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dc.contributor.authorNieder, Carsten
dc.contributor.authorDalhaug, Astrid
dc.contributor.authorHaukland, Ellinor Christin
dc.contributor.authorNorum, Jan
dc.date.accessioned2019-08-22T12:53:28Z
dc.date.available2019-08-22T12:53:28Z
dc.date.issued2019-05-23
dc.description.abstractThe goal of the Norwegian Ministry of Health and Care Services is to offer an equal health-care service with the same outcomes wherever people are living within the country. The aim of this study was to evaluate whether this was true for patients diagnosed with metastatic prostate cancer (mPC) and living in Nordland County, a region with a challenging geography and climate and having, several small and remote communities and only 1 department of oncology. The latter is located in the main city, Bodø. We also compared a subgroup living in communities having lower average annual income (less than NOK 240,000 (equivalent to USD 28,600)) with patients living in Bodø (NOK 285,000 (USD 33,900)). Overall 288 patients were included and stratified into 3 subgroups (favourable distance and income, unfavourable distance and income, and unfavourable distance and favourable income). No statistically significant differences were observed regarding patient characteristics. There was no indication towards under-treatment among patients from the distant regions or the lower income region. Given that disparities were not observed, it was not surprising to see comparable survival outcomes (p=0.35). In conclusion, these results suggest that the health-care system in Nordland County successfully delivers state-of-the-art oncology care to patients with mPC.en_US
dc.description.sponsorshipUiT The Arctic University of Norway, the publication funden_US
dc.descriptionSource at <a href=https://doi.org/10.1080/22423982.2019.1620086>https://doi.org/10.1080/22423982.2019.1620086. </a>en_US
dc.identifier.citationNieder, C., Dalhaug, A., Haukland, E. & Norum, J. (2019). Management of patients with metastatic prostate cancer (mPC) in a rural part of North Norway with a scattered population: does living near the department of oncology translate into a different pattern of care and survival? <i>International Journal of Circumpolar Health, 78</i>, 1620086. https://doi.org/10.1080/22423982.2019.1620086en_US
dc.identifier.issn1239-9736
dc.identifier.issn2242-3982
dc.identifier.otherFRIDAID 1708609
dc.identifier.other10.1080/22423982.2019.1620086
dc.identifier.urihttps://hdl.handle.net/10037/15997
dc.language.isoengen_US
dc.publisherTaylor & Francis Openen_US
dc.relation.journalInternational Journal of Circumpolar Health
dc.rights.accessRightsopenAccessen_US
dc.subjectVDP::Medical disciplines: 700::Clinical medical disciplines: 750::Oncology: 762en_US
dc.subjectVDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Onkologi: 762en_US
dc.subjectProstate canceren_US
dc.subjectdistant metastasesen_US
dc.subjectchemotherapyen_US
dc.subjectradiotherapyen_US
dc.subjectsystemic therapyen_US
dc.subjectsurvivalen_US
dc.subjectpattern of careen_US
dc.titleManagement of patients with metastatic prostate cancer (mPC) in a rural part of North Norway with a scattered population: does living near the department of oncology translate into a different pattern of care and survival?en_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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