Geographical Variations in the Clinical Management of Colorectal Cancer in Australia: A Systematic Review
BackgroundIn Australia, cancer survival is significantly lower in non-metropolitan compared to metropolitan areas. Our objective was to evaluate the evidence on geographical variations in the clinical management and treatment of colorectal cancer (CRC).MethodsA systematic review of published and gra...
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| Format: | Article |
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Frontiers Media S.A.
2018-05-01
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| Series: | Frontiers in Oncology |
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| Online Access: | http://journal.frontiersin.org/article/10.3389/fonc.2018.00116/full |
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| author | Fiona Crawford-Williams Fiona Crawford-Williams Sonja March Sonja March Michael J. Ireland Michael J. Ireland Arlen Rowe Arlen Rowe Belinda Goodwin Belinda Goodwin Melissa K. Hyde Melissa K. Hyde Suzanne K. Chambers Suzanne K. Chambers Suzanne K. Chambers Suzanne K. Chambers Suzanne K. Chambers Joanne F. Aitken Joanne F. Aitken Joanne F. Aitken Joanne F. Aitken Jeff Dunn Jeff Dunn Jeff Dunn Jeff Dunn |
| author_facet | Fiona Crawford-Williams Fiona Crawford-Williams Sonja March Sonja March Michael J. Ireland Michael J. Ireland Arlen Rowe Arlen Rowe Belinda Goodwin Belinda Goodwin Melissa K. Hyde Melissa K. Hyde Suzanne K. Chambers Suzanne K. Chambers Suzanne K. Chambers Suzanne K. Chambers Suzanne K. Chambers Joanne F. Aitken Joanne F. Aitken Joanne F. Aitken Joanne F. Aitken Jeff Dunn Jeff Dunn Jeff Dunn Jeff Dunn |
| author_sort | Fiona Crawford-Williams |
| collection | DOAJ |
| description | BackgroundIn Australia, cancer survival is significantly lower in non-metropolitan compared to metropolitan areas. Our objective was to evaluate the evidence on geographical variations in the clinical management and treatment of colorectal cancer (CRC).MethodsA systematic review of published and gray literature was conducted. Five databases (CINAHL, PubMed, Embase, ProQuest, and Informit) were searched for articles published in English from 1990 to 2018. Studies were included if they assessed differences in clinical management according to geographical location; focused on CRC patients; and were conducted in Australia. Included studies were critically appraised using a modified Newcastle–Ottawa Scale. PRISMA systematic review reporting methods were applied.Results17 articles met inclusion criteria. All were of high (53%) or moderate (47%) quality. The evidence available may suggest that patients in non-metropolitan areas are more likely to experience delays in surgery and are less likely to receive chemotherapy for stage III colon cancer and adjuvant radiotherapy for rectal cancer.ConclusionThe present review found limited information on clinical management across geographic regions in Australia and the synthesis highlights significant issues both for data collection and reporting at the population level, and for future research in the area of geographic variation. Where geographical disparities exist, these may be due to a combination of patient and system factors reflective of location. It is recommended that population-level data regarding clinical management of CRC be routinely collected to better understand geographical variations and inform future guidelines and policy. |
| first_indexed | 2024-12-14T00:27:50Z |
| format | Article |
| id | doaj.art-8d4210dfea4245e8911e3f0c59da329b |
| institution | Directory Open Access Journal |
| issn | 2234-943X |
| language | English |
| last_indexed | 2024-12-14T00:27:50Z |
| publishDate | 2018-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Oncology |
| spelling | doaj.art-8d4210dfea4245e8911e3f0c59da329b2022-12-21T23:24:59ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2018-05-01810.3389/fonc.2018.00116310535Geographical Variations in the Clinical Management of Colorectal Cancer in Australia: A Systematic ReviewFiona Crawford-Williams0Fiona Crawford-Williams1Sonja March2Sonja March3Michael J. Ireland4Michael J. Ireland5Arlen Rowe6Arlen Rowe7Belinda Goodwin8Belinda Goodwin9Melissa K. Hyde10Melissa K. Hyde11Suzanne K. Chambers12Suzanne K. Chambers13Suzanne K. Chambers14Suzanne K. Chambers15Suzanne K. Chambers16Joanne F. Aitken17Joanne F. Aitken18Joanne F. Aitken19Joanne F. Aitken20Jeff Dunn21Jeff Dunn22Jeff Dunn23Jeff Dunn24Institute for Resilient Regions, University of Southern Queensland, Springfield Central, QLD, AustraliaSchool of Psychology and Counselling, University of Southern Queensland, Springfield Central, QLD, AustraliaInstitute for Resilient Regions, University of Southern Queensland, Springfield Central, QLD, AustraliaSchool of Psychology and Counselling, University of Southern Queensland, Springfield Central, QLD, AustraliaInstitute for Resilient Regions, University of Southern Queensland, Springfield Central, QLD, AustraliaSchool of Psychology and Counselling, University of Southern Queensland, Springfield Central, QLD, AustraliaInstitute for