Advanced cervical cancer treatment in Harris County: Pilot evaluation of factors that prevent optimal therapy

Lois M. Ramondetta, Charlotte Sun, Lisa Hollier, LaTasha Jarrett, Jody Folloder, Guillermo Tortolero-Luna, Alycia Hughes, Anuja Jhingran, Jubilee Brown

Research output: Contribution to journalArticle

11 Scopus citations

Abstract

Objective.: To document obstacles to completing outpatient treatment faced by indigent patients with cervical cancer and compare treatment costs. Methods.: A retrospective pilot case series study assessed all indigent Harris County residents referred from Lyndon Baines Johnson Hospital (LBJ) to The University of Texas M. D. Anderson Cancer Center (M. D. Anderson) for advanced cervical cancer treatment between February 2001 and April 2004. Twenty-seven patients required hospital admission during the expected course of outpatient treatment and were identified as the study group. Nine patients, drawn from the same cohort but able to successfully complete the expected course of treatment as outpatients, were selected as the control group. Results.: The median total treatment costs per patient in the study group (n = 27) was $28,892 more than the median treatment costs for the patients in the control group (n = 9) (P = 0.01). Median number of inpatient days in the study group was 19.6. Social factors identified as significantly different between the study and control groups included transportation difficulties (P = 0.006) and lack of social support (P = 0.08). Additional factors identified in the study group may have social significance such as accessible local housing (11% vs. 0%, P = 0.56) and noncompliance with treatment (37% vs. 11%, P = 0.22). Conclusion.: A combination of the lack of adequate methods of transportation and social support may contribute to the high cost of treating indigent patients with cervical cancer in Harris County, Texas.

Original languageEnglish (US)
Pages (from-to)547-553
Number of pages7
JournalGynecologic oncology
Volume103
Issue number2
DOIs
StatePublished - Nov 1 2006

Keywords

  • Cervix cancer
  • Chemoradiation
  • Minority
  • Uninsured

ASJC Scopus subject areas

  • Oncology
  • Obstetrics and Gynecology

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    Ramondetta, L. M., Sun, C., Hollier, L., Jarrett, L., Folloder, J., Tortolero-Luna, G., Hughes, A., Jhingran, A., & Brown, J. (2006). Advanced cervical cancer treatment in Harris County: Pilot evaluation of factors that prevent optimal therapy. Gynecologic oncology, 103(2), 547-553. https://doi.org/10.1016/j.ygyno.2006.03.054