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Access and travel burden associated with breast radiotherapy attendance pre- and post-COVID-19 pandemic

Joe Purden Orcid Logo, Tristan Jackson, Andrea Tales Orcid Logo, Ryan Lewis

Journal of Radiotherapy in Practice, Volume: 22

Swansea University Authors: Joe Purden Orcid Logo, Andrea Tales Orcid Logo

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DOI (Published version): 10.1017/s1460396923000390

Abstract

Introduction: It is already well-understood that patients requiring multiple hospital visits deal with several barriers. This paper considers a new methodology for determining the barrier that travel can cause, applying it to the mixed rural-city population of South-West Wales, calculating the trave...

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Published in: Journal of Radiotherapy in Practice
ISSN: 1460-3969 1467-1131
Published: Cambridge University Press (CUP) 2024
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URI: https://cronfa.swan.ac.uk/Record/cronfa64749
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last_indexed 2024-11-25T14:14:39Z
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spelling 2024-09-30T16:43:12.8479300 v2 64749 2023-10-13 Access and travel burden associated with breast radiotherapy attendance pre- and post-COVID-19 pandemic 5460500136e327b41f17c548057ffab1 0000-0002-4441-8113 Joe Purden Joe Purden true false 9b53a866ddacb566c38ee336706aef5f 0000-0003-4825-4555 Andrea Tales Andrea Tales true false 2023-10-13 HSOC Introduction: It is already well-understood that patients requiring multiple hospital visits deal with several barriers. This paper considers a new methodology for determining the barrier that travel can cause, applying it to the mixed rural-city population of South-West Wales, calculating the travel burden for patients accessing radiotherapy. Travel burden could factor into conversations around optimisation of appointments and the impact of changes to treatment pathways. Methods: Patient-specific travel data were calculated using Google Maps, for 1516 patients attending South-West Wales Cancer Centre for radiotherapy, modelled for 5-fraction and 15-fraction regimes. Results: 28% of patients travelled for longer than 60 minutes. Moving to a 5-fraction treatment regime saves 20 one-way trips to the hospital, resulting in an average time saving of 15.9 hours for those travelling by car and 39.3 hours for those travelling by public transport. On average, this reduces carbon dioxide emissions by 91 kg per patient. Conclusions: Implementation of a 5-fraction treatment regime has significantly reduced the travel burden for some patients receiving radiotherapy, as well as emissions related to travel. However, access to radiotherapy services in South-West Wales varies, with certain regions facing substantial travel burdens. Further research exploring other potential options to reduce travel burden is needed. Journal Article Journal of Radiotherapy in Practice 22 Cambridge University Press (CUP) 1460-3969 1467-1131 Access, COVID-19, emissions, FAST-Forward, radiotherapy, rural, travel burden 31 1 2024 2024-01-31 10.1017/s1460396923000390 http://dx.doi.org/10.1017/s1460396923000390 COLLEGE NANME Health and Social Care School COLLEGE CODE HSOC Swansea University SU Library paid the OA fee (TA Institutional Deal) Swansea University 2024-09-30T16:43:12.8479300 2023-10-13T16:26:59.1212677 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Medicine Joe Purden 0000-0002-4441-8113 1 Tristan Jackson 2 Andrea Tales 0000-0003-4825-4555 3 Ryan Lewis 4 64749__29027__bac24e1fb2b743ce916e702efe1a8491.pdf 64749.VOR.pdf 2023-11-15T11:14:38.0551835 Output 597204 application/pdf Version of Record true © The Author(s), 2023. Published by Cambridge University Press. Distributed under the terms of a Creative Commons Attribution 4.0 International License (CC BY 4.0). true eng http://creativecommons.org/licenses/by/4.0/
title Access and travel burden associated with breast radiotherapy attendance pre- and post-COVID-19 pandemic
spellingShingle Access and travel burden associated with breast radiotherapy attendance pre- and post-COVID-19 pandemic
Joe Purden
Andrea Tales
title_short Access and travel burden associated with breast radiotherapy attendance pre- and post-COVID-19 pandemic
title_full Access and travel burden associated with breast radiotherapy attendance pre- and post-COVID-19 pandemic
title_fullStr Access and travel burden associated with breast radiotherapy attendance pre- and post-COVID-19 pandemic
title_full_unstemmed Access and travel burden associated with breast radiotherapy attendance pre- and post-COVID-19 pandemic
title_sort Access and travel burden associated with breast radiotherapy attendance pre- and post-COVID-19 pandemic
author_id_str_mv 5460500136e327b41f17c548057ffab1
9b53a866ddacb566c38ee336706aef5f
author_id_fullname_str_mv 5460500136e327b41f17c548057ffab1_***_Joe Purden
9b53a866ddacb566c38ee336706aef5f_***_Andrea Tales
author Joe Purden
Andrea Tales
author2 Joe Purden
Tristan Jackson
Andrea Tales
Ryan Lewis
format Journal article
container_title Journal of Radiotherapy in Practice
container_volume 22
publishDate 2024
institution Swansea University
issn 1460-3969
1467-1131
doi_str_mv 10.1017/s1460396923000390
publisher Cambridge University Press (CUP)
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Medicine{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Medicine
url http://dx.doi.org/10.1017/s1460396923000390
document_store_str 1
active_str 0
description Introduction: It is already well-understood that patients requiring multiple hospital visits deal with several barriers. This paper considers a new methodology for determining the barrier that travel can cause, applying it to the mixed rural-city population of South-West Wales, calculating the travel burden for patients accessing radiotherapy. Travel burden could factor into conversations around optimisation of appointments and the impact of changes to treatment pathways. Methods: Patient-specific travel data were calculated using Google Maps, for 1516 patients attending South-West Wales Cancer Centre for radiotherapy, modelled for 5-fraction and 15-fraction regimes. Results: 28% of patients travelled for longer than 60 minutes. Moving to a 5-fraction treatment regime saves 20 one-way trips to the hospital, resulting in an average time saving of 15.9 hours for those travelling by car and 39.3 hours for those travelling by public transport. On average, this reduces carbon dioxide emissions by 91 kg per patient. Conclusions: Implementation of a 5-fraction treatment regime has significantly reduced the travel burden for some patients receiving radiotherapy, as well as emissions related to travel. However, access to radiotherapy services in South-West Wales varies, with certain regions facing substantial travel burdens. Further research exploring other potential options to reduce travel burden is needed.
published_date 2024-01-31T06:07:15Z
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