Understanding palliative radiotherapy use for BC cancer patients at the end of life

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dc.contributor.authorHuang, Jin
dc.contributor.supervisorLau, Francis Yin Yee
dc.date.accessioned2013-06-21T21:13:41Z
dc.date.available2013-06-21T21:13:41Z
dc.date.copyright2013en_US
dc.date.issued2013-06-21
dc.degree.departmentSchool of Health Information Science
dc.degree.levelMaster of Science M.Sc.en_US
dc.description.abstractPalliative radiotherapy (PRT) is proven to be effective in palliation of symptoms for end-stage cancer patients. However, little is known about its utilization at the end of life. This research aims to examine the utilization and the practice patterns of PRT at the end of life for cancer patients in British Columbia using population-based data. The pattern observed for PRT1Y dose-fractionation practice in BC are in line with published clinical guidelines and evidence from the literature, which advises “proper” use of PRT in BC as delivered to cancer patients at the end of life. However, after controlling for age, primary cancer site, and survival time, geographic access is found to be significantly associated with PRT1Y utilization. Variations found in PRT1Y rates by geographic access, which is operationalized by the Health Services Delivery Area (HSDA) and travel time, suggests potential underutilization of PRT1Y for patients with suboptimal access.en_US
dc.description.proquestcode0992en_US
dc.description.proquestcode0769en_US
dc.description.proquestcode0574en_US
dc.description.proquestemailjinhuang@uvic.caen_US
dc.description.scholarlevelGraduateen_US
dc.identifier.urihttp://hdl.handle.net/1828/4658
dc.languageEnglisheng
dc.language.isoenen_US
dc.rights.tempAvailable to the World Wide Weben_US
dc.subjectEnd-of-lifeen_US
dc.subjectHealth service utilizationen_US
dc.subjectMetastatic canceren_US
dc.subjectPalliative radiotherapyen_US
dc.titleUnderstanding palliative radiotherapy use for BC cancer patients at the end of lifeen_US
dc.title.alternativeUnderstanding palliative radiotherapy use for B.C. cancer patients at the end of lifeen_US
dc.typeThesisen_US

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