTUCCI, Francois
dc.contributor.authorROPARS, Mickael
dc.contributor.authorSAADA-BOUZID, Esma
dc.contributor.authorCORDOBA, Abel
dc.contributor.authorRUZIC, Jean-Christophe
dc.contributor.authorVARATHARAJAH, Sharmini
dc.contributor.authorDUCIMETIERE, Francoise
dc.contributor.authorCHABAUD, Sylvie
dc.contributor.authorDUBRAY-LONGERAS, Pascale
dc.contributor.authorFIORENZA, Fabrice
dc.contributor.authorDE PERCIN, Sixtine
dc.contributor.authorLEBBE, Celeste
dc.contributor.authorSOIBINET, Pauline
dc.contributor.authorMICHELIN, Paul
dc.contributor.authorRIOS, Maria
dc.contributor.authorFARSI, Fadila
dc.contributor.authorPENEL, Nicolas
dc.contributor.authorBOMPAS, Emmanuelle
dc.contributor.authorDUFFAUD, Florence
dc.contributor.authorCHEVREAU, Christine
dc.contributor.authorLE CESNE, Axel
dc.contributor.authorBLAY, Jean-Yves
dc.contributor.authorLE LOARER, Francois
dc.contributor.authorRAY-COQUARD, Isabelle
dc.date.accessioned2021-07-06T07:46:57Z
dc.date.available2021-07-06T07:46:57Z
dc.date.issued2021-05-29
dc.identifier.issn1471-2407en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/94981
dc.description.abstractEnBACKGROUND: Spatial inequalities in cancer management have been evidenced by studies reporting lower quality of care or/and lower survival for patients living in remote or socially deprived areas. NETSARC+ is a national reference network implemented to improve the outcome of sarcoma patients in France since 2010, providing remote access to specialized diagnosis and Multidisciplinary Tumour Board (MTB). The IGéAS research program aims to assess the potential of this innovative organization, with remote management of cancers including rare tumours, to go through geographical barriers usually impeding the optimal management of cancer patients. METHODS: Using the nationwide NETSARC+ databases, the individual, clinical and geographical determinants of the access to sarcoma-specialized diagnosis and MTB were analysed. The IGéAS cohort (n = 20,590) includes all patients living in France with first sarcoma diagnosis between 2011 and 2014. Early access was defined as specialised review performed before 30 days of sampling and as first sarcoma MTB discussion performed before the first surgery. RESULTS: Some clinical populations are at highest risk of initial management without access to sarcoma specialized services, such as patients with non-GIST visceral sarcoma for diagnosis [OR 1.96, 95% CI 1.78 to 2.15] and MTB discussion [OR 3.56, 95% CI 3.16 to 4.01]. Social deprivation of the municipality is not associated with early access on NETSARC+ remote services. The quintile of patients furthest away from reference centres have lower chances of early access to specialized diagnosis [OR 1.18, 95% CI 1.06 to 1.31] and MTB discussion [OR 1.24, 95% CI 1.10 to 1.40] but this influence of the distance is slight in comparison with clinical factors and previous studies on the access to cancer-specialized facilities. CONCLUSIONS: In the context of national organization driven by reference network, distance to reference centres slightly alters the early access to sarcoma specialized services and social deprivation has no impact on it. The reference networks' organization, designed to improve the access to specialized services and the quality of cancer management, can be considered as an interesting device to reduce social and spatial inequalities in cancer management. The potential of this organization must be confirmed by further studies, including survival analysis.
dc.language.isoENen_US
dc.rightsAttribution 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/us/*
dc.subject.enCancer inequalities
dc.subject.enSpatial inequalities
dc.subject.enReference networks
dc.subject.enSarcoma
dc.subject.enCancer care accessibility
dc.subject.enRare cancers
dc.title.enDeterminants of the access to remote specialised services provided by national sarcoma reference centres
dc.typeArticle de revueen_US
dc.identifier.doi10.1186/s12885-021-08393-4en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed34049529en_US
bordeaux.journalBMC Canceren_US
bordeaux.page631en_US
bordeaux.volume21en_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - UMR 1219en_US
bordeaux.issue1en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.teamEPICENEen_US
bordeaux.teamEPICENE_BPH
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
bordeaux.identifier.funderIDFondation ARC pour la Recherche sur le Canceren_US
bordeaux.identifier.funderIDInstitut National Du Canceren_US
hal.exportfalse
bordeaux.COinSctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=BMC%20Cancer&rft.date=2021-05-29&rft.volume=21&rft.issue=1&rft.spage=631&rft.epage=631&rft.eissn=1471-2407&rft.issn=1471-2407&rft.au=FAYET,%20Yohan&TETREAU,%20Raphael&HONORE,%20Charles&LE%20NAIL,%20Louis-Romee&DALBAN,%20Cecile&rft.genre=article


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