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Examining geographic accessibility to radiotherapy in Canada and Greenland for indigenous populations: Measuring inequities to inform solutions

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Chan, J, Friborg, J, Zubizarreta, E, van Eck, JW, Hanna, TP, Bourque, J-M, Gaudet, M, Dennis, K, Olson, R, Coleman, CN, Petersen, AJ, Grau, C, Abdel-Wahab, M, Brundage, M, Slotman, B & Polo, A 2020, 'Examining geographic accessibility to radiotherapy in Canada and Greenland for indigenous populations: Measuring inequities to inform solutions', Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology, vol. 146, pp. 1-8. https://doi.org/10.1016/j.radonc.2020.01.023

APA

Chan, J., Friborg, J., Zubizarreta, E., van Eck, J. W., Hanna, T. P., Bourque, J-M., Gaudet, M., Dennis, K., Olson, R., Coleman, C. N., Petersen, A. J., Grau, C., Abdel-Wahab, M., Brundage, M., Slotman, B., & Polo, A. (2020). Examining geographic accessibility to radiotherapy in Canada and Greenland for indigenous populations: Measuring inequities to inform solutions. Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology, 146, 1-8. https://doi.org/10.1016/j.radonc.2020.01.023

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Author

Chan, Jessica ; Friborg, Jeppe ; Zubizarreta, Eduardo ; van Eck, Jan Willem ; Hanna, Timothy P ; Bourque, Jean-Marc ; Gaudet, Marc ; Dennis, Kristopher ; Olson, Robert ; Coleman, C Norman ; Petersen, Alice J ; Grau, Cai ; Abdel-Wahab, May ; Brundage, Michael ; Slotman, Ben ; Polo, Alfredo. / Examining geographic accessibility to radiotherapy in Canada and Greenland for indigenous populations : Measuring inequities to inform solutions. In: Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology. 2020 ; Vol. 146. pp. 1-8.

Bibtex

@article{c169faffb0944dcc8f6237e6e5df2207,
title = "Examining geographic accessibility to radiotherapy in Canada and Greenland for indigenous populations: Measuring inequities to inform solutions",
abstract = "BACKGROUND: A high cancer burden exists among indigenous populations worldwide. Canada and Greenland have similar geographic features that make health service delivery challenging. We sought to describe geographic access to radiotherapy for indigenous populations in both regions.METHODS: We used geospatial analyses to calculate distance and travel-time from indigenous communities in Canada and Greenland to the nearest radiotherapy center. We calculated the proportion of indigenous communities and populations residing within a 1 and 2-hour drive of a radiotherapy center in Canada, and compared the proportion of indigenous versus non-indigenous populations residing within each drive-time area. We calculated the potential distance and travel-time saved if radiotherapy was available in northern Canada (Yellowknife and Iqaluit), and Greenland (Nuuk).RESULTS: Median one-way travel from indigenous communities to nearest radiotherapy center in Canada was 268 km (3 h when considering any transportation mode), and 4111 km (6 h by plane) in Greenland. In Canada, 84% and 68% of indigenous communities were outside a 1 and 2-hour drive from a radiotherapy center, respectively. Only 2% of the total population in Canada resided outside a 2-hour drive from a radiotherapy center. However, indigenous peoples were 336 times more likely to live more than a 2-hour drive away, compared to non-indigenous peoples. Nearly 3 million km and 4000 h of travel could be saved over a 10-year period for patients with newly diagnosed cancers in Canada, and 7 million km and 10,000 h in Greenland, if radiotherapy was available in Yellowknife, Iqaluit and Nuuk.CONCLUSIONS: Geography is an important barrier to accessing radiotherapy for indigenous populations in Canada and Greenland. A significant disparity exists between indigenous and non-indigenous peoples in Canada. Geospatial analyses can help highlight disparities in access to inform radiotherapy service planning.",
keywords = "Canada, Greenland, Humans, Neoplasms/radiotherapy, Travel",
author = "Jessica Chan and Jeppe Friborg and Eduardo Zubizarreta and {van Eck}, {Jan Willem} and Hanna, {Timothy P} and Jean-Marc Bourque and Marc Gaudet and Kristopher Dennis and Robert Olson and Coleman, {C Norman} and Petersen, {Alice J} and Cai Grau and May Abdel-Wahab and Michael Brundage and Ben Slotman and Alfredo Polo",
note = "Copyright {\textcopyright} 2020 Elsevier B.V. All rights reserved.",
year = "2020",
month = may,
doi = "10.1016/j.radonc.2020.01.023",
language = "English",
volume = "146",
pages = "1--8",
journal = "Radiotherapy and Oncology",
issn = "0167-8140",
publisher = "Elsevier Ireland Ltd",

