How far is too far? Cancer prevention and clinical trial enrollment in geographically underserved patient populations.
Gynecol Oncol
; 184: 8-15, 2024 05.
Article
en En
| MEDLINE
| ID: mdl-38271774
ABSTRACT
Despite dedicated efforts to improve equitable access to cancer care in the United States, disparities in cancer outcomes persist, and geographically underserved patients remain at an increased risk of cancer with lower rates of survival. The critical evaluation of cancer prevention inequities and clinical trial access presents the opportunity to outline novel strategies to incrementally improve bookended access to gynecologic cancer care for geographically underserved patients. Cancer prevention strategies that can be addressed in the rural patient population mirror priorities in the Healthy People 2030 objectives and include increased identification of high risk individuals who may benefit from increased cancer screening and risk reduction, increasing the proportion of people who discuss interventions to prevent cancer, such as HPV vaccination, with their provider, and increasing the proportion of adults who complete evidence based cancer screening. Barriers to accrual to clinical trials for rural patients overlap significantly with the same barriers to obtaining health care in general. These barriers include lack of facilities and specialized providers; lack of robust health infrastructure; inability to travel; and financial barriers. In this review, we will discuss current knowledge and opportunities to improve cancer prevention initiatives and clinical trial enrollment in geographically underserved populations with a focus on rurality.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Ensayos Clínicos como Asunto
/
Accesibilidad a los Servicios de Salud
/
Área sin Atención Médica
Límite:
Female
/
Humans
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Gynecol Oncol
/
Gynecol. oncol
/
Gynecologic oncology
Año:
2024
Tipo del documento:
Article
Pais de publicación:
Estados Unidos