Resilient Regions, University of Southern Queensland, Springfield Central, QLD, AustraliaSchool of Psychology and Counselling, University of Southern Queensland, Springfield Central, QLD, AustraliaInstitute for Resilient Regions, University of Southern Queensland, Springfield Central, QLD, AustraliaSchool of Psychology and Counselling, University of Southern Queensland, Springfield Central, QLD, AustraliaCancer Research Centre, Cancer Council Queensland, Fortitude Valley, QLD, AustraliaMenzies Health Institute Queensland, Griffith University, Southport, QLD, AustraliaInstitute for Resilient Regions, University of Southern Queensland, Springfield Central, QLD, AustraliaCancer Research Centre, Cancer Council Queensland, Fortitude Valley, QLD, AustraliaMenzies Health Institute Queensland, Griffith University, Southport, QLD, AustraliaProstate Cancer Foundation of Australia, St Leonards, NSW, AustraliaExercise Medicine Research Institute, Edith Cowan University, Perth, WA, AustraliaInstitute for Resilient Regions, University of Southern Queensland, Springfield Central, QLD, AustraliaCancer Research Centre, Cancer Council Queensland, Fortitude Valley, QLD, AustraliaMenzies Health Institute Queensland, Griffith University, Southport, QLD, AustraliaSchool of Public Health and Social Work, Queensland University of Technology, Brisbane, QLD, AustraliaInstitute for Resilient Regions, University of Southern Queensland, Springfield Central, QLD, AustraliaCancer Research Centre, Cancer Council Queensland, Fortitude Valley, QLD, AustraliaSchool of Social Science, University of Queensland, Brisbane, QLD, AustraliaSchool of Medicine, Griffith University, Brisbane, QLD, AustraliaBackgroundIn Australia, cancer survival is significantly lower in non-metropolitan compared to metropolitan areas. Our objective was to evaluate the evidence on geographical variations in the clinical management and treatment of colorectal cancer (CRC).MethodsA systematic review of published and gray literature was conducted. Five databases (CINAHL, PubMed, Embase, ProQuest, and Informit) were searched for articles published in English from 1990 to 2018. Studies were included if they assessed differences in clinical management according to geographical location; focused on CRC patients; and were conducted in Australia. Included studies were critically appraised using a modified Newcastle–Ottawa Scale. PRISMA systematic review reporting methods were applied.Results17 articles met inclusion criteria. All were of high (53%) or moderate (47%) quality. The evidence available may suggest that patients in non-metropolitan areas are more likely to experience delays in surgery and are less likely to receive chemotherapy for stage III colon cancer and adjuvant radiotherapy for rectal cancer.ConclusionThe present review found limited information on clinical management across geographic regions in Australia and the synthesis highlights significant issues both for data collection and reporting at the population level, and for future research in the area of geographic variation. Where geographical disparities exist, these may be due to a combination of patient and system factors reflective of location. It is recommended that population-level data regarding clinical management of CRC be routinely collected to better understand geographical variations and inform future guidelines and policy.http://journal.frontiersin.org/article/10.3389/fonc.2018.00116/fullcolorectal cancerrural healthhealth disparitycancer treatmentsystematic review |
| spellingShingle | Fiona Crawford-Williams Fiona Crawford-Williams Sonja March Sonja March Michael J. Ireland Michael J. Ireland Arlen Rowe Arlen Rowe Belinda Goodwin Belinda Goodwin Melissa K. Hyde Melissa K. Hyde Suzanne K. Chambers Suzanne K. Chambers Suzanne K. Chambers Suzanne K. Chambers Suzanne K. Chambers Joanne F. Aitken Joanne F. Aitken Joanne F. Aitken Joanne F. Aitken Jeff Dunn Jeff Dunn Jeff Dunn Jeff Dunn Geographical Variations in the Clinical Management of Colorectal Cancer in Australia: A Systematic Review Frontiers in Oncology colorectal cancer rural health health disparity cancer treatment systematic review |
| title | Geographical Variations in the Clinical Management of Colorectal Cancer in Australia: A Systematic Review |
| title_full | Geographical Variations in the Clinical Management of Colorectal Cancer in Australia: A Systematic Review |
| title_fullStr | Geographical Variations in the Clinical Management of Colorectal Cancer in Australia: A Systematic Review |
| title_full_unstemmed | Geographical Variations in the Clinical Management of Colorectal Cancer in Australia: A Systematic Review |
| title_short | Geographical Variations in the Clinical Management of Colorectal Cancer in Australia: A Systematic Review |
| title_sort | geographical variations in the clinical management of colorectal cancer in australia a systematic review |
| topic | colorectal cancer rural health health disparity cancer treatment systematic review |
| url | http://journal.frontiersin.org/article/10.3389/fonc.2018.00116/full |
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