}

RIS

TY - JOUR

T1 - Examining geographic accessibility to radiotherapy in Canada and Greenland for indigenous populations

T2 - Measuring inequities to inform solutions

AU - Chan, Jessica

AU - Friborg, Jeppe

AU - Zubizarreta, Eduardo

AU - van Eck, Jan Willem

AU - Hanna, Timothy P

AU - Bourque, Jean-Marc

AU - Gaudet, Marc

AU - Dennis, Kristopher

AU - Olson, Robert

AU - Coleman, C Norman

AU - Petersen, Alice J

AU - Grau, Cai

AU - Abdel-Wahab, May

AU - Brundage, Michael

AU - Slotman, Ben

AU - Polo, Alfredo

N1 - Copyright © 2020 Elsevier B.V. All rights reserved.

PY - 2020/5

Y1 - 2020/5

N2 - BACKGROUND: A high cancer burden exists among indigenous populations worldwide. Canada and Greenland have similar geographic features that make health service delivery challenging. We sought to describe geographic access to radiotherapy for indigenous populations in both regions.METHODS: We used geospatial analyses to calculate distance and travel-time from indigenous communities in Canada and Greenland to the nearest radiotherapy center. We calculated the proportion of indigenous communities and populations residing within a 1 and 2-hour drive of a radiotherapy center in Canada, and compared the proportion of indigenous versus non-indigenous populations residing within each drive-time area. We calculated the potential distance and travel-time saved if radiotherapy was available in northern Canada (Yellowknife and Iqaluit), and Greenland (Nuuk).RESULTS: Median one-way travel from indigenous communities to nearest radiotherapy center in Canada was 268 km (3 h when considering any transportation mode), and 4111 km (6 h by plane) in Greenland. In Canada, 84% and 68% of indigenous communities were outside a 1 and 2-hour drive from a radiotherapy center, respectively. Only 2% of the total population in Canada resided outside a 2-hour drive from a radiotherapy center. However, indigenous peoples were 336 times more likely to live more than a 2-hour drive away, compared to non-indigenous peoples. Nearly 3 million km and 4000 h of travel could be saved over a 10-year period for patients with newly diagnosed cancers in Canada, and 7 million km and 10,000 h in Greenland, if radiotherapy was available in Yellowknife, Iqaluit and Nuuk.CONCLUSIONS: Geography is an important barrier to accessing radiotherapy for indigenous populations in Canada and Greenland. A significant disparity exists between indigenous and non-indigenous peoples in Canada. Geospatial analyses can help highlight disparities in access to inform radiotherapy service planning.

AB - BACKGROUND: A high cancer burden exists among indigenous populations worldwide. Canada and Greenland have similar geographic features that make health service delivery challenging. We sought to describe geographic access to radiotherapy for indigenous populations in both regions.METHODS: We used geospatial analyses to calculate distance and travel-time from indigenous communities in Canada and Greenland to the nearest radiotherapy center. We calculated the proportion of indigenous communities and populations residing within a 1 and 2-hour drive of a radiotherapy center in Canada, and compared the proportion of indigenous versus non-indigenous populations residing within each drive-time area. We calculated the potential distance and travel-time saved if radiotherapy was available in northern Canada (Yellowknife and Iqaluit), and Greenland (Nuuk).RESULTS: Median one-way travel from indigenous communities to nearest radiotherapy center in Canada was 268 km (3 h when considering any transportation mode), and 4111 km (6 h by plane) in Greenland. In Canada, 84% and 68% of indigenous communities were outside a 1 and 2-hour drive from a radiotherapy center, respectively. Only 2% of the total population in Canada resided outside a 2-hour drive from a radiotherapy center. However, indigenous peoples were 336 times more likely to live more than a 2-hour drive away, compared to non-indigenous peoples. Nearly 3 million km and 4000 h of travel could be saved over a 10-year period for patients with newly diagnosed cancers in Canada, and 7 million km and 10,000 h in Greenland, if radiotherapy was available in Yellowknife, Iqaluit and Nuuk.CONCLUSIONS: Geography is an important barrier to accessing radiotherapy for indigenous populations in Canada and Greenland. A significant disparity exists between indigenous and non-indigenous peoples in Canada. Geospatial analyses can help highlight disparities in access to inform radiotherapy service planning.

KW - Canada

KW - Greenland

KW - Humans

KW - Neoplasms/radiotherapy

KW - Travel

U2 - 10.1016/j.radonc.2020.01.023

DO - 10.1016/j.radonc.2020.01.023

M3 - Journal article

C2 - 32065874

VL - 146

SP - 1

EP - 8

JO - Radiotherapy and Oncology

JF - Radiotherapy and Oncology

SN - 0167-8140

ER -

ID: 67942531