No Geographical Inequalities in Survival for Sarcoma Patients in France: A Reference Networks’ Outcome?

The national reference network NETSARC+ provides remote access to specialized diagnosis and the Multidisciplinary Tumour Board (MTB) to improve the management and survival of sarcoma patients in France. The IGéAS research program aims to assess the potential of this innovative organization to addres...

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Vydáno v:Cancers Ročník 14; číslo 11; s. 2620
Hlavní autoři: Fayet, Yohan, Chevreau, Christine, Decanter, Gauthier, Dalban, Cécile, Meeus, Pierre, Carrère, Sébastien, Haddag-Miliani, Leila, Le Loarer, François, Causeret, Sylvain, Orbach, Daniel, Kind, Michelle, Le Nail, Louis-Romée, Ferron, Gwenaël, Labrosse, Hélène, Chaigneau, Loïc, Bertucci, François, Ruzic, Jean-Christophe, Le Brun Ly, Valérie, Farsi, Fadila, Bompas, Emmanuelle, Noal, Sabine, Vozy, Aurore, Ducoulombier, Agnes, Bonnet, Clément, Chabaud, Sylvie, Ducimetière, Françoise, Tlemsani, Camille, Ropars, Mickaël, Collard, Olivier, Michelin, Paul, Gantzer, Justine, Dubray-Longeras, Pascale, Rios, Maria, Soibinet, Pauline, Le Cesne, Axel, Duffaud, Florence, Karanian, Marie, Gouin, François, Tétreau, Raphaël, Honoré, Charles, Coindre, Jean-Michel, Ray-Coquard, Isabelle, Bonvalot, Sylvie, Blay, Jean-Yves
Médium: Journal Article
Jazyk:angličtina
Vydáno: Switzerland MDPI AG 25.05.2022
MDPI
Témata:
Age
Cancer
Care and treatment
Colorectal cancer
Diagnosis
Evaluation
Health care disparities
Life Sciences
Localization
Management
Patient outcomes
Patients
Prevention
Sarcoma
Software
Survival
Survival analysis
Tumors
France
United States > US
remoteness
social deprivation
France
rare cancers
reference networks
spatial inequalities
ISSN:2072-6694, 2072-6694
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Shrnutí:The national reference network NETSARC+ provides remote access to specialized diagnosis and the Multidisciplinary Tumour Board (MTB) to improve the management and survival of sarcoma patients in France. The IGéAS research program aims to assess the potential of this innovative organization to address geographical inequalities in cancer management. Using the IGéAS cohort built from the nationwide NETSARC+ database, the individual, clinical, and geographical determinants of the 3-year overall survival of sarcoma patients in France were analyzed. The survival analysis was focused on patients diagnosed in 2013 (n = 2281) to ensure sufficient hindsight to collect patient follow-up. Our study included patients with bone (16.8%), soft-tissue (69%), and visceral (14.2%) sarcomas, with a median age of 61.8 years. The overall survival was not associated with geographical variables after adjustment for individual and clinical factors. The lower survival in precarious population districts [HR 1.23, 95% CI 1.02 to 1.48] in comparison to wealthy metropolitan areas (HR = 1) found in univariable analysis was due to the worst clinical presentation at diagnosis of patients. The place of residence had no impact on sarcoma patients’ survival, in the context of the national organization driven by the reference network. Following previous findings, this suggests the ability of this organization to go through geographical barriers usually impeding the optimal management of cancer patients.
Bibliografie:ObjectType-Article-1
SourceType-Scholarly Journals-1
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PMCID: PMC9179906
ISSN:2072-6694
2072-6694
DOI:10.3390/cancers14112620