| アイテムタイプ |
学術雑誌論文 / Journal Article(1) |
| 公開日 |
2025-10-03 |
| タイトル |
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タイトル |
Evaluation of travel time to colorectal cancer care and survival: a cohort study using cancer registry data in Osaka Prefecture, Japan |
| 言語 |
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言語 |
eng |
| キーワード |
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主題Scheme |
Other |
|
主題 |
Travel time |
| キーワード |
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主題Scheme |
Other |
|
主題 |
colorectal cancer |
| キーワード |
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主題Scheme |
Other |
|
主題 |
net survival |
| キーワード |
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主題Scheme |
Other |
|
主題 |
cancer registry data |
| キーワード |
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主題Scheme |
Other |
|
主題 |
Japan |
| 資源タイプ |
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資源タイプ |
journal article |
| アクセス権 |
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アクセス権 |
open access |
| 著者 |
Saito, Mari Kajiwara
若宮, 翔子
Nakata, Kayo
Kato, Mizuki Shimadzu
Kuwabara, Yoshihiro
Morishima, Toshitaka
Miyashiro, Isao
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| 抄録 |
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内容記述タイプ |
Abstract |
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内容記述 |
Background: Cancer care in Japan faces a major challenge in maintaining equity in access and efficiency. Care is provided on the basis of catchment area, referred to as a secondary medical area (SMA); at least one designated cancer care hospital (DCCH) is placed in every SMA. We aimed to evaluate travel time and net survival by SMA among patients diagnosed with colorectal cancer (CRC) in Osaka Prefecture, Japan. Methods: We used cancer registry data for this cohort study and included patients diagnosed with CRC during 2013–2018. We evaluated equality in the utilisation of care by travel time between patients’ addresses and medical institutions for diagnosis or treatment in Osaka Prefecture. Travel time was compared by SMA of residence. We analysed which factors were associated with travel time using quantile regression. Efficiency was evaluated as un-standardised, age-standardised and stage-stratified three-year net survival by SMA of hospital for patients who received surgical resection. Results: Among the 53,301 patients, the estimated median travel time was 27 (interquartile range 14 to 61, 90th percentile 82) minutes. Travel time varied between SMAs of residence by 20 minutes and types of hospital (prefectural DCCH versus non-DCCH) by 15 minutes at most. Regarding net survival, all SMA of hospital were within the 99.8 % control limits. However, around 40 % of hospitals had annual surgical volume below ten. Conclusions: Travel time varied by SMA by 20 minutes at most. Although net survival was equalised across catchment areas, the current situation suggests an over-regionalisation of surgical care. The entire prefecture may need to reallocate resources to achieve higher efficiency. Policy Summary: Reconfiguring cancer care might be inevitable to cut the waste of resource inputs, but access equity should also be considered when centralising care. |
| 書誌情報 |
en : Journal of Cancer Policy
巻 44,
ページ数 7,
発行日 2025-03-12
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| 出版者 |
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出版者 |
Elsevier |
| ISSN |
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収録物識別子タイプ |
EISSN |
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収録物識別子 |
2213-5383 |
| 出版者版DOI |
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関連タイプ |
isReplacedBy |
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識別子タイプ |
DOI |
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関連識別子 |
https://doi.org/10.1016/j.jcpo.2025.100573 |
| 出版者版URI |
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関連タイプ |
isReplacedBy |
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識別子タイプ |
URI |
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関連識別子 |
https://www.sciencedirect.com/science/article/pii/S2213538325000177 |
| 権利 |
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権利情報Resource |
https://creativecommons.org/licenses/by/4.0/ |
|
権利情報 |
© 2025 The Authors.This is an open access article under the CC BY license(http://creativecommons.org/licenses/by/4.0/). |
| 著者版フラグ |
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出版タイプ |
NA |
| 助成情報 |
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助成機関名 |
Japan Society for the Promotion of Science (JSPS) |
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研究課題番号 |
202260375 |
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研究課題名 |
Overseas Research Fellow